Hospicio Krystal Inc.
A hospice in Mayaguez, Puerto Rico 00680
Calle De La Candelaria #8, Mayaguez, Puerto Rico 00680. (787) 805-6325.
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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.
- 6 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 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?
6 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 Feb 5, 2026: 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
6 deficiencies in 1 month of the last 36. Last cited Feb 2026. 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 5, 2026: reaccreditation inspection by The Joint Commission6 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
“Observed in Record Review. In 4 of 10 patient records reviewed, The surveyor observed in 1/10 records that the chaplain failed to complete initial assessment within 5 days and in 4/10 records the social worker failed to complete their initial assessments within five days after the election of hospice benefit . This was discussed and confirmed with organization leadership”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 120 words
“Observed in Record Review. In 4 of 10 patient records reviewed, The surveyor observed that MSW had not provided care according to POC. The surveyor observed that the POC ordered for 1Xmonth X 3 months however no MSW visits had been made during that time period specified on POC . In discussion with organization leadership it was verbalized that organization had been without a MSW except by phone and no phone visits had been documented . The surveyor also observed in 1/10 records with CHHA that the order on POC had been 2X week and the CHHA had seen the patient 3 x week for 3 weeks in one certification period. This issue was discussed and confirmed with organization leadership.”
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Cost saving (42 CFR 418.78(d))
“Observed in Tracer Activities. The surveyor observed that although the organization had made efforts through advertisement in multiple venues that volunteers had not provided at least 5% of the total patient care hours of all paid hospice employees and contract staff. At the time of survey the organization had zero volunteers, but had one in process of orientation. The surveyor noted that in 2024 and in 2025 the organization had zero volunteers. The issue was discussed and confirmed with organization leadership.”
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Level of activity (42 CFR 418.78(e))
“Observed in Tracer Activities. The surveyor observed that the organization had not met in 2024 , 2025 or as yet in 2026 a minimum of 5% total patient care hours . The surveyor was informed that although the organization had made efforts with proof of advertisement in 2024 and 2025 they had not retained any volunteers, but did at the time of survey have one in orientation. This issue was discussed and confirmed with organization leadership.”
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Discharge or transfer of care (42 CFR 418.104(e)(1)(i))
“Observed in Document Review. In 2 of 2 patient records reviewed, The surveyor observed that the hospice had not provided a summary of care to receiving facility when patient revoked and went to hospital. Organization leadership stated this was not part of their process at this time. The issue was discussed and confirmed with organization leadership.”
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Personnel qualification (42 CFR 418.114(a))
“Observed in HR File Review. In 4 of 4 HR files reviewed, for nurses that ongoing primary source verification had not been done. The organization had been doing primary source verification for nursing only at the time of hire and documenting. This issue was discussed and confirmed with organization leadership.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 5, 2026 | Reaccreditation inspection by The Joint Commission | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 13, 2019.
- 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): 18.2 nurse care minutes per routine home care day, 3.6% of skilled nursing minutes at weekends and a visit near death for 97.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 72% at home, 28% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 18.2 min |
| Skilled nursing minutes at weekends | 3.6% |
| Visits near death | 97.5% of patients who died |
Who owns it?
- 15 owners or officers are people: Ignacio R Febus Ortiz (corporate director, 0%); Carmen B Fuentes Albino (corporate director, 0%); Victor E Rivera Cruz (corporate director, 0%); Irma I Negron Melendez (corporate officer, 0%); Elibel Ortiz Berrios (corporate director, 0%); Maria Rios (corporate director, 0%); Florentino Aviles Rosario (corporate director, 0%); Emanuel Garcia Rodriguez (corporate director, 0%); Felix Ortiz (corporate director, 0%); Felix Ortiz (managing employee (on the payroll), 0%); Rosa Marrero Ramos (corporate director, 0%); Carmen G Hernandez Diaz (corporate director, 0%); Gloria Del C Amador Fernandez (corporate director, 0%); Gloria Del C Amador Fernandez (managing employee (on the payroll), 0%); Maribel Concepcion Melendez (corporate director, 0%).
- 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).
- 51.5% 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 | 8 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 6.
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. | 7 |
| Hospicio Krystal Inc. This hospice | 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.