7 out of 10
CMS builds this single score out of ten separate indicators drawn from claims. A provider earns a point for each indicator where it is not an outlier against national thresholds. This one scores mid-range.
| Indicator | This provider | Read as |
|---|---|---|
| Visits near death | 68.9% | higher is better |
| Gaps in nursing visits | 63.2% | lower is better |
| Early live discharges | 9.5% | lower is better |
| Late live discharges | 41.1% | lower is better |
| Burdensome transitions, Type 1 | 5.6% | lower is better |
| Burdensome transitions, Type 2 | 1.7% | lower is better |
| Skilled nursing minutes on weekends | 3.7% | higher is better |
| Nurse care minutes per routine home care days | 16 min | higher is better |
| CHC/GIP provided | 0.0% | higher is better |
| Per-beneficiary spending | $6,256 | context, not a quality score |
Why live discharges matter. Hospice is for people expected to die within six months. A patient leaving hospice alive is sometimes the right outcome — they got better, or chose to resume curative treatment. But an unusually high rate can also indicate patients were enrolled who did not qualify, or were discharged when their care became expensive. CMS publishes early and late live-discharge rates for exactly this reason. Treat a high number as a question to ask, not a verdict.
| Survey question | Families answering "always" / top box | |
|---|---|---|
| Rated this hospice 9 or 10 out of 10 | 78.0% | |
| Would definitely recommend | 74.0% | |
| Family member treated with respect | 93.0% | |
| Got the emotional and spiritual support they wanted | 84.0% |
CAHPS Hospice Survey, completed by caregivers after the patient's death. Providers with too few responses are not scored.
| Practice | Patients receiving it | |
|---|---|---|
| Composite process measure (all seven care practices) | 98.7% | |
| Pain screening | 99.1% | |
| Pain assessment | 100.0% | |
| Shortness-of-breath screening | 99.3% | |
| Shortness-of-breath treatment | 99.8% | |
| Bowel regimen for patients on opioids | 100.0% | |
| Treatment preferences documented | 99.9% | |
| Beliefs and values addressed | 99.6% |
Share of patients for whom the provider documented each practice. These are process measures — they record whether something was done, not how well.
Average daily census: 149 patients.
CARE ONE ANCILLARY HOLDINGS, LLC — all 10 hospices → CARE SOLUTIONS, LLC — all 8 hospices → DES-I 2016 GRAT — all 4 hospices →
| Owner | Role | Share | Associated since | CMS type flags |
|---|---|---|---|---|
| CARE ALTERNATIVES HOSPICE SERVICES, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 6/1/2019 | — |
| CARE ONE ANCILLARY HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 28.09% | 6/1/2019 | — |
| CARE SOLUTIONS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 6/1/2019 | — |
| DES-I 2016 GRAT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 46.78% | 9/3/2025 | — |
| HEALTH RESOURCE PARTNER LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 71.91% | 6/1/2019 | — |
| HRP CAPITAL, INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 71.91% | 6/1/2019 | — |
| NORTH AMERICAN MEDICAL MANAGEMENT -NEW JERSEY INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 71.91% | 6/1/2019 | — |
| ANA TORRES HERNANDEZ | W-2 MANAGING EMPLOYEE | 100% | 10/28/2019 | — |
| DANIEL STRAUS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 96.45% | 6/1/2019 | — |
| DAVID BARUCH | CORPORATE OFFICER | — | 3/9/2022 | — |
| DAVID BARUCH | W-2 MANAGING EMPLOYEE | — | 3/1/2023 | — |
| DAVID BARUCH | OPERATIONAL/MANAGERIAL CONTROL | — | 3/1/2023 | — |
| JORGE FAGES TORRES | W-2 MANAGING EMPLOYEE | 100% | 10/1/2019 | — |
| VICTORIA SANTOS | W-2 MANAGING EMPLOYEE | 100% | 9/17/2024 | — |
| VICTORIA SANTOS | OPERATIONAL/MANAGERIAL CONTROL | 100% | 