Geriatrics and Extended Care - VA Caribbean Healthcare System
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VA Caribbean Healthcare System


Geriatrics and Extended Care

Description of Services

The Geriatrics and Extended Care Service consists of several institutional and non-institutional programs with the mission of providing interdisciplinary care through a comprehensive approach to the geriatric patients to maximize functional independence and well-being in the least restrictive and most cost effective environment within a continuum of care.

The programs include: VA Community Living Centers (CLC’s), Community Nursing Home, Community Residential Care Program (CRC), Respite, Homemaker, Home Respite, Home Hospice, Medical Foster Home (MFH), Palliative Care (inpatient consultation team and Outpatient clinics), Home Based Primary Care – San Juan, Mayaguez and Ponce, Veterans Directed care and Community Care Coordination- Telehealth (Diabetes Mellitus, Tele-cardio, MOVE, Mental Health, Palliative and EFFECT).

Community Living Center

The Community Living Center (CLC) has currently 122 beds operating out of a total of 149 authorized beds. These 149 authorized beds are distributed as follows:

CLC 1 - 2 have 120 authorized beds of which 102 beds are currently operating.

CLC 3 Hospice Unit has 29 authorized beds of which 20 beds are currently operating. Hospice Care is provided in CLC-3.

In CLC 1 – 2 we provide: rehabilitation, skilled nursing care, respite Care and CLC-1: long stay spinal cord injury.

HBPC is a program that provides longitudinal primary care in the home, delivered by a physician-supervised interdisciplinary team composed of VA staff, to homebound veterans whose medical complexity and functional impairment precludes treatment in an ambulatory care setting.

Non VA Home Care

Supportive medical services prescribed by a VA physician for providing treatment to veterans. These services are skilled treatment services as performed by professional health care providers, such as nurses, physical therapists, occupational therapists, speech therapist .The program is monitored by the Community Health Nurses.

Community Residential Care

Is a privately owned residence or group living facility situated in the community for eligible Veterans not in need of hospital or nursing home care, but who, because of medical, psychiatric and/or psychosocial limitations, are not able to live independently and have no suitable family or significant others to provide the needed supervision and supportive care. Examples of CRC’s enriched housing may include, but are not limited to: Medical Foster Homes, Assisted Living Homes, and psychiatric CRC Homes. Placement is made in residential settings inspected and approved by the appropriate VA facility, but chosen by the veteran.

Medical Foster Homes

MFH is an adult foster home combined with a VA interdisciplinary home care team, such as VA HBPC or SCI-HC, to provide non-institutional long-term care for Veterans who are unable to live independently and prefer a family setting. Is a form of CRC for the more medically complex and disabled Veterans. The home is owned or rented by the MFH caregiver. The MFH caregiver lives in the MFH and provides personal care and supervision.

State Veterans Home

Facility that provides Nursing home, domiciliary and adult day health care. They are owned, operated and manage by State Government. (La Casa del veterano in Juana Diaz)

Contract Nursing Home- Ryder

Community NH that VA contracts to offer care to eligible veterans, VA provides quality oversight.

Homemaker/Home Respite

Service for veterans that requires assistance with Activities of Daily living (bathing, getting dressed) or instrumental activities . Service provided by private companies that has a Service Agreement with VA.

Care Coordination Home Telehealth

This program is an innovative methodology of providing care, monitoring, and education to veteran patients with chronic diseases such as diabetes, heart failure, SCI and others chronic diseases that can be monitored at home using home telehealth technologies and medical peripherals devices facilitating access to care and improving the health of designated population(blood pressure monitors, pulse oximeter, weigh t scales and blood glucose meter) This prevents or delays a veteran needing to leave their home and move into long term institutional care.

The Geriatrics and Extended Care service offers a one-year educational Geriatrics Fellowship Training Program affiliated with the University of Puerto Rico, School of Medicine (Internal and Family Medicine programs).

Hours of operation

CLC- 24 hours
HBPC Weekdays 7:00am to 4:00pm
PCC clinics Monday to Friday from 8:00am to 4:30pm


GEC Administrative Offices are located in OPA 2nd Floor 2FC102. Homemaker/ VDC programs in OPA 2nd Floor 2FC101 and CRC/MFH 2FC102

CLC 1& 2 In adjacent building , CLC3 in 3J SBT

Key Staff

Carmen Lozada, MD ACOS GEC 32340
Claribel Alvarez, HSS Geriatrics 32029
Julio Gonzalez, Secretary 32030
Gretchen Collazo, MD CLC Medical Director 21101
Amaris Rios, MD HBPC Medical Director 22135
Idalisse Colon, SW CRC& MFH-SJ Coordinator 32274
Alfredo Santiago, SW Comm Care Coordinator 32267
Abelardo Quiñones, MFH Ponce & May Coordinator
Melissa Rivera, Psy Palliative Care Coordinator 83014

Contact Info


  • San Juan VA Medical Center

Contact Number(s)

  • 787-641-7582 Ext. 32340

Hours of Operation

  • CLC- 24 hours
    HBPC Weekdays 7:00am to 4:00pm