Hospicio Del Oeste Inc.
A hospice in San German, Puerto Rico 00683
Carr #2 Km 170.9, San German, Puerto Rico 00683. (787) 892-1820.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
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.
- 10 deficiencies cited in the last three years
- Not rated family caregiver rating
- 10of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean2
- 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?
10 deficiencies cited in the last three years
The middle of the 17 hospices serving ZIP code 00683 had 8.5.
The last inspection on record was on Jan 31, 2025: a recertification inspection by the state.
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
10 deficiencies in 1 month of the last 36. Last cited Dec 2024. Most serious: Standard-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.
Dec 18, 2024: recertification inspection by the state10 deficiencies
-
Local, State, Tribal Collaboration Process (42 CFR 418.113(a)(4))
The inspectors’ words, 121 words
“Based upon an Emergency Preparedness Program (EPP) survey performed from 12/17/2024 through 12/18/2024 from 8:00 AM through 3:00 PM, to evaluate emergency preparedness requirements, it was determined that the facility failed to include a process for cooperation and collaboration with local, tribal, regional, State and Federal emergency preparedness officials effort to maintain an integrated response during s disaster or emergency situation. Findings include: During the review of the facilities Emergency Preparedness Program with the Clinical Manager (employee #1) and QAPI Director (employee #7) on 12/18/2024 at 10:30 AM it was noted that the facility failed to include a process for cooperation and collaboration with local, tribal, regional, State and Federal emergency preparedness officials as required under §418.113(a)(4) of the Emergency Preparedness.”
-
Hospice Follow up for Staff (42 CFR 418.113(b)(1))
The inspectors’ words, 177 words
“Based upon an Emergency Preparedness Program (EPP) survey performed from 12/17/2024 through 12/18/2024 from 8:00 AM through 3:00 PM, to evaluate emergency preparedness requirements, it was determined that the facility failed to develop procedures to follow up with on- duty staff and patients to determine services that are needed, in event that there is an interruption in services during or due to an emergency. The hospice must inform State and local officials of any on-duty staff or patient that they are unable to contact. Findings include: During the review of the facilities Emergency Preparedness Program with the Clinical Manager (employee #1) and QAPI Director (employee #7) on 12/18/2024 at 10:30 AM, it was noted that the facility failed to have written procedures to follow up with on- duty staff and patients to determine services that are needed, in event that there is an interruption in services during or due to an emergency, also the hospice must inform State and local officials of any on-duty staff or patient that they are unable to contact as required under §418.113(b)(1).”
-
Policies/Procedures-Volunteers and Staffing (42 CFR 418.113(b)(4))
The inspectors’ words, 107 words
“Based upon an Emergency Preparedness Program (EPP) survey performed from 12/17/2024 through 12/18/2024 from 8:00 AM through 3:00 PM, to evaluate emergency preparedness requirements, it was determined that the facility failed to ensure policies and procedures to facilitate the support of volunteers and other healthcare professionals in an emergency. Findings include: During the review of the facilities Emergency Preparedness Program with the Clinical Manager (employee #1) and QAPI Director (employee #7) on 12/18/2024 at 10:30 AM, it was noted that the facility failed to establish policies and procedures to ensure and facilitate the support of volunteers and other healthcare professionals in an emergency as required under §418.113(b)(4).”
-
EP Training and Testing (42 CFR 418.113(d))
The inspectors’ words, 100 words
“Based upon an Emergency Preparedness Program (EPP) survey performed from 12/17/2024 through 12/18/2024 from 8:00 AM through 3:00 PM, to evaluate emergency preparedness requirements, it was determined that the facility failed to develop and maintain an emergency preparedness training and testing program that is based on the emergency plan. Findings include: During the review of the facilities Emergency Preparedness Program with the Clinical Manager (employee #1) and QAPI Director (employee #7) on 12/18/2024 at 10:30 AM, it was noted that the facility failed to develop and maintain an emergency preparedness training and testing program based on the facility’s risk assessment.”
-
Prevention (42 CFR 418.60(a))
The inspectors’ words, 137 words
“Based on the home visits (HV) conducted and the policy and procedures reviewed from 12/17/2024 to 12/18/2024, it was determined that the facility did not ensure that accepted standards of practice were followed to prevent the transmission of infections and the use of standard precautions for 2 out of 4 home visits. (HV #1 and HV#3). Findings include: 1.During the home visit conducted on 12/17/2024, the following was observed: a. On 12/17/2024 at 11:43 AM, it was observed at home visit # 1 that the registered nurse (employee # 10) did not use hand sanitizer on a glove change. 2.During the home visit conducted on 12/17/2024, the following was observed: a. On 12/17/2024 at 9:30 AM, it was observed at home visit # 3 that the humidifier tank connected to the H tank regulator had insects inside.”
