Hospital De La Concepcion Inc
Carr 2 Km 173 4 Bo Cain Alto, San German, PR 00683Map
Medicare/Medicaid certified30 certified beds~52 residents/dayNon profit - Corporation
Last standard health inspection: March 5, 2026
Hospital De La Concepcion Inc is a 30-bed nonprofit, corporation-run nursing home in San German, San German, Puerto Rico, serving an average of 52 residents per day. As of CMS data processed June 1, 2026, its overall rating is 2 of 5 stars.
CMS star ratings
CMS scores every nursing home 1–5 stars overall, built from three sub-ratings. moreless
Medicare inspects and measures every certified nursing home, then rolls the results into a 1–5 star overall rating. It combines three parts: health inspections, staffing, and quality measures. Five stars means much better than average — it does not mean perfect. One star means much worse than average — it does not mean every shift is bad. Stars are a screening tool, not a verdict. They can lag reality by months, and they can't see things like how kind the aides are or how the building smells at 7am.
What to do with this: use stars to build a shortlist, then visit in person. Nothing on this site replaces walking the halls.
Health-inspection stars are graded on a curve within each state — never compare stars across state lines. moreless
CMS sets health-inspection star cutoffs separately for each state: roughly the top 10% of homes in a state get 5 stars, the bottom 20% get 1 star, no matter how the state compares to others. That means a 4-star home in one state and a 4-star home in another state may have very different inspection records. The stars tell you how a home compares to its neighbors, not to the whole country. That's why this site shows your state's median next to each star rating — and never a national star comparison.
What to do with this: compare stars only between homes in the same state. To compare across states, use staffing hours — those are real numbers, not curves.
Not all three sub-ratings are equally hard to game: inspections are the most objective, quality measures the least. moreless
The three sub-ratings come from different sources. Health inspections are done on-site by trained state surveyors who show up mostly unannounced — the most objective signal. Staffing comes from payroll records that facilities must submit and CMS audits — quite reliable. Quality measures are partly self-reported by the facility from its own resident assessments — useful, but the facility grades some of its own homework.
What to do with this: when sub-ratings disagree, weigh the inspection star most and the quality-measure star least.
Staffing
Reported hours per resident per day, from payroll records. Hours, unlike stars, can be compared across states.
Hours per resident per day: total staff hours worked, divided by the number of residents. moreless
If a home reports 3.5 total nursing hours per resident per day, that's all nursing staff time across 24 hours — roughly one caregiver-hour every 7 hours per resident, spread across day, evening, and night shifts. On a real floor it decides whether call lights get answered in 5 minutes or 25, whether someone has time to help with dinner, and whether night shift is one aide for a hall or two. Unlike star ratings, hours are actual numbers, so they CAN be compared across state lines.
What to do with this: compare a home's hours to the state and national medians shown, and ask the facility how the hours split across day, evening, and night shifts.
RN (registered nurse) hours
LPN (licensed practical nurse) hours
Nurse aide hours
Total nursing hours
CMS also adjusts these numbers for how sick each home’s residents are — a home with sicker residents needs more staff for the same star. This home’s case-mix-adjusted total: 2.80 (US median, adjusted: 3.78).
CMS also adjusts staffing numbers for how sick each home's residents are. moreless
A home full of short-term rehab patients needs different staffing than a home caring for people with advanced dementia or ventilators. Case-mix adjustment estimates how many hours a home's particular residents need, then scales the reported hours so homes can be compared fairly. A home with sicker residents needs more staff for the same star. This page shows reported (raw payroll) numbers and compares them only to other reported numbers — like with like.
What to do with this: if a home's reported hours look low, check whether its residents may simply need less care — and ask the facility directly.
Staff turnover
Turnover: The facility's staffing data didn't meet the criteria for a turnover measure, so it's excluded and the staffing score is rescaled.
The share of nursing staff who left within the year. Lower is steadier. moreless
Total nursing staff turnover is the percentage of the home's nurses and aides who stopped working there during the year. Around half of nursing-home staff leaving annually is sadly common in this industry. High turnover means residents are cared for by people who don't know them — which matters enormously for dementia care, pain management, and noticing the small changes that catch problems early. Low turnover usually means staff are treated well enough to stay.
What to do with this: when you visit, ask aides how long they've worked there. Long-tenured aides are the best sign a building has.
Inspections & deficiencies
The last 3 inspection cycles, from CMS’s federal health-survey file. State-only citations and fire-safety surveys are not included — an empty list means nothing federal is in this file, not that nothing ever happened.
