Millennium Institute for Advance Nursing Care is a small nursing home in San Juan, Puerto Rico. This turns out to be an A rated facility, which is one of the top ratings that we offer. We were so impressed with this nursing home that we ranked it in the top fifth of all facilities in the country. This nursing home also received strong grades in all of our categories. More information about these categories can be found below.

Additional Details:

Accepts Medicare 1 :

Accepts Medicaid 1 :

CCRC :

For profit - Corporation

Resident Council:

Family Council:

Long-term Care Quality

A
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: B+Feb 19: B+May 19: B+Jun 19: B+Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: B+Mar 20: B+Apr 20: AMay 20: AJun 20: AJul 20: AAug 20: A
Historical

We also wanted to emphasize the fact that this facility earned an A in our long-term care category. Facilities that receive this type of grade in long-term care tend to provide consistent 24/7 care to ensure residents are kept in good health. After we finished assessing the volume of nursing care, we turned to the facility's vaccination data. This facility vaccinated 100 percent of its residents for pneumonia, which is very impressive. Pneumonia tragically can be a dangerous health condition for nursing home patients so we like it when a nursing home doesn't leave this to chance. Lastly, this place was able to limit hospitalizations. It had only 0 hospitalizations per 1,000 long-term resident days, which is an impressively low figure.

Short-term Care Quality

A
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: B+Feb 19: A-May 19: B+Jun 19: B+Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: A-Mar 20: A-Apr 20: AMay 20: AJun 20: AJul 20: AAug 20: A
Historical

Contributing to its superb profile, this facility also performed well in our short-term care category. In fact, we gave it a grade of A for that area. In calculating our short-term care grades, we scrutinize a nursing home's levels of skilled nursing, which includes registered nurses, physical therapists speech therapists and other licensed professionals. This rating is frequently a meaningful measure of the nursing home's rehabilitation. Unfortunately, we were not able to locate information on registered nurse or physical therapy staffing for this nursing home. Lastly, we looked at the number of patients that returned home from this facility. This nursing home performed better in this area than in its staffing levels. We found that it performed as well as just about any nursing home in the country in this area with 58.9 percent of its residents returning home. Most nursing homes are below 50 percent in this statistic.

Nurse Quality

A-
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: A-Feb 19: A-May 19: A-Jun 19: A-Jul 19: A-Aug 19: A-Sep 19: A-Jan 20: A-Mar 20: A-Apr 20: A-May 20: A-Jun 20: A-Jul 20: A-Aug 20: A-
Historical

Adding to its strong resume, this facility also received an excellent nursing score, with a grade of A-. In determining our nursing ratings, we assess both staffing levels and the training levels of those nurses. This facility provided 0 hours of nursing care per resident per day. Finally, we also assessed some nursing quality-based metrics in determining our nursing grades. This nursing home performed very well in terms of minimizing its residents' major falls and pressure ulcers. We consider these areas to be good indicators of the quality of nursing care.

Facility Inspections

A-
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: B-Feb 19: B-May 19: A-Jun 19: A-Jul 19: A-Aug 19: A-Sep 19: A-Jan 20: B+Mar 20: A-Apr 20: A-May 20: A-Jun 20: A-Jul 20: A-Aug 20: A-
Historical

Turning to our inspection category, this nursing home excelled in that area, which is based on the facility's recent government inspections. In fact, we awarded it an elite grade of A- for that category. This topped off its straight A report card. These inspection ratings take several factors into consideration, including deficiencies and federal fines. You can learn more about each of these issues by reviewing copies of nursing homes' inspection reports. This nursing home received 5 deficiencies on its inspection report, but none were considered to be severe deficiencies. This indicates that the inspectors didn't consider any of the deficiencies to cause an immediate threat to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
A
State:
NA
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Millennium Institute for Advance Nursing Care Quality Metrics

Minimizes Serious Falls

This statistic is a measure of the percentage of long-term care patients which suffered a fall which caused serious injury. Falls can arise for a variety of reasons, but high rates of falls resulting in injuries may be a sign of poor nursing care.

Provider
A+
0%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This indicates the percent of patients who were prescribed antipsychotic drugs. While antipsychotic drugs may be vital to many patients, it is important to ensure these medications are being used appropriately. In some situations, high levels of antipsychotic drug use may suggest a facility is using these drugs to control patient behavior.

Provider
A+
4.26%
State
A+
4.26%
National
B
14.18%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This indicates the percent of patients prescribed antianxiety medications. These medications are generally used to treat patients suffering from depression and anxiety.

Provider
F
41.67%
State
F
41.67%
National
B
19.68%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This metric is a measure of the percent of long-term care patients who are showing signs of depression. Some would argue this is a reliable measure of patient quality of life.

Provider
A+
0%
National
B+
5.07%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This indicates the percent of residents who were given the pneumonia and flu vaccines. Higher vaccination rates should be the norm at this point.

Provider
A
100%
State
D
25%
National
B
92.05%

Percent of Patients
Higher is Better

Short-term Care: ER Visits

This metric measures the number of emergency room visits per 1,000 days of short-term patient care.

Provider
F
23.15
State
B+
8.58
National
B
10.26

Percentage of Patients
Lower is Better

Short-term Care: Facilitates Functional Improvement

This indicates the percent of short-term stay patients who experienced functional improvements, such as enhanced ability to perform activities of daily living.

Provider
B+
71.97%
State
B+
75.19%
National
B
68.03%

Percentage of Resident
Higher is Better