Advance Hospice Services Inc.

For-Profit10 years operating

Bo Palmas, Puerto Rico — Catano County

Advance Hospice Services Inc. is an established for-profit hospice provider that scores above average overall, ranking in the 15th percentile in Puerto Rico. They perform particularly well in family communication, meeting or exceeding state benchmarks in this area. Worth noting: their rate of visits in a patient's final days is below the state average and their Hospice Care Index falls below the state average. When speaking with them, ask about their approach to after-hours care, how they communicate changes in a patient's condition, and what support they offer to caregivers.

Wayven Quality Score

Above Average

In the bottom 85% in Puerto Rico

Independent & data-driven — no paid listings

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Quality breakdown

Three pillars that make up the overall score. Tap to explore individual measures.

Visits in last days of life29.1

State avg: 46.1

Pain screening93

State avg: 89.4

Pain assessment91.8

State avg: 89.4

Breathing difficulty screening87.3

State avg: 89.4

Breathing difficulty treatment98.7

State avg: 89.4

Bowel care for pain medication patients82.9

State avg: 89.4

Note: Family satisfaction scores are from the Puerto Rico CAHPS Hospice Survey (state-level, not provider-specific). Providers in this state share these benchmarks.

Overall rating (9-10)78
Would recommend78
Timely care73
Team communication78
Respect88
Emotional & spiritual support86
Symptom management68
Caregiver training72
Treatment preferences documented98.1

State avg: 89.4

Beliefs & values addressed98.1

State avg: 89.4

7

HCI Score

out of 10

15%

Percentile

in Puerto Rico

#36

State Rank

in Puerto Rico

HCI composite score7

State avg: 8.1

HIS composite score77.8

State avg: 89.4

Continuous care / inpatient days0
Gaps in nursing visits72.2
Nurse care minutes per day7

About this provider

Advance Hospice Services Inc. performs strongly in Family Support, placing them among the better providers in Puerto Rico.

Ask about their staffing approach for end-of-life visits — their current rate is below the state benchmark.

Based on federal CMS quality data, updated February 2026.

Hospice Care Index Components

Overall HCI score
7 / 10
Continuous care / inpatient days
0
Gaps in nursing visits
72.2
Nurse care minutes per day
7
Visits near death
39.1
Per-beneficiary spending
$4249

Process Quality Measures (HIS)

Composite score
77.8
Treatment preferences
98.1
Beliefs & values
98.1
Pain screening
93
Pain assessment
91.8
Dyspnea screening
87.3
Dyspnea treatment
98.7
Opioid bowel care
82.9

Utilization & Operations

Visits in last days of life
29.1%
Nurse care minutes / day
7
Per-beneficiary spending
$4249
Avg daily census
26 patients

Patient Mix

Cancer
35%
Dementia
38%
Heart disease
8%
Respiratory
Not reported
Stroke
Not reported

Data Sources

CCN
401570
CMS Region
2

All scores come directly from CMS. Providers cannot edit or influence their profile on this site.

Contact

Bo Palmas, PR 00962

(787) 781-2245