Advance Hospice Services Inc.
A hospice in Bo Palmas, Puerto Rico 00962
Carr 869 Urb Palmas Industrial Park Calle 19 Bo Pa, Bo Palmas, Puerto Rico 00962. (787) 781-2245.
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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
- 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?
9 deficiencies cited in the last three years
The middle of the 23 hospices serving ZIP code 00962 had 9.
The last inspection on record was on Feb 14, 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 Feb 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.
Feb 14, 2025: reaccreditation inspection by The Joint Commission9 deficiencies
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EP Testing Requirements (42 CFR 418.113(d)(3)(iii))
“Observed in Emergency Management Session. The organization created a summary for all drills and actual emergencies that occurred, however there was not an evaluation completed for the every actual and drilled emergencies. This was confirmed by the Nurse Executive.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6)(i))
“Observed in Record Review. It was noted in one medical record that the medication reconciliation was not accurate .The Zofran 8 mg was ordered on 12/17, however this medication was never added to the medication profile.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. It was noted that the initial bereavement assessment was not performed in one medical record The organization did not have a process to perform bereavement assessments when the chaplain services are refused by the patient. The chaplain performs the bereavement assessment. This notation was confirmed by the Medical Records Specialist.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 226 words
“Observed in Patient Home. In 3 of 14 appropriate record review, It was noted that the hospice home visit #4 that the organization had not obtained a current order for treatment. The patient has an order for continuous bladder irrigation with normal saline at 40 cc per hour. The caregiver mentioned that if there is blood in the urine foley bag, the caregiver will bolus the bladder irrigation opening the dial-a-flow to 250cc per hour until the blood is cleared. The hospice was able to show a physician’s order for this bolus irrigation of the bladder from June of 2024. However this order for bolus irrigation to the bladder for blood in the foley bag was not updated since June of 2024. During Hospice RRNV #2, 4 and 8 the orders for wound care were not specific. The first record noted 2 wounds on the sacral area, however the wound care order only addressed one wound. Also there was no frequency noted for how often the wound care should occur. On the second record, the order called for the application of Silvadene. However there was no location or frequency noted on this order. On the third record there was a order for wound care with Calcium Alginate. However there was no location or frequency noted of this wound. These notations were confirmed the Medical Records Specialist.”
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Control (42 CFR 418.60(b)(2)(ii))
“Observed in Patient Home. During one home visit it was note that the organization’s policy # 9-014.1 #5 entitled Bag Technique was not followed. The organization policy states the cleaning agent for equipment must be alcohol- based and must disinfect equipment surfaces. However the staff member used a non- alcohol based agent and this agent use was meant to clean skin, not equipment surfaces. This was confirmed by the Director of Nursing .”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
“Observed in Record Review. In 3 of 3 patients on continuous oxygen, it was noted that patients on continuous oxygen who received hospice aide services, there was no documentation in the hospice aide care plans- if the patient’s oxygen could be removed during the bathing process. This was confirmed by Director of Nursing.”
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Content (42 CFR 418.104(a)(3))
The inspectors’ words, 94 words
“Observed in Record Review. In 3 of 14 patient records reviewed, it was noted that there were inconsistencies in documentation, In one record the organization’s demographic sheet stated that the patient’s primary diagnosis was Renal Failure, however in all other documentation the patient’s diagnosis was a CVA. In a second record the patient had an ileostomy however several assessments listed this this as a colostomy. In the third medical record the CTI listed he patient’s age as 81 years, however the patient’s age was actually77. These discrepancies were confirmed by the Medical Records Specialist.”
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Label dispose storage drugs (42 CFR 418.106(e)(2)(i)(A))
“Observed in Patient Home. The organization did not have a process to provide patients ( or patient representatives) who are ordered controlled medications , to receive written policies and procedures on the management and disposal of controlled medications. This was confirmed by the Director of Nursing”
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Label dispose storage drugs (42 CFR 418.106(e)(2)(i)(C))
“Observed in Patient Home. Since the organization did not have a process to provide written policies to patients who are ordered controlled medications on how to dispose of those controlled medications, there was no process for the organization’s staff to document in the patient’s medical record the receipt of those policies. This was confirmed by the Director of Nursing.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 14, 2025 | Reaccreditation inspection by The Joint Commission | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 24, 2015.
- 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): 7 nurse care minutes per routine home care day, 9.1% of skilled nursing minutes at weekends and a visit near death for 39.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 100% at home.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 7.0 min |
| Skilled nursing minutes at weekends | 9.1% |
| Visits near death | 39.1% of patients who died |
Who owns it?
- Advanced Healthcare Logistics Corp runs it.
- 9 owners or officers are people: Francisco J Olivera (owns 5% or more directly, 93%); Aixa M Cardona (owns 5% or more directly, 7%); Aixa M Cardona (corporate officer); Aixa M Cardona (corporate director); Francisco J Olivera (corporate officer); Francisco J Olivera (corporate director); Dagmarie Velez (corporate officer); Dagmarie Velez (corporate director); Ada J Garcia (managing employee (on the payroll)).
- 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).
- 82.67% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 29.1% 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 | 7 of 10 |
How does it compare nearby?
- Of the 23 hospices CMS’s data show serving patients in ZIP code 00962, 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 |
|---|---|
| Advance Hospice Services Inc. This hospice | 9 |
| Caribbean Hospice Corp | 7 |
| Hospicio La Montana | 10 |
| Nova Hospice LLC | 0 |
| Hospicio Del Oeste Inc. | 10 |
| 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 |
| Hospicio Toque De Amor | 9 |
| Divina Presencia Hospice Inc. | 15 |
| Sendero De Luz Hospice | 4 |
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).
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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.