-
Role (42 CFR 418.78(b))
“Based on the review of documents related to the volunteer program and interview with the Administrative Assistant (employee #9), it was determined that the facility failed specify day-to-day administrative and/or direct patient care roles performed by volunteers. Findings include: 1.On 12/17/2024 at 11:30 AM during the review of the volunteer program documentation, no documentation with specific duties performed by volunteers was presented by facility. 2. Hours performed by volunteers were kept by human resources personnel in a personal notebook, not in an official facility document.”
-
Cost saving (42 CFR 418.78(d))
The inspectors’ words, 91 words
“Based on the review of documents related to the volunteer program and interview with the Administrative Assistant (employee #9), it was determined that the facility failed to provide the saving cost achieve by using the volunteers in different roles at the facility. Findings include: 1. On 12/17/2024 at 11:30 AM during the review of the volunteer program no evidence of the monthly cost saving using volunteer was found. 2. The facility failed to provide the saving cost achieve by using the volunteers in different roles at the facility for year 2024.”
-
Content (42 CFR 418.104(a)(1))
The inspectors’ words, 1,100 words
“Based on four home visits with record reviewed and fifteen records reviewed, it was determined that the facility failed to ensure that patient’s records include the registered nurse, hospice aid and home makers clinical notes, for 5 out of 19 record reviewed (RR-H.V. #1, #2 and R.R. # 1, # 7 and #8). 2. HV # 2 is a 71-year-old male who was admitted on 06/27/2023 with a diagnosis of Age-related Cognitive Decline. The interdisciplinary group determined five visits per week for the Home Health Aid (HHA) and five visits per week for the Home Maker. According to the medical record review performed on 12/18/2024 at 1:00 PM, the following was found: No evidence was found of one of the visits for the HHA and Home Maker from week started on 09/02/2024 through 09/06/2024. . No evidence was found of one of the HHA visits from week started on 09/09/2024 through 09/13/2024. No evidence was found of one of the visits for the HHA and Home Maker from week started on 09/23/2024 through 09/27/2024. No evidence was found of two of the visits for the HHA and one of the visits for the Home Maker from week started on 10/14/2024 through 10/18/2024. No evidence was found of one of the visits for the HHA and Home Maker from week started on 11/04/2024 through 11/08/2024. No evidence was found of one of the visits for the HHA and Home Maker from week started on 11/18/2024 through 11/22/2024. No evidence was found of one of the visits for the HHA and Home Maker from week started on 11/25/2024 through 11/29/2024. During an interview with employee # 5 on 12/18/2024 at 1:00 PM it was stated that there was a holiday for the week started on 11/18/2024 through 11/22/2024 and the week started on 11/25/2024 through 11/29/2024. The document that evidences the HHA and Home Maker visits did not specify that there was a holiday and neither specified a notification to the patient caregiver or provisions made to compensate the absence of the HHA. The facility failed to ensure accessible and available evidence of the Home Health Aid (HHA) and Home Maker visits in the medical record. 3. RR # 1 is a 85-year-old female who was admitted on 06/26/2024 with a diagnosis of Congestive Heart Failure. In the certification period from 09/24/2024 through 12/22/2024 the interdisciplinary group determined five visits per week for the Home Health Aid (HHA). According to the medical record review performed on 12/18/2024 at 1:00 PM, the following was found: a. No evidence was found of one of the visits from week started on 10/14/2024 through 10/18/2024. a. No evidence was found of one of the visits from week started on 11/04/2024 through 11/08/2024. b. No evidence was found of one of the visits from week started on 11/11/2024 through 11/15/2024. a. No evidence was found of one of the visits from week started on 11/18/2024 through 11/22/2024. b. No evidence was found of one of the visits from week started on 11/25/2024 through 11/29/2024. c. During an interview with employee # 5 on 12/18/2024 at 1:00 PM it was stated that there was a holiday for the week started on 11/18/2024 through 11/22/2024 and the week started on 11/25/2024 through 11/29/2024. The document that evidences the HHA visits did not specify that there was a holiday and neither specified a notification to the patient caregiver or provisions made to compensate the absence of the HHA. d. The facility failed to ensure accessible and available evidence of the Home Health Aid (HHA) visits in the medical record. 2. 4. RR # 7 is a 84-year-old female who was admitted on 11/05/2024 with a diagnosis of Disease of Liver. In the certification period from 11/05/2024 through 01/03/2025 the interdisciplinary group determined two visits per week for the Registered Nurse (RN). According to the medical record review performed on 12/18/2024 at 1:00 PM, the following was found: a. During interview with employee # 1 on 12/18/2024 at 1:30 PM and revision of the current policy and procedure named Documentación Clínica, Clinical Documentation, it was stated that nursing clinical notes must be integrated in the clinical record no more than 48 hours after the care is offered. b. No evidence was found of one of the nurses notes reassessments from week started on 11/24/2024 through 11/30/24. c. No evidence was found of the two nurses notes reassessments from week started on 12/01/2024 through 12/07/2024. d. The facility failed to ensure accessible and available nurses reassessments in the medical record. 3. 