Hospicio Luz De Esperanza Inc.
A hospice in Manati, Puerto Rico 00674
126 Bda Felix Cordova Davila Ste 1, Manati, Puerto Rico 00674. (787) 921-7863.
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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.
- 1 deficiency 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?
1 deficiency cited in the last three years
The middle of the 20 hospices serving ZIP code 00674 had 9.5.
The last inspection on record was on Feb 10, 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
1 deficiency 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 15, 2025: recertification inspection by the state1 deficiency
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 502 words
“Based on observation, three Home Visit (H.V.) review of policy and procedure, it was determined that the facility failed to ensure that nursing personnel provide care with accepted standards of practice of infection control during the ulcer care and body bath care, for 2 out of 3 Home Visit (H.V #1, H.V. #3). 2. H.V. #1 is a 84 year old female patient admitted on 11/18/2024 with diagnosis of Chronic Health Failure maintain oxygen by nasal canula. The patient was visited 01/14/2025 at 11:50 AM accompanied by the facility nurse supervisor (employee #1) and the the licensed practical nurse (LPN) ( employee #3 ). The LPN wash her hands with soap and water then dry her hands and put a gloves then prepare the area and two bath basing then disinfected the thermometer and sphygmomanometer removed the gloves and discard and performed hand washing with water then take patient vital sings, removed gloves wash her hands, dry and put a clean pair of gloves. Initiate a body bath and change the water according to the bed bath procedure and end the body bath without problems. Dressed, combed the patient and fixed and organized patient’s bed. However the LPN (employee #3) did not change gloves and finish, she removed the gloves discard and wash her hands with an alcohol based solution. The nurse failed to wash her hands when ended the bed bath with soap and water. 1. HV #3 is an 87-year-old male admitted on 08/06/2024 with a diagnosis of Alzheimer disease, Malignant neoplasm of prostate, Chronic obstructive. The patient was visit on 01/14/2025 at 12:00 PM until 1:20PM accompanied with a register nurse (employee #6), of this facility. During the visit it was observed that the patient is not conscious, bedridden and totally dependent of activities of daily living (ADL). The patient has a Sacral ulcer stage II that is clean every 2-3 days. The patient was receiving visit of the employee #6 to provide ulcer care. a) It was observed that during the ulcer treatment procedure, employee #6 removed the dirty bandage and using those same gloves proceeded to clean the ulcer with a wound cleaning spray, once the ulcer was cleaned, she removed her gloves and washed her hands with an alcohol-based solution. b) On 1/15/2025 at 2:00 PM the nursing supervisor (employee #1) that provided the facility’s wound and pressure ulcer care policy and procedure was reviewed in 11/2024 and states in sections #13 and #14 that dirty bandages must be carefully removed, and bandages and gloves must be disposed of in a plastic bag or trash after infection control measures. It also states in sections #18, #20, and #21 that once the ulcer is cleaned, dirty gloves must be removed, disposed of in the trash, and hands washed according to agency procedure. The hands washed policy reviewed on 01/15/2025 at 3:00 PM states that must be with water and soap. c) The employee #6) failed to perform handwashing in 2 out of 5 opportunities to perform handwashing.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 10, 2025 | Recertification inspection by the state | No deficiencies cited |
| Jan 15, 2025 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Sep 15, 2017.
- 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): 11.8 nurse care minutes per routine home care day, 5.8% of skilled nursing minutes at weekends and a visit near death for 78.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 46% at home, 54% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 11.8 min |
| Skilled nursing minutes at weekends | 5.8% |
| Visits near death | 78.5% of patients who died |
Who owns it?
- 7 owners or officers are people: Manuel Santiago (owns 5% or more directly, 100%); Manuel Santiago (corporate officer, 100%); Emanuel Santiago Lopez (managing employee (on the payroll), 100%); Manuel Santiago (corporate director); Manuel Santiago Carrion (corporate director); Manuel Santiago Carrion (managing employee (on the payroll)); Hector D Romero Tirado (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.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 82% rated it 9 or 10 out of 10, and 88% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 82.69% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 22.2% 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 20 hospices CMS’s data show serving patients in ZIP code 00674, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 9.5; this one had 1.
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 En El Hogar Fe Y Esperanza De Puerto Rico | 24 |
| Hospicio Toque De Amor | 9 |
| Camino De Luz Hospice Care | 18 |
| Hospicio Divinas Manos | Not given |
| Hospicio Luz De Esperanza Inc. This hospice | 1 |
| Caribbean Hospice Corp | 7 |
| Hospicio Del Oeste Inc. | 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 |
| Divina Presencia Hospice Inc. | 15 |
| Hospicio Santa Rita Inc. | Not given |
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.