Hospicio Menonita
A hospice in Caguas, Puerto Rico 00725
Carr 1 Km 34.9 Barrio Bairoa, Caguas, Puerto Rico 00725. (787) 258-1628.
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The short answer
Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.
- 9 deficiencies cited in the last three years
- Not rated family caregiver rating
- 8of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- 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.
- Condition-level deficiency
- For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual.
What did inspectors find?
9 deficiencies cited in the last three years
The middle of the 23 hospices serving ZIP code 00725 had 7.
The last inspection on record was on Oct 7, 2025: a follow-up inspection by The Joint Commission.
2 deficiencies at condition level, the more serious of CMS’s two levels
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
When those deficiencies happened
9 deficiencies in 1 month of the last 36. Last cited Aug 2025. Most serious: Condition-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
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.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Aug 28, 2025: reaccreditation inspection by The Joint Commission9 deficiencies
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Initial & comprehensive assessment of patient (42 CFR 418.54)
“Observed in Record Review. In 10 of 10 patient records reviewed, During document review and confirmed by the Nurse Services director and Quality Director. A fall risk safety assessment had not been completed on all patients at the initial assessment . For example: During review of HOSnhvrr#1, HOShvrr#1,HOShvrr#3 the initial assessment had stated that a falls risk assessment had not been completed.”
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Governing body and administrator (42 CFR 418.100(b))
“Observed in Leadership Session. During the survey it had been noted that many areas related to documentation within the patient record that had risen to condition level. to include PC 01.02.01 EP36 , PC 01.02.01 EP 7, and RC 01.01.10.EP11”
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Content of comprehensive assessment (42 CFR 418.54(c)(8))
“Observed in Record Review. In 10 of 10 patient records reviewed, Confirmed by the Quality Manager and the Clinical Services Director. The initial patient assessment had not included patient safety risk assessment. Example: During review of HOSnhvrr#1 , HOSvrr#1, HOSvrr#2 a home safety risk assessment had not been completed per agency policy.”
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Update of comprehensive assessment (42 CFR 418.54(d))
“Observed in Record Review. In 10 of 10 patient records reviewed, Confirmed by the Nurse Services Director and Quality Director. The plan of care had not been updated to include progress toward outcomes as well as patients response to care. Example: During review of HOSnhvrr#1,#2,#3,#4 the patient goals and plan of care had not been updated . The plan of care had not changed in several months or years.”
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Patient outcome measures (42 CFR 418.54(e)(2))
The inspectors’ words, 195 words
“Observed in Record Review. In 10 of 10 patient records reviewed, Confirmed by the Quality Director. The patient record had not contained timely submission of all the clinical data to assure individual patient care planning. Example: The IDT notes had been transcribed on a paper log for all patients but had not been documented within the patient record to be utilized for care planning and coordination of services. This had been confirmed by the Director of Quality and the Clinical Services Director. Observed in Record Review. In 3 of 10 patient records reviewed, Documentation had not been accurate to contain all documented data for each patient. Example: During the review of HOSnhvrr#2 he RN assessment had documented that a PT/INR had been part of the treatment, however during discussion it had not been identified on assessment as a need. During review of HOSnhvrr#5 and #6 as well as #7,#2,#3. The IDT notes had been transcribed on a paper log for all patients but had not been documented within the patient record to be utilized for care planning and coordination of services. This had been confirmed by the Director of Quality and the Clinical Services Director.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 136 words
“Observed in Record Review. In 10 of 10 patient records reviewed, During document review and confirmed by the Clinical Services director and Quality Director . The plan of care had not been individualized to reflect the patient assessed needs. Example During review of HOSnhv#1, #2, #3, #4, #5 the plan of care goals and interventions had been standardized and had been documented the same for each patient and had not been documented based on the individualized assessed needs. Observed in Record Review. In 10 of 10 patient records reviewed, Confirmed by the Nurse Quality Director and Quality Director. Goals had not been measurable. Example: HOS nhvrr#1. #2, #3, #4 HOS hvrr#1, #2,#3 goals had documented Symptoms problematic to patients will be addressed to meet patient goal of quality of life. Patient will report pain below 3.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Observed in Record Review. In 4 of 10 patient records reviewed, During document review and confirmed by the Clinical Services Director and Quality Director. Medication orders had not been documented per organization policy to include PRN orders having an indication for use. Example: During review of of HOSnhvrr#1 medication order had documented Dologesic 1 tab po tid prn and Albuterol 0.83 CAD 8hr prn. HOSnhvrr#2 had documented Morfina 15mg 1 tab q12 hours prn. HOShvrr#1, HOShvrr#3 had documented Prunelex 1 tab prn and Sennosides 15mg 1 tab prn and HOShvrr#3”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 116 words
“Observed in Patient Home. In 2 of 3 Hospice visits observed and confirmed by the Quality Director. Staff had not followed organization policy for standard practice for the use of protective equipment. Example: During HOShv#1 the SN had provided wound care to the scalp with moderate drainage. The SN had not followed organization policy with regard to use of gloves. The Sn had removed the old dressing with drainage and preceded to clean the are while wearing the same gloves. When gloves were removed to don a new pair the SN had not cleansed her hands per organization policy. During HHvrr#2 the SN had utilized the same gloves to clean equipment after caring for the patient.”