Each deficiency gets a letter A–L: how severe it was × how widespread it was. moreless
Surveyors grade every deficiency on a grid. Severity runs from 'potential for minimal harm' up to 'immediate jeopardy to resident health or safety.' Scope runs from isolated (one or a few residents) to pattern to widespread. A and B are paperwork-level; D–F caused no actual harm but had the potential; G–I caused actual harm; J, K, and L mean immediate jeopardy — the most serious finding a surveyor can make. Most citations nationally are D–E.
What to do with this: scan for G or higher. One J/K/L tells you more than ten D's.
Standard surveys are routine; complaint surveys happen because someone reported a problem. moreless
A standard survey is the routine top-to-bottom inspection every home gets on a recurring cycle. A complaint survey happens because a resident, family member, or staff member reported something to the state — surveyors come specifically to investigate it. Infection-control surveys focus on practices like hand hygiene and isolation procedures. A deficiency found during a complaint survey means someone cared enough to report it and a surveyor confirmed enough to cite it.
What to do with this: note which deficiencies came from complaints — they show you what residents and families actually experienced.
The F-number on each deficiency is CMS's code for which federal requirement was violated. moreless
Every federal nursing-home requirement has a tag number. F0686, for example, is the pressure-ulcer requirement; F0600 is freedom from abuse. The tag tells you exactly which rule was broken, and the description next to it is CMS's own plain-language summary of that rule. The same tag appearing across multiple inspections is a pattern worth noticing.
What to do with this: if the same tag repeats across surveys, ask the facility what changed since the last citation.
This data shows federal health surveys only — state-only citations and fire-safety surveys aren't included. moreless
CMS's public deficiency file contains federal health-survey citations. It does not include citations issued under state-only rules, fire-safety (Life Safety Code) surveys, or anything older than three inspection cycles. A facility with no rows here may still have state citations or fire-safety findings. 'No deficiencies in this file' never means 'no violations ever.'
What to do with this: for the full picture, check your state health department's site and medicare.gov/care-compare, which shows fire-safety results separately.
51 deficiencies across the last 3 inspection cycles, in CMS’s federal health-survey file:
- Resident Rights: 35
- Nursing and Physician Services: 3
- Resident Assessment and Care Planning: 3
- Nutrition and Dietary: 3
- Quality of Life and Care: 2
- Freedom from Abuse, Neglect, and Exploitation: 2
- Administration: 2
- Infection Control: 1
March 5, 2026Standard surveyTag F0582E — no actual harm, potential for more than minimal harm, pattern
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Deficient, Provider has date of correction · corrected May 1, 2026
March 5, 2026Standard surveyTag F0584E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Deficient, Provider has date of correction · corrected May 1, 2026
March 5, 2026Standard surveyTag F0692D — no actual harm, potential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Deficient, Provider has date of correction · corrected May 1, 2026
March 5, 2026Standard surveyTag F0725F — no actual harm, potential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Deficient, Provider has date of correction · corrected May 1, 2026
March 5, 2026Standard surveyTag F0726F — no actual harm, potential for more than minimal harm, widespread
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Deficient, Provider has date of correction · corrected May 1, 2026
September 12, 2024Standard surveyTag F0550F — no actual harm, potential for more than minimal harm, widespread
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has date of correction · corrected October 23, 2024
September 12, 2024Standard surveyTag F0551F — no actual harm, potential for more than minimal harm, widespread
Give the resident's representative the ability to exercise the resident's rights.
Deficient, Provider has date of correction · corrected October 11, 2024
September 12, 2024Standard surveyTag F0552F — no actual harm, potential for more than minimal harm, widespread
Ensure that residents are fully informed and understand their health status, care and treatments.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0553F — no actual harm, potential for more than minimal harm, widespread
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0554F — no actual harm, potential for more than minimal harm, widespread
Allow residents to self-administer drugs if determined clinically appropriate.
