Condado Hospice Program Inc.
A hospice in San Juan, Puerto Rico 00917
186 Calle Juan P Duarte, San Juan, Puerto Rico 00917. (787) 758-4310.
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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
- 9of 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?
9 deficiencies cited in the last three years
The middle of the 20 hospices serving ZIP code 00917 had 9.
The last inspection on record was on May 1, 2025: a reaccreditation inspection by The Joint Commission.
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 May 2025. 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.
May 1, 2025: reaccreditation inspection by The Joint Commission9 deficiencies
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Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))
The inspectors’ words, 93 words
“Observed in Record Review. In 1 of 14 patient records reviewed, the organization failed to respect the patient’s right to participate in decisions about their care. For example: on review of HosRRHV#1 in the Hospice Election of Benefits the section for Patient Notification of Non-Covered Items, Services, and Drugs was left blank and did not indicate it the patient had elected the addendum. On further review the Addendum was created yet there was no patient/caregiver signature to indicate if and/or when the addendum was presented. This observation was reviewed with the Hospice Supervisor.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 191 words
“Observed in Record Review. In 14 of 14 patient records reviewed, the organization failed to ensure the plan of care reflect patient and family goals that were specific, measurable, and time-bound. Throughout all records reviewed there were goals that were not specific and measurable. All goals in each record were also noted to have mostly the same target/achieve by date. Examples were: in HosRRHV#1 it is expected to provide safety/security and reduce the possibility of accidents and it is expected that families will face the patient’s crisis on or before (date), It is expected to maintain an adequate emotional state of the patient’s crisis condition on or before (date). In HosRRHV#2 an example was It is expected to improve the patient’s quality of life through good pain management in or before (date). In HosRRHV#3 and example was Caregiver is expected to know the management of the patient with gastrostomy in or before (date) and the patient is expected to maintain his good nutritional status at or before (date). Further examples on goals that were not specific and measurable were seen throughout records reviewed. These observations were reviewed with the President/Hospice Administrator.”
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Content of plan of care (42 CFR 418.56(c)(1))
“Observed in Record Review. In 1 of 14 patient records reviewed, the organization failed to ensure the plan of care include all services needed for the palliation and management of the terminal illness and related conditions. In HosRRNHV#9 there was an incomplete wound care order on the plan of care as it lacked a frequency the wound care was to be performed. This observation was reviewed with the Hospice Supervisor.”
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Content of plan of care (42 CFR 418.56(c)(3))
The inspectors’ words, 105 words
“Observed in Record Review. In 2 of 14 patient records reviewed, The organization failed to ensure the plan of care included all services needed for the palliation and management of the terminal illness and related conditions. On review of HosRRNHV#7 the patient’s primary terminal diagnosis was congestive heart failure yet there was no care plan for cardiovascular to guide the care. In HosRRNHV#9 the documentation noted the patient was diabetic and on two types of insulin yet there was no care plan for diabetes care reflected the issue on the plan of care. These observations were reviewed with the Hospice Nurse and the President/Hospice Administrator.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 133 words
“Observed in Record Review. In 7 of 7 patient records reviewed with hospice aide services, the organization failed to ensure written patient care instructions were prepared for the aide services to be performed. On review of HosRRHV#3 the patient had documentation of a g-tube for feeding yet its presence and any care instructions were not addressed on the Aide assignment. In HosRRHV#4 the aide assignment plan of care noted to change dressing yet there were no specific instructions on how and where to change the dressing. On HosRRNHV#5, HosRRNHV#7, HosRRNHV#8, HosRRNHV#11, HosRRNHV#14 there was a task assigned for Toma de signo or take signs yet there were no instructions to indicate which vital signs to take and parameters for reporting abnormal findings. These observations were reviewed with the Hospice Supervisor and President/Hospice Administrator.”
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Content (42 CFR 418.104(a)(7))
The inspectors’ words, 99 words
“Observed in Patient Home. In 1 of 1 Where medication reconciliation was conducted, the organization failed to ensure the patient record reflected the patient’s care, treatment and services. On home observation at HosRRHV#1 it was noted during the medication reconciliation there were medications noted in the patient home that the caregiver stated the patient had been taking since prior to the hospice admission that were not part of the hospice plan of care such as Carbidopa/Levodopa 3 times a day, Metformin 2 times a day and Rotigotine transdermal. This observation was reviewed with the President/Hospice Administrator, and Hospice RN.”
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Discharge or transfer of care (42 CFR 418.104(e)(2)(i))
“Observed in Record Review. In 3 of 3 patient records reviewed, for discharged patients the organization failed to ensure that if the patient revoked or was discharged from hospice care the attending physician was provided with a copy of the hospice discharge summary and a copy of the patient record if requested. On review of HosRRDC#1, HosRRDC#2, and HosRRDC#3 there was no documentation that the physician was sent the discharge summary. These observations were reviewed with the Hospice nurse and President/Administrator.”
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Discharge or transfer of care (42 CFR 418.104(e)(3)(i))
“Observed in Record Review. In 2 of 3 patient records reviewed, for discharge patients, the organization failed to ensure the discharge summary include all required elements. On review of the discharge summaries reviewed HosRRDC#1, HosRRDC#2 not all required elements were documented on the discharge summary as they lacked a summary of the patient’s stay including treatments, symptoms, and pain management, nor current plan of care. This observation was reviewed with the Hospice Nurse and the President/Administrator.”
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Criminal background checks (42 CFR 418.114(d)(1))
“Observed in Tracer Activities. The organization’s pharmacy contract did not include all required elements. This was evidenced by the lack of a stipulation that the outside pharmacy would complete a criminal background check on contracted staff who provide direct patient care or have access to patient records. This finding was discussed with the organization’s leadership.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 1, 2025 | Reaccreditation inspection by The Joint Commission | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 30, 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): 12.3 nurse care minutes per routine home care day, 5.1% of skilled nursing minutes at weekends and a visit near death for 85.8% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 65% at home, 35% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.3 min |
| Skilled nursing minutes at weekends | 5.1% |
| Visits near death | 85.8% of patients who died |
Who owns it?
- Dlr Condado Management, Inc. runs it.
- 9 owners or officers are people: Maria De Leon Rosa (owns 5% or more directly, 33.34%); Maria De Leon Rosa (corporate director, 33.34%); Maria De Leon Rosa (runs it (operational or managerial control), 33.34%); Maria C De Leon (owns 5% or more directly, 33.33%); Maria C De Leon (corporate director, 33.33%); Maria C De Leon (runs it (operational or managerial control), 33.33%); Manuel De Leon (owns 5% or more directly, 33.33%); Manuel De Leon (corporate director, 33.33%); Manuel De Leon (runs it (operational or managerial control), 33.33%).
- 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): 81% rated it 9 or 10 out of 10, and 80% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 84.58% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 34.1% 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 | 9 of 10 |
How does it compare nearby?
- Of the 20 hospices CMS’s data show serving patients in ZIP code 00917, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 9; 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 |
|---|---|
| Condado Hospice Program Inc. This hospice | 9 |
| Nova Hospice LLC | 0 |
| Hospicio Gregoria Auffant Inc. | 0 |
| Ascend Hospice | 4 |
| Caribbean Hospice Corp | 7 |
| 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 El Nuevo Amanecer | 5 |
| Hospicio Toque De Amor | 9 |
| Divina Presencia Hospice Inc. | 15 |
| Healthkeepers Hospice | 47 |
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.