Sendero De Luz Hospice
A hospice in Comerio, Puerto Rico 00782
Georgetti Street 9 Altos, Comerio, Puerto Rico 00782. (787) 875-5701.
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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.
- 4 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?
4 deficiencies cited in the last three years
The middle of the 16 hospices serving ZIP code 00782 had 10.
The last inspection on record was on Jan 23, 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
4 deficiencies in 1 month of the last 36. Last cited Jan 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.
Jan 23, 2025: recertification inspection by the state4 deficiencies
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 167 words
“Based on observations, review of policies and procedures, during a tour of the medical-surgical equipment warehouse, performed on 01/22/2025 at 8:30 AM, it was determinate that the facility failed to follow standards of practice for evaluation of the expiration date of the medical-surgical supply. Findings Include: a) During the tour of the facility’s storage performed on 01/22/2025 at 8:30 AM accompanied and in an interview with employee #1 (nursing supervisor), it was observed that several Lemon-Glycerin swabs ticks had an expiration date of 11/04/2023 and 03/2024. On 01/22/2025 at 12:40 PM the coordinator of the infection control program (employee #2), that provided the facility’s policy and procedure for maintaining the facility’s warehouse, was reviewed in 01/2020 and states in section #1 that the warehouse manager will be responsible for monitoring and supervising the arrangement of the goods, counting the stock and rotation considering their expiration. It also establishes in section #3 that at the end of each month, supplies and/or supplements that have expired will be discarded.”
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Personnel qualification (42 CFR 418.114(a))
The inspectors’ words, 149 words
“Based on the review of fifteen (15) credential files (C.F) with the Hospice Executive Director (employee #3) performed on 01/22/2025 at 12:50 PM till 2:30 PM, it was determined that he facility failed to ensure that 4 of 15 employees who provide services have updated credential files related to Speech Language Pathology (C.F #12), Physical Therapist (C.F #11), Occupational Therapist (C.F #13) and Spiritual Counselor (C.F #10) related to lack of Hepatitis B Vaccine, Influenza Vaccine and COVID 19 Vaccine. Findings include: 1. Two (2) of fifteen (15) credential files did not contain evidence of updated Hepatitis B Vaccine. C.F #10 and C.F #11. 2. Three (3) of fifteen (15) credential files did not contain evidence of Influenza Vaccine. C.F #11, C.F #12 and C.F #13. 3. Three (3) of fifteen (15) credential files did not contain evidence of COVID 19 Vaccine. C.F #11, C.F #12 and C.F #13.”
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Criminal background checks (42 CFR 418.114(d)(1))
“Based on the review of fifteen (15) personnel credential files (C.F.) with the Hospice Executive Director (employee #3) performed on 01/22/2025 at 12:50 PM till 2:30 PM, it was determined that the facility failed to ensure that 2 out of 15 employees record reviewed providing services have the criminal background check. Findings include: 1. Physical Therapist (PT), no evidence was provided of the certified negative criminal background check (Ley 300). 2. Speech Language Pathology (SLP), no evidence was provided of the certified negative criminal background check (Ley 300).”
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Fire protection (42 CFR 418.110 (d))
The inspectors’ words, 149 words
“Based upon an Recertification and Emergency Preparedness Program (EPP) survey performed on 01/22/2025 from 8:30 AM to 2:30 PM, to evaluate emergency preparedness requirements, it was determined that the facility failed to meet the applicable provisions in accordance with the Life Safety Code (NFPA 101 and Tentative Interim Amendments TIA 12-1, TIA 12-2, TIA 12-3, and TIA 12-4.) for 1 out of 3 home visits (HV).(HV#2). Findings include: Based on home visit (HV) performed on January 22, 2025, the following was identified: 1. During HV #2, no signage was observed at the entrance to the residence stating, “;No Smoking” or “;Oxygen in Use”. 2. During HV #2, electrical safety was not observed in the patients’ residences. When requesting electrical safety policy from the facility, the institution could not provide any. The use of multipliers (multiplugs) was also observed that could overload the electrical circuits, putting the risk of fire.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 23, 2025 | Recertification inspection by the state | 4 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Mar 5, 1996.
- 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): 24.1 nurse care minutes per routine home care day, 3% of skilled nursing minutes at weekends and a visit near death for 86.8% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 73% at home, 27% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 24.1 min |
| Skilled nursing minutes at weekends | 3% |
| Visits near death | 86.8% of patients who died |
Who owns it?
- 18 owners or officers are people: Miguel A Fuentes Oyola (owns 5% or more directly, 20%); Juan Santiago Berrios (owns 5% or more directly, 20%); Juan Santiago Berrios (corporate officer, 20%); Juan Santiago Berrios (corporate director, 20%); Juan Santiago Berrios (managing employee (on the payroll), 20%); Jose L Fuentes Oyola (owns 5% or more directly, 20%); Jose L Fuentes Oyola (corporate officer, 20%); Jose L Fuentes Oyola (managing employee (on the payroll), 20%); Jose L Fuentes Oyola (runs it (operational or managerial control), 20%); Minierva Vazquez Diaz (owns 5% or more directly, 20%); Minierva Vazquez Diaz (corporate officer, 20%); Minierva Vazquez Diaz (managing employee (on the payroll), 20%); Lucia Hernandez Rivera (owns 5% or more directly, 20%); Lucia Hernandez Rivera (corporate officer, 20%); Lucia Hernandez Rivera (managing employee (on the payroll), 20%); Miguel A Fuentes Oyola (corporate officer); Miguel A Rodriguez Rodriguez (managing employee (under contract)); Miguel A Rodriguez Rodriguez (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.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 86% rated it 9 or 10 out of 10, and 89% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 55.08% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 35.5% 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 16 hospices CMS’s data show serving patients in ZIP code 00782, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 10; this one had 4.
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 |
|---|---|
| Sendero De Luz Hospice This hospice | 4 |
| Hospicio En El Hogar Fe Y Esperanza De Puerto Rico | 24 |
| Hospicio La Montana | 10 |
| 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 Santa Rita Inc. | Not given |
| Healthkeepers Hospice | 47 |
| Camino De Luz Hospice Care | 18 |
| Hospicio La Milagrosa, Inc. | 12 |
| Programa De Salud En El Hogar Y Hospicio Geminis | 8 |
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.