Programa De Salud En El Hogar Y Hospicio Geminis
A hospice in Corozal, Puerto Rico 00783
Carretera 159 Km 13,4 Urb Loma Linda, Corozal, Puerto Rico 00783. (787) 859-5755.
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.
- 8 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?
8 deficiencies cited in the last three years
The middle of the 21 hospices serving ZIP code 00783 had 9.5.
The last inspection on record was on Nov 7, 2024: a follow-up inspection by The Joint Commission.
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
8 deficiencies in 1 month of the last 36. Last cited Oct 2024. 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 4, 2024: reaccreditation inspection by The Joint Commission8 deficiencies
-
Core services (42 CFR 418.64)
“Observed in Tracer Activities. The organization failed to provide for its planned scope and level of care, treatment, or services. During tracer activities for Leadership, the Hospice Nurse Surveyor observed the organization employed only contract employees for Spiritual Care and Medical Social Work. Therefore CORE services were not routinely provided directly by hospice employees. 

This was discussed and reviewed with the Hospice Director and the Hospice Team.”
-
EP Testing Requirements (42 CFR 418.113(d)(3)(iii))
“Observed in Emergency Management Session. During the EOP document review, the organization had not documented in committee meeting minutes the review of all exercises and after-action reports. This is was discussed with the organization’s leadership team.”
-
Review of the plan of care (42 CFR 418.56(d ))
The inspectors’ words, 93 words
“Observed in Record Review. The organization failed to plan the patient’s care. During IDG attendance, the Hospice Nurse Surveyor observed no attendance of the Social Worker or Spiritual Care Provider. During conversation with the Director of Hospice and the Hospice Team, they noted that those employees are contracted employees and only attend if there is an issue with the patients. Both disciplines have orders to see the reviewed patients monthly, but were not attending IDG for collaboration with the team. 

This was discussed and reviewed with the Hospice Director and the Hospice Team.”
-
Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
“Observed in Record Review. ,records with aide services, the organization failed to supervise staff effectively. During record review for RRNHV#1, the Hospice Nurse Surveyor observed the patient was receiving Home Health Aide Services from the Health Assistant, who was following the Home Health Aide Plan of Care and did not perform any job duties within the organization besides the Home Health Aide duties. Supervision was being done monthly, but not at least every 14 days. This was discussed and reviewed with the Hospice Director.”
-
Training (42 CFR 418.100(g)(3))
“Observed in HR File Review. In 8 of 8 HR files reviewed, who were due for a competency, the organization failed to assess staff competence. During HR file review for HR#1, HR#2, HR#3, HR#8, HR#9, HR#10, HR#11, and HR#12 there was no documentation of competency since 2021. The organization policy stated they would do competency annually. This was discussed and reviewed with the Hospice Team.”
-
Initial certification of terminal illness (42 CFR 418.102(b))
“Observed in Tracer Activities. the organization failed to document review of clinical information for the hospice patient at initial certification. During record review for RRNHV#7, the Hospice Nurse Surveyor observed the CTI was not completed per organizational policy of within 24 hours of admission. As of the survey date, the patient was admitted 10 days prior and there was no documentation of a clinical review. 

This was discussed and reviewed with the Hospice Director and Hospice Team.”
-
Recertification of the terminal illness (42 CFR 418.102(c))
The inspectors’ words, 104 words
“Observed in Record Review. In 2 of 4 patient records reviewed, the organization failed to assess and reassess its patients. During record review for RRHV#2, and RRHV#3, there was no documentation of the Medical Director’s review of the clinical information with signature prior to the recertification. For example in RRHV#2, the new benefit period began 2 days prior to survey but there was no clinical documentation from the Physician. For RRHV#3, the new benefit period began 09/02, almost a month prior to survey, but there was no clinical documentation from the Physician. 

This was discussed and reviewed with the Hospice Director and Hospice Team.”
-
Criminal background checks (42 CFR 418.114(d)(1))
“Observed in HR File Review. In 1 of 12 HR files reviewed, the organization failed to verify staff qualifications. During HR file review for HR#6, the Hospice Nurse Surveyor observed lack of documentation for a background check at hire. the Health Assistant (LPN) was hired 8 months prior to survey and no background check had been completed. 

This was discussed and reviewed with the Hospice Team.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Nov 7, 2024 | Follow-up inspection by The Joint Commission | No deficiencies cited |
| Oct 4, 2024 | Reaccreditation inspection by The Joint Commission | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 10, 2001.
- 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): 14.3 nurse care minutes per routine home care day, 3.4% of skilled nursing minutes at weekends and a visit near death for 87% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 66% at home, 34% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 14.3 min |
| Skilled nursing minutes at weekends | 3.4% |
| Visits near death | 87.0% of patients who died |
Who owns it?
- 5 owners or officers are people: Emerita Vazquez Lopez (owns 5% or more directly, 100%); Emerita Vazquez Lopez (corporate officer, 100%); Emerita Vazquez Lopez (corporate director, 100%); Emerita Vazquez Lopez (managing employee (on the payroll), 100%); Hector Luis Colon (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).
- 92.86% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 40.6% 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 21 hospices CMS’s data show serving patients in ZIP code 00783, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 9.5; this one had 8.
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 |
|---|---|
| Programa De Salud En El Hogar Y Hospicio Geminis This hospice | 8 |
| Hospicio En El Hogar Fe Y Esperanza De Puerto Rico | 24 |
| Hospicio La Montana | 10 |
| Hospicio La Paz Inc. | 14 |
| Programa De Servicios De Salud En El Hogar Y Hospicio San Lucas Inc. | 0 |
| Hospicio Toque De Amor | 9 |
| Divina Presencia Hospice Inc. | 15 |
| Sendero De Luz Hospice | 4 |
| Healthkeepers Hospice | 47 |
| Camino De Luz Hospice Care | 18 |
| Hospicio La Milagrosa, Inc. | 12 |
| Hospicio Divino Salvador, Inc. | 3 |
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.