5. RR # 8 is a 88-year-old female who was admitted on 09/20/2024 with a diagnosis of Chronic Subdural Hemorrhage. In the certification period from 09/20/2024 through 12/18/2024 the interdisciplinary group determined two visits per week for the Registered Nurse (RN). According to the medical record review performed on 12/18/2024 at 1:00 PM, the following was found: a. During interview with employee # 1 on 12/18/2024 at 1:30 PM and revision of the current policy and procedure named Documentación Clínica it was stated that nursing clinical notes must be integrated in the clinical record no more than 48 hours after the care is offered. b. No evidence was found of one of the nurses notes reassessments from week started on 09/22/2024 through 09/28/24. c. No evidence was found of the two nurses notes reassessments from week started on 09/29/2024 through 10/05/2024. d. No evidence was found of the two nurses notes reassessments from week started on 12/01/2024 through 12/07/2024 and week started on 12/08/2024 through 12/14/2024. e. The facility failed to ensure accessible and available nurse’s reassessments in the medical record. 3 Findings include: 1. H.V. #1 is an 80-years-old male, admitted to the facility on 11/15/2024 with a diagnosis of Alzheimer. During the record review performed on 12/17/2024, it was found that in the certification period 5 of 60 days, the interdisciplinary group stablish in the plan of care: Registered Nurse (RN) services 2 visits per week (wk) and as needed (PRN). The facility policy DOCUMENTACIÓN CLÍNICA, Clinical Notes evaluated on 12/18/2024 at 12:00 PM, state that the clinical notes must be documented in no more than 48 hours after the patient visit. a. During the week of 11/24/2024 thought 11/30/2024, no evidence was found of two visits notes of the RN. b. During the week of 12/01/2024 thought 12/07/2024, no evidence was found of one visit note of the RN, the RN visit on 12/06/2024. c. During the week of 12/08/2024 thought 12/14/2024, no evidence was found of one visit note of the RN, the RN visit on 12/09/2024.”
-
Criminal background checks (42 CFR 418.114(d)(1))
“Based on the review of nineteen personnel credential files (C.F.) on 12/18/2024 at 9:00 A.M. with the facility human resources assistant (employee #6) it was determined that the facility failed to ensure that 1 out of 19 employees record reviewed providing services have the criminal background check. Findings include: On 12/18/2024 at 9:00 A.M. during review of the credential files it was identified the following: a. Licensed practical nurse (LPN) #4, no evidence was provided of the certified negative criminal background check (Ley 300).”
-
Physical environment (42 CFR 418.110(c)(1))
“Based upon home visit (HV) to patients residence performed on 12/17/2024 approximately at 9:30 AM it was determined that the facility failed to address real or potential threats to the health and safety of the patients, others, and property for 1 out of 4 home visits. (HV#3) Findings include: During home visit (HV) #3 no “oxygen in use” sign was observed in the entrance of the residence, nor on the patients room.”
All 3 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 31, 2025 | Recertification inspection by the state | No deficiencies cited |
| Dec 18, 2024 | Recertification inspection by the state | 10 deficiencies cited |
| Jul 31, 2024 | Recertification inspection by the state | No deficiencies cited |
Is it certified?
- Medicare-certified hospice since Nov 10, 1992.
- Ownership: for-profit.
- No 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. deficiency or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
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): 14 nurse care minutes per routine home care day, 4.5% of skilled nursing minutes at weekends and a visit near death for 83.9% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 76% at home, 23% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 14.0 min |
| Skilled nursing minutes at weekends | 4.5% |
| Visits near death | 83.9% of patients who died |
Who owns it?
- 10 owners or officers are people: Ivette M Deltoro Rodriguez (owns 5% or more directly, 50%); Ivette M Deltoro Rodriguez (corporate director, 50%); Steven Gonzalez (owns 5% or more directly, 25%); Steven Gonzalez (corporate director, 25%); Cindy Gonzalez (owns 5% or more directly, 25%); Cindy Gonzalez (corporate director, 25%); Cindy Gonzalez (managing employee (on the payroll), 25%); Anibal Gonzalez (corporate officer); Anibal Gonzalez (corporate director); Amelia Velazquez (managing employee (on the payroll)).
- 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.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 78% rated it 9 or 10 out of 10, and 75% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 96.06% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 39.9% 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 | 10 of 10 |
How does it compare nearby?
- Of the 17 hospices CMS’s data show serving patients in ZIP code 00683, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8.5; this one had 10.
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 Del Oeste Inc. This hospice | 10 |
| Hospicio La Providencia | 2 |
| Hospicio En El Hogar Fe Y Esperanza De Puerto Rico | 24 |
| Hospicio La Paz Inc. | 14 |
| Programa De Servicios De Salud En El Hogar Y Hospicio San Lucas Inc. | 0 |
| Hospicio La Guadalupe Inc. | 10 |
| Hospicio Santa Rita Inc. | Not given |
| S & R Hospice Corp | 6 |
| Hospicio La Milagrosa, Inc. | 12 |
| Western Medical Hospice | 1 |
| Med Health Hospice Corp | 20 |
| Hospicio Amor Y Tranquilidad Inc. | 7 |
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
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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.