Hearth Record

Home Care Gregoria Auffant

A home health agency in San Juan, Puerto Rico 00918

114 Calle Eleanor Roosevelt Urb El Vedado, San Juan, Puerto Rico 00918. (787) 753-8095.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 21, 2026.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited Nov 2024. Most serious: Element-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean3
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.

What did inspectors find?

The last inspection on record was on Nov 21, 2024: a recertification inspection.

1 deficiency cited in the last three years.

Source:

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

When those deficiencies happened

1 deficiency in 1 month of the last 36. Last cited Nov 2024. Most serious: Element-level. The last 3 years, to Oct 24, 2026.

1 deficiency by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

Source:

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

Nov 21, 2024: recertification inspection1 deficiency
  • Required Items In Clinical Record

    The inspectors’ words, 434 words

    “Required items in clinical record CFR(s): 484.110(a)(1) The patient’s current comprehensive assessment, including all of the assessments from the most recent home health admission, clinical notes, plans of care, and physician or allowed practitioner orders; This Element is not met as evidenced by: Based on the review of Policies and Procedures Manual and three (3) closed patient clinical records reviewed (RR) on 11/20/2024 from 11:00 AM till 3:00 PM accompanied by the facility Director of Compliance Corporative and Quality of Care (employee #5) , it was determined that the facility failed to ensure that all the records maintain the actualized plans of care according with the facility policies and procedures for 3 out of 3 close records that did not identify action and meets, date, evaluation of problem and the date when the problem resolved. (RR# 3, #4 and #5) Findings include: 1. R.R # 3 is a 74-year-old male patient admitted on 04/18/2024 with diagnosis of Functional Quadriplegia, Alzheimer, Psychosis, Dementia and Convulsions. The plan of care was initiated on admission by the physical therapist, however, did not identify the action and meets, date of re-evaluation, evaluation of problem during the patient received physical therapy and date when the problem resolved. The patient was discharged on 08/06/2024 and the plan of care was maintained in blank. 2. R.R # 4 is an 81-year-old female patient admitted on 05/17/2024 with diagnosis of Muscle Wasting and other diagnosis of Pain in left Shoulder, Difficulty of Walking, Parkinsonism Unspecify Functional Limitations. The plan of care was initiated on admission by a physical therapist (employee #12) on 05/17/2024, however did not identify action and meets, date of re-evaluation, evaluation of problem during the patient received physical therapy and date when the problem was resolved. The patient was discharged on 07/15/2024 and the plan of care was maintained in blank. 3. R.R #5 is an 81-year-old male patient admitted on 07/25/2024 with diagnosis of Muscle Weakness, Difficulty Walking and other diagnosis of Convulsions, Alzheimer and Diabetes Mellitus. The plans of care were initiated on admission by physical therapist (employee #12) on 07/25/2024, however did not identify action and meets, date of re-evaluation, evaluation of problem during the patient received physical therapy and date when the problem was resolved. The patient completes the treatment evaluated by the physical therapist (employee #12) and was discharged on 09/09/2024. However, the care plans were maintained in blank. 4. The agency failed to maintain a mechanism to ensure that the plan of care was reviewed according to the patient needs, when the problem resolved and at the moment when the patient was discharge.”

    Rule G1012. Element-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Nov 21, 2024Recertification inspection1 deficiency cited

Is it certified?

  • Medicare-certified home health agency since Jan 13, 1967.
  • Ownership: non-profit.
  • No deficiency on record in the last three years.
Source:

CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

Has anything been proven against it?

  • CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
  • 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

Who does the caring?

  • Offers nursing care, physical therapy, occupational therapy, speech pathology, medical social services and home health aide services.
  • CMS doesn’t publish staffing levels for home health agencies.
Source:

CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.

Who owns it?

  • Visiting Nurse Association Gregoria Auffant,inc runs it.
  • 6 owners or officers are people: Nayda M Carrasquillo Medina (corporate director); Nayda M Carrasquillo Medina (managing employee (on the payroll)); Aida Medina (corporate officer); Maria M Guzman (corporate officer); Maria M Guzman (corporate director); Maria M Guzman (managing employee (on the payroll)).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Home Health Agency All Owners and Home Health Agency Enrollments. Released Sep 29, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
Visiting Nurse Association Gregoria Auffant,incRuns it (operational or managerial control)100%Jun 1, 2000

How do patients fare?

  • CMS rates its quality of patient care 2 of 5.
  • Patients rate it 3 of 5 in CMS’s patient survey (302 surveys completed): 86% rated it 9 or 10 out of 10, and 78% would definitely recommend it.
  • CMS compares it with the national rate: discharged to the community, the same; potentially preventable hospital stays, the same; potentially preventable readmissions after discharge, the same.
Source:

CMS, Home Health Care Agencies and Home Health Patient Survey. Released Oct 21, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Quality of patient care ratingCMS star rating, 1 to 5 in half stars2 of 5
Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 53 of 5
Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate79.77% (same as the national rate)
Potentially preventable hospital staysCMS’s risk-adjusted rate, compared with the national rate6.35% (same as the national rate)
Potentially preventable readmissions after dischargeCMS’s risk-adjusted rate, compared with the national rate3.97% (same as the national rate)

How does it compare nearby?

  • Of the 12 agencies CMS’s data show serving patients in ZIP code 00918, where this agency’s office is, 11 have a quality of patient care rating; the middle one is 3.5 of 5, and this one is rated 2 of 5.
Source:

CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • QCOR says some of its home health reports are accurate or available only through May 19, 2021, because of a systems migration.
  • Many home health agencies are inspected by a private accrediting organisation instead of the state, and QCOR’s home health file doesn’t appear to include those inspections: no inspection on record here doesn’t mean none took place.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Oct 24, 2026.

From the agency

The public record above comes first. Anything the agency adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the agency will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the agency”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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