Deficient, Provider has date of correction · corrected October 8, 2024
Show 41 more deficiencies
September 12, 2024Standard surveyTag F0555F — no actual harm, potential for more than minimal harm, widespread
Honor the resident's right to choose his or her attending physician.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0557F — no actual harm, potential for more than minimal harm, widespread
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0558F — no actual harm, potential for more than minimal harm, widespread
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0559F — no actual harm, potential for more than minimal harm, widespread
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0560F — no actual harm, potential for more than minimal harm, widespread
Protect a residents' right to refuse some types of non-requested transfers within the nursing home.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0561F — no actual harm, potential for more than minimal harm, widespread
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0562F — no actual harm, potential for more than minimal harm, widespread
Provide immediate access to any resident.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0563F — no actual harm, potential for more than minimal harm, widespread
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0564F — no actual harm, potential for more than minimal harm, widespread
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0565F — no actual harm, potential for more than minimal harm, widespread
Honor the resident's right to organize and participate in resident/family groups in the facility.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0566F — no actual harm, potential for more than minimal harm, widespread
1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0567F — no actual harm, potential for more than minimal harm, widespread
Honor the resident's right to manage his or her financial affairs.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0568F — no actual harm, potential for more than minimal harm, widespread
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0569F — no actual harm, potential for more than minimal harm, widespread
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0570F — no actual harm, potential for more than minimal harm, widespread
Assure the security of all personal funds of residents deposited with the facility.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0571F — no actual harm, potential for more than minimal harm, widespread
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0572F — no actual harm, potential for more than minimal harm, widespread
Give residents a notice of rights, rules, services and charges.
Deficient, Provider has date of correction · corrected October 11, 2024
September 12, 2024Standard surveyTag F0573F — no actual harm, potential for more than minimal harm, widespread
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0574F — no actual harm, potential for more than minimal harm, widespread
The resident has the right to receive notices in a format and a language he or she understands.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0575F — no actual harm, potential for more than minimal harm, widespread
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0576F — no actual harm, potential for more than minimal harm, widespread
Ensure residents have reasonable access to and privacy in their use of communication methods.
Deficient, Provider has date of correction · corrected October 23, 2024
September 12, 2024Standard surveyTag F0577F — no actual harm, potential for more than minimal harm, widespread
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Deficient, Provider has date of correction · corrected October 11, 2024
September 12, 2024Standard surveyTag F0578F — no actual harm, potential for more than minimal harm, widespread
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Deficient, Provider has date of correction · corrected October 11, 2024
September 12, 2024Standard surveyTag F0579F — no actual harm, potential for more than minimal harm, widespread
Provide information about how to apply for and use Medicare and Medicaid benefits.
Deficient, Provider has date of correction · corrected October 23, 2024
September 12, 2024Standard surveyTag F0580F — no actual harm, potential for more than minimal harm, widespread
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Deficient, Provider has date of correction · corrected October 23, 2024
September 12, 2024Standard surveyTag F0583F — no actual harm, potential for more than minimal harm, widespread
Keep residents' personal and medical records private and confidential.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0585F — no actual harm, potential for more than minimal harm, widespread
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0586F — no actual harm, potential for more than minimal harm, widespread
Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
Deficient, Provider has date of correction · corrected October 16, 2024
September 12, 2024Standard surveyTag F0604F — no actual harm, potential for more than minimal harm, widespread
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Deficient, Provider has date of correction · corrected October 23, 2024
September 12, 2024Standard surveyTag F0605F — no actual harm, potential for more than minimal harm, widespread
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Deficient, Provider has date of correction · corrected October 23, 2024
September 12, 2024Standard surveyTag F0636E — no actual harm, potential for more than minimal harm, pattern
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Deficient, Provider has date of correction · corrected October 23, 2024
September 12, 2024Standard surveyTag F0655F — no actual harm, potential for more than minimal harm, widespread
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Deficient, Provider has date of correction · corrected October 15, 2024
September 12, 2024Standard surveyTag F0656E — no actual harm, potential for more than minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has date of correction · corrected October 23, 2024
September 12, 2024Standard surveyTag F0732C — no actual harm, potential for minimal harm, widespread
Post nurse staffing information every day.
Deficient, Provider has date of correction · corrected September 12, 2024
September 12, 2024Standard surveyTag F0790F — no actual harm, potential for more than minimal harm, widespread
Provide routine and 24-hour emergency dental care for each resident.
Deficient, Provider has date of correction · corrected September 20, 2024
September 12, 2024Standard surveyTag F0803D — no actual harm, potential for more than minimal harm, isolated
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Deficient, Provider has date of correction · corrected October 3, 2024
September 12, 2024Standard surveyTag F0804D — no actual harm, potential for more than minimal harm, isolated
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has date of correction · corrected October 23, 2024
September 12, 2024Standard surveyTag F0806C — no actual harm, potential for minimal harm, widespread
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Deficient, Provider has date of correction · corrected October 3, 2024
September 12, 2024Standard surveyTag F0851C — no actual harm, potential for minimal harm, widespread
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Deficient, Provider has date of correction · corrected October 10, 2024
September 12, 2024Standard surveyTag F0880F — no actual harm, potential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected October 8, 2024
September 12, 2024Standard surveyTag F0949F — no actual harm, potential for more than minimal harm, widespread
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Deficient, Provider has date of correction · corrected October 23, 2024
Fines & penalties
CMS can fine a home or stop paying for new admissions. Shown per CMS's current data window (~3 years) — not all-time. moreless
When deficiencies are serious or aren't fixed, CMS can impose a fine (a civil money penalty) or a payment denial — refusing to pay for new Medicare/Medicaid admissions until the home fixes the problem. Payment denials hit harder than most fines because they stop revenue. CMS's public dataset covers a rolling window of roughly the last three years, so the totals here are recent history, not an all-time record. Many facilities have no penalties in the window — that's common, not remarkable.
What to do with this: a recent large fine deserves a direct question on your visit — what happened, and what changed?
No federal penalties in CMS’s current data window — many facilities have none; this is common.
Ownership & chain
Who actually owns and controls the facility — individuals, companies, and their stakes. moreless
Nursing homes are often owned through layers: an operating company, a property company, management companies, and individual investors with percentage stakes. CMS publishes who holds 5%-or-greater interests and who has operational control. Ownership matters because it sets the budget: research has linked some ownership structures, especially certain chains and investment vehicles, to lower staffing. That's a pattern across the industry, not a verdict on any one building.
What to do with this: know who owns the home before you sign anything, and ask the administrator who actually sets the staffing budget.
CMS lists no chain affiliation for this facility.
| Owner / manager | Role | Stake | Since |
|---|---|---|---|
| Hospital De La Concepcion Inc (Organization) | 5% or greater direct ownership interest | 100% | 12/05/2023 |
| Calderon, Lizmari (Individual) | Adp of the snf | NOT APPLICABLE | 01/17/2025 |
| Cardona Rodriguez, Vanessa (Individual) | Adp of the snf | NOT APPLICABLE | 01/17/2025 |
| Ferrer, Marie (Individual) | Adp of the snf | NOT APPLICABLE | 01/17/2025 |
| Hospital De La Concepcion Inc (Organization) | Adp of the snf | NOT APPLICABLE | 01/17/2025 |
| Quinones Bodega, Carlos (Individual) | Adp of the snf | NOT APPLICABLE | 01/17/2025 |
| Calderon, Lizmari (Individual) | Corporate director | NOT APPLICABLE | 12/05/2023 |
| Ferrer, Marie (Individual) | Corporate director | NOT APPLICABLE | 12/05/2023 |
| Quinones Bodega, Carlos (Individual) | Corporate director | NOT APPLICABLE | 12/05/2023 |
| Cardona Rodriguez, Vanessa (Individual) | Corporate officer | NOT APPLICABLE | 12/05/2023 |
| Calderon, Lizmari (Individual) | Operational/managerial control | NOT APPLICABLE | 12/05/2023 |
| Cardona Rodriguez, Vanessa (Individual) | Operational/managerial control | NOT APPLICABLE | 12/05/2023 |
| Ferrer, Marie (Individual) | Operational/managerial control | NOT APPLICABLE | 01/17/2025 |
| Hospital De La Concepcion Inc (Organization) | Operational/managerial control | NOT APPLICABLE | 01/17/2025 |
| Quinones Bodega, Carlos (Individual) | Operational/managerial control | NOT APPLICABLE | 01/17/2025 |
| Calderon, Lizmari (Individual) | W-2 managing employee | NOT APPLICABLE | 12/05/2023 |
| Cardona Rodriguez, Vanessa (Individual) | W-2 managing employee | NOT APPLICABLE | 12/05/2023 |
| Ferrer, Marie (Individual) | W-2 managing employee | NOT APPLICABLE | 12/05/2023 |
Visiting? Go in with questions.
Built from this facility’s own CMS data — bring them on the tour.
- Their reported RN hours (2.80/resident/day) are below the PR median (3.07) — ask how nights and weekends are staffed.
- Their weekend total nurse staffing (2.44/resident/day) is lower than their overall figure (2.80) — ask who covers weekends and how shifts are filled when someone calls out.
- Their last standard health inspection was March 5, 2026 — ask what's improved since then.
- CMS does not record an active resident or family council here — ask how residents and families raise concerns to management.
- They have 30 certified beds and serve an average of 52 residents per day — ask which unit your person would be on and who staffs it overnight.
- They report 2.80 total nursing hours per resident per day (PR median: 4.09) — ask how those hours split across day, evening, and night shifts.
- CMS lists no chain affiliation for this facility — ask who owns the home and who sets the staffing budget.
Data: Centers for Medicare & Medicaid Services (data.cms.gov), processing date June 1, 2026. This site is not affiliated with CMS or any government agency.