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Skilled nursing facility · CMS certification number 405030

MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC

RIO PIEDRAS, Puerto Rico · Medicare

Certified beds, as filed in Care Compare: 35

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 February 2025.

None of these figures is carried on this report.

CMS report record 1403403, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 October 2023.

None of these figures is carried on this report.

CMS report record 1366644, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 August 2022.

None of these figures is carried on this report.

CMS report record 1329958, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2021.

None of these figures is carried on this report.

CMS report record 1299447, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 February 2021.

None of these figures is carried on this report.

CMS report record 1280503, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 1 August 2019.

None of these figures is carried on this report.

CMS report record 1239174, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

None of these figures is carried on this report.

CMS report record 1209446, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 September 2017.

None of these figures is carried on this report.

CMS report record 1176653, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 12 February 2015 to 31 December 2015 — a reporting period of 322 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$1,662,705CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$1,662,705CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,416,271CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$753,566CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$42,135CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$711,431CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$711,431 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components100CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components4,459CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components515CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days10.49CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days8.66CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1143846, read from the public cost report file SNF10FY2015.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
RODRIGUEZ, JUAN5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual100%since 12/20/2000
MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC.ADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2001
RAMIREZ-PAGAN, CINDYADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2002
RODRIGUEZ, ANAADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2019
RODRIGUEZ, JUANADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2001
RAMIREZ-PAGAN, CINDYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2022
MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC.DIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 01/01/2001
MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 01/01/2001
RODRIGUEZ, ANAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2019

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC. (enrollment ID O20140624000228).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
JUAN J RODRIGUEZIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST10012/20/2000
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST1001/1/2001
Private equity company: No
Real estate investment trust: No
Holding company: No
ANA PILAR RODRIGUEZIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CINDY RAMIREZ-PAGANIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2002
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JUAN J RODRIGUEZIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2001
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2001
Private equity company: No
Real estate investment trust: No
Holding company: No
CINDY RAMIREZ-PAGANIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC.OrganizationDIRECT OWNERSHIP INTERESTCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2001
Private equity company: No
Real estate investment trust: No
Holding company: No
ANA PILAR RODRIGUEZIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL1001/1/2001
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
111 March 202611 March 202613
21 May 20251 May 202584
316 April 202416 April 20241012

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

19 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
11 March 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction1 May 2026
1 May 2025HealthF 0584Resident Rights DeficienciesHonor 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.ENoDeficient, Provider has date of correction26 May 2025
1 May 2025HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correction16 May 2025
1 May 2025HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FNoDeficient, Provider has date of correction19 May 2025
1 May 2025HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.FNoDeficient, Provider has date of correction16 June 2025
1 May 2025HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DNoDeficient, Provider has date of correction17 May 2025
1 May 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction21 May 2025
1 May 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction14 May 2025
1 May 2025HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.ENoDeficient, Provider has date of correction16 June 2025
16 April 2024HealthF 0584Resident Rights DeficienciesHonor 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.ENoDeficient, Provider has date of correction30 April 2024
16 April 2024HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correction22 April 2024
16 April 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction22 April 2024
16 April 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.ENoDeficient, Provider has date of correction22 April 2024
16 April 2024HealthF 0802Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FNoDeficient, Provider has date of correction29 April 2024
16 April 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.FNoDeficient, Provider has date of correction17 April 2024
16 April 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction24 May 2024
16 April 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.CNoDeficient, Provider has date of correction9 May 2024
16 April 2024HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.FNoDeficient, Provider has date of correction19 April 2024
16 April 2024HealthF 0925Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.FNoDeficient, Provider has date of correction29 April 2024

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare
Ownership TypeFor profit - Corporation
Legal Business NameMILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC.
Date First Approved to Provide Medicare and Medicaid Services2015-02-12
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishSan Juan
Telephone Number7877080138
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilNone
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds35
Average Number of Residents per Day21.1
Overall Rating5
Health Inspection Rating5
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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One email a day naming what moved on MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2025: RAFAEL VILAR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Puerto Rico at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 405030.