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Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))
The inspectors’ words, 100 words
“Observed in Record Review. In 10 of 10 patient records reviewed, Patients that had oxygen had not received education on the oxygen risk that had addressed all element to include fire hazard to other buildings and other risks such as open flames, use of petroleum. Example: During observation of HHv#1 the patient had been active with ordered oxygen utilizing it frequently. It had been observed that a jar of Vaseline had been used by the caregivers and patient. The caregiver , the patient and the SN had been unaware of the risk. This had been confirmed by the Quality Director.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 7, 2025 | Follow-up inspection by The Joint Commission | No deficiencies cited |
| Aug 28, 2025 | Reaccreditation inspection by The Joint Commission | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Apr 1, 1992.
- Ownership: for-profit.
- Cited at For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. in the last three years: it didn’t meet a whole condition of Medicare’s rules.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 34.5 nurse care minutes per routine home care day, 1.5% of skilled nursing minutes at weekends and a visit near death for 81% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 100% at home.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 34.5 min |
| Skilled nursing minutes at weekends | 1.5% |
| Visits near death | 81.0% of patients who died |
Who owns it?
- 23 owners or officers are people: Maria De Los A Bonilla (corporate director, 100%); Maria De Los A Bonilla (managing employee (on the payroll), 100%); Lymari Colon Colon (corporate director, 100%); Lymari Colon Colon (managing employee (on the payroll), 100%); Jose Solivan Rivera (corporate director, 100%); Jose Solivan Rivera (managing employee (on the payroll), 100%); Ricardo Hernandez Rivera (corporate director, 100%); Ricardo Hernandez Rivera (managing employee (on the payroll), 100%); Mariangela Alvarado Soto (corporate director, 100%); Lissette Vasquez Rivera (corporate director, 10%); Jose Veguilla Cartagena (corporate director); Lissette Vasquez Rivera (managing employee (on the payroll)); Maria A Echevarria Cardona (corporate director); Hermann Bauer Miesses (corporate director); Daniel Olivera (corporate director); Jose Rivera (corporate director); Virginia Rivera (corporate director); Maria Irizarry (corporate director); Victor Ortiz (corporate director); Mariangela Alvarado Soto (managing employee (on the payroll)); Larry Bonilla Sauder (corporate director); Juan Colon (corporate director); Francisco D Rodriguez Maldonado (corporate director).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 61.4% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 29.7% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | Not rated |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 8 of 10 |
How does it compare nearby?
- Of the 23 hospices CMS’s data show serving patients in ZIP code 00725, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 9.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| Hospicio Menonita This hospice | 9 |
| Hospicio Luz Celeste | 3 |
| Caribbean Hospice Corp | 7 |
| Hospicio En El Hogar Fe Y Esperanza De Puerto Rico | 24 |
| Nova Hospice LLC | 0 |
| Condado Hospice Program Inc. | 9 |
| Hospicio La Paz Inc. | 14 |
| Hospicio Gregoria Auffant Inc. | 0 |
| Programa De Servicios De Salud En El Hogar Y Hospicio San Lucas Inc. | 0 |
| Mennonite Hospice | 23 |
| Hospicio El Nuevo Amanecer | 5 |
| Divina Presencia Hospice Inc. | 15 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
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Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice 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 hospice”, and paying will never change a finding, a rating or the order of results.