Hospicio Amor Y Tranquilidad Inc.
A hospice in Mayaguez, Puerto Rico 00680
Ave Martinez Nadal 59 Edif Park Plaza 103 B, Mayaguez, Puerto Rico 00680. (787) 464-4766.
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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.
- 7 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 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?
7 deficiencies cited in the last three years
The middle of the 16 hospices serving ZIP code 00680 had 8.
The last inspection on record was on Sep 26, 2024: 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
7 deficiencies in 1 month of the last 36. Last cited Sep 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.
Sep 26, 2024: reaccreditation inspection by The Joint Commission7 deficiencies
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EP Testing Requirements (42 CFR 418.113(d)(3)(iii))
“Observed in Emergency Management Session. On review of the organizations Emergency Exercises, the organization did not review and evaluate any exercises or actual emergency incidents that they had done in 2024, 2023, or 2022. The organization completed drills and actual emergencies to test there plan but did not document an evaluation to identify opportunities for improvement, or recommend action to take to improve the emergency management program. This finding was reviewed with the owner. 
”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 159 words
“Observed in Record Review. In 9 of 10 active patient records reviewed, Hospice surveyor noted goals in patient records were not measurable and specific to the patient. On RRHV #2, goals were not measurable for example secretions will be managed with medication. On RRHV #3, it was noted that goals were not measurable and specific to the patient, for example, patient is a high fall risk and there is no goals for fall. Also goals not measurable with an example of “will carry out good hygiene”. In addition, RRNHV #1, RRNHV #2, RRNHV #3, RRNHV #4, RRNHV #5 and RRHNV #6 and RRNHV #7 has goals that were not measurable and specific to the care of the patient with examples of report that pain has been reduced to a personally acceptable level of complete relief effective oxygen therapy, optimal cardiac function, “have decrease in bladder function”, and optimal fluid control. This finding was reviewed with the owner and DCPS.”
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Program data (42 CFR 418.58(b)(3))
“Observed in Data Tracer. On review of the organizations QAPI program, the organization did not identify the frequency and detail of data collection associated with all measures in the QAPI plan and therefore the governing body could not approve it. This finding was reviewed with the owner.”
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Performance improvement projects (42 CFR 418.58(d)(2))
The inspectors’ words, 94 words
“Observed in Data Tracer. On review of the organizations QAPI, the organization had not documented what performance improvement projects were being conducted, the reasons for conducting these projects, and the measurable progress achieved. The organization had documented on each item that they were collecting a rationale for the measurement but there were not formal performance improvement projects in place. On interview with the QAPI coordinator, she was new to the position and did not fully understand what the requirement for a performance improvement plan. This finding was reviewed with the QAPI coordinator and owner.”
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Training (42 CFR 418.100(g)(3))
“Observed in Competency Session. On review of the HR files for the organization, the organization did not define the skills that were to be assessed during the competency for the chaplain, medical director and MSW. This finding was reviewed with owner and HR.”
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Content (42 CFR 418.104(a)(3))
The inspectors’ words, 175 words
“Observed in Record Review. In 3 of 3 patient records with aide services, the patient record was missing documentation of the aide visits. On RRHV #3, RRNHV #2, and RRNHV #4 it was noted that there was no documentation of the aide visits that specified what tasks they performed. The documentation in the record was a visit date and time in and out with a signature of the patient. On discussion with the owner, they have the visit notes for aides but somewhere along the line that form was stopped and only the visit date/time/patient signature was collected. This finding was reviewed and validated with the owner. Observed in Patient Home. On 1 of 3 Home visits conducted the medication list was inaccurate. On RRHV #1, on review of medications that the nursing facility had the patient was no longer taking the Meclizine and metoprolol for the past couple of months and the electronic medical record had not been updated to reflect the changes. This finding was reviewed with the owner and the nursing director.”
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Discharge or transfer of care (42 CFR 418.104(e)(2)(i))
“Observed in Record Review. In 1 of 1 discharged patient records reviewed where patient revoked from service, a discharge summary for care and treatment was not sent to the attending provider. On review of RRDC #1, the discharge summary was not created because their EMR does not have a way to create a discharge summary in program and the organization was not aware this was the requirement. This was reviewed and validated with the Administrator.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 26, 2024 | Reaccreditation inspection by The Joint Commission | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 18, 2014.
- 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): 8.7 nurse care minutes per routine home care day, 4.1% of skilled nursing minutes at weekends and a visit near death for 75.7% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 81% at home, 19% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 8.7 min |
| Skilled nursing minutes at weekends | 4.1% |
| Visits near death | 75.7% of patients who died |
Who owns it?
- 12 owners or officers are people: Orlando R Lugo (runs it (operational or managerial control), 100%); Orlando Lugo Echevarria (owns 5% or more directly, 80%); Orlando R Lugo (owns 5% or more directly, 80%); Orlando R Lugo (corporate officer, 80%); Orlando R Lugo (corporate director, 80%); Patricia L Bessom (owns 5% or more directly, 10%); Patricia L Bessom (corporate officer, 10%); Patricia L Bessom (corporate director, 10%); Orlando Lugo Echevarria (corporate officer, 10%); Orlando Lugo Echevarria (corporate director, 10%); Orlando Lugo Echevarria (runs it (operational or managerial control), 10%); Maribel Mercado (managing employee (under contract)).
- 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).
- 97.65% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 36% 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 16 hospices CMS’s data show serving patients in ZIP code 00680, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; this one had 7.
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 Amor Y Tranquilidad Inc. This hospice | 7 |
| Hospicio Krystal Inc. | 6 |
| Western Medical Hospice | 1 |
| Hospicio La Providencia | 2 |
| Hospicio En El Hogar Fe Y Esperanza De Puerto Rico | 24 |
| Hospicio Del Oeste Inc. | 10 |
| 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 |
| Med Health Hospice Corp | 20 |
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.