Hospicio El Nuevo Amanecer
A hospice in Alt Rio Grande, Puerto Rico 00745
Calle B Aa 14 Alturas De Rio Grande, Alt Rio Grande, Puerto Rico 00745. (787) 888-7700.
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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.
- 5 deficiencies cited in the last three years
- Not rated family caregiver rating
- 7of 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?
5 deficiencies cited in the last three years
The middle of the 19 hospices serving ZIP code 00745 had 8.
The last inspection on record was on Dec 3, 2025: a recertification inspection by the state.
1 deficiency 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
5 deficiencies in 1 month of the last 36. Last cited Oct 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.
Oct 22, 2025: recertification inspection by the state5 deficiencies
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Core services (42 CFR 418.64)
The inspectors’ words, 93 words
“Based on credential files review (C.F.) and interview with regional supervisor (employee # 3) on 10/21/2025 at 3:00 PM, it was determined that the facility failed to ensure core service are provide directly by hospice employee with counseling services which makes this Condition Not Met. Findings Include: 1. Spiritual Counselor credential file was reviewed on 10/21/2025 at 1:41 PM and it was observed a contracted service of the Hospice since February 2025.2. On an interview with employee #3 on 10/21/2025 at 3:00PM he stated that the spiritual counseling staff was under contracted services.”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 147 words
“Based on observation and facility policy review it was determined that the facility failed to follow accepted standard practices to prevent the transmission of infections. Findings Include: The facility policy named “USO DE DESIFECTANTES DE MANO CON BASE DE ALCOHOL (HAND SANITIZER)” reviewed on 10/21/2025 at 3:26PM with the regional supervisor (employee #3), states that employee must use hand sanitizer before and after putting on gloves. 1.HV #2 is an 83-years-old male admitted on 03/19/2025 with a diagnosis of Parkinson disease. The patient was visit on 10/20/2025 at 1:10PM until 1:45PM accompanied with a facility registered nurse (employee #2). During the visit it was observed that the patient was alert but not conscious, bedridden and totally dependent of activities of daily living. a) It was observed that the employee #2 did not employed hand hygiene between changes of gloves. Failed 1 of 3 opportunities to hand hygiene.”
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Cost saving (42 CFR 418.78(d))
The inspectors’ words, 94 words
“Based on the review of documents related to the volunteer program and interview with the secretary (employee #4), it was determined that the facility failed to maintain a documented record of the volunteer staff who provide administrative or direct patient care with the description of duties and worked hours. Findings include:1. During the interview and review of volunteer program with the secretary (employee #4) on 10/22/2025 at 9:30AM it was evidenced that the agency did not have documented evidence to prove that the volunteer personnel have been working providing administrative or direct patient care.”
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Governing body and administrator (42 CFR 418.100(b))
The inspectors’ words, 141 words
“Based on the review of eight (8) credential files (C.F) with the Hospice Secretary (employee #4) performed on 10/21/2025 at 11:AM till 1:10 PM, it was determined that he facility failed to ensure that 4 of 21 employees who provide services have updated credential files related to Speech Language Pathology (SLP), Occupational Therapist (OT), Home maker (ALL) and Spiritual Counselor (SC) related to lack of Hepatitis B Vaccine, Influenza Vaccine and COVID 19 Vaccine. Findings include: 1. One (1) of eight (8) credential files (C.F.) did not contain evidence of updated Hepatitis B Vaccine, Occupational Therapist (OT).2. Two (2) of eight (8) credential files did not contain evidence of Influenza Vaccine, Speech Language Pathology (SLP) and Occupational Therapist (OT).3. Two (2) of eight (8) credential files did not contain evidence of COVID 19 Vaccine, Home maker (ALL) and Spiritual Counselor (SC).”
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Criminal background checks (42 CFR 418.114(d)(1))
The inspectors’ words, 103 words
“Based on the review of eight (8) personnel credential files (C.F.) with the Hospice Secretary (employee #4) performed on 10/21/2025 at 11:AM till 1:10 PM, it was determined that the facility failed to ensure that 6 out of 8 employees record reviewed providing services have the criminal background check. Findings include: During the credentials file review of the Spiritual Counselor (SC), Medical Director (MD), Licenses Practical Nurse (LPN), Speech Language Pathology (SLP), Occupational Therapist (OT) and home maker (ALL), performed on 10/21/2025 at 11:AM till 1:10 PM with employee #4, no evidence was provided of the certified negative criminal background check (Ley 300).”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 3, 2025 | Recertification inspection by the state | No deficiencies cited |
| Oct 22, 2025 | Recertification inspection by the state | 5 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 27, 1993.
- 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): 12.1 nurse care minutes per routine home care day, 3.3% of skilled nursing minutes at weekends and a visit near death for 84.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 92% at home, 8% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.1 min |
| Skilled nursing minutes at weekends | 3.3% |
| Visits near death | 84.4% of patients who died |
Who owns it?
- 5 owners or officers are people: Eyleen I Rodriguez Lugo (owns 5% or more directly, 100%); Eyleen I Rodriguez Lugo (corporate officer, 100%); Eyleen I Rodriguez Lugo (managing employee (on the payroll), 100%); Elvia Santiago Vazquez (managing employee (under contract)); Elvia Santiago Vazquez (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: 7 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 98.51% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 44.7% 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 | 7 of 10 |
How does it compare nearby?
- Of the 19 hospices CMS’s data show serving patients in ZIP code 00745, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; this one had 5.
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 El Nuevo Amanecer This hospice | 5 |
| 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 |
| Divina Presencia Hospice Inc. | 15 |
| Hospicio Santa Rita Inc. | Not given |
| Healthkeepers Hospice | 47 |
| S & R Hospice Corp | 6 |
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.