Ascend Hospice

For-Profit10 years operating

San Juan, Puerto Rico — San Juan County

Ascend Hospice is an established for-profit hospice provider that scores well above average overall, ranking in the 24th percentile in Puerto Rico. They perform particularly well in clinical care practices and family communication, meeting or exceeding state benchmarks in these areas. 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

Excellent

In the bottom 76% 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 life25.9

State avg: 46.1

Pain screening99.1

State avg: 89.4

Pain assessment100

State avg: 89.4

Breathing difficulty screening98.9

State avg: 89.4

Breathing difficulty treatment99.8

State avg: 89.4

Bowel care for pain medication patients100

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 documented99.7

State avg: 89.4

Beliefs & values addressed99.4

State avg: 89.4

7

HCI Score

out of 10

24%

Percentile

in Puerto Rico

#32

State Rank

in Puerto Rico

HCI composite score7

State avg: 8.1

HIS composite score98.5

State avg: 89.4

Continuous care / inpatient days0
Gaps in nursing visits63.2
Nurse care minutes per day16

About this provider

Ascend Hospice performs strongly in Comfort & Pain Management, 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
63.2
Nurse care minutes per day
16
Visits near death
68.9
Per-beneficiary spending
$6256

Process Quality Measures (HIS)

Composite score
98.5
Treatment preferences
99.7
Beliefs & values
99.4
Pain screening
99.1
Pain assessment
100
Dyspnea screening
98.9
Dyspnea treatment
99.8
Opioid bowel care
100

Utilization & Operations

Visits in last days of life
25.9%
Nurse care minutes / day
16
Per-beneficiary spending
$6256
Avg daily census
149 patients

Patient Mix

Cancer
20%
Dementia
41%
Heart disease
11%
Respiratory
10%
Stroke
8%

Data Sources

CCN
401571
CMS Region
2

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

Contact

San Juan, PR 00927

(787) 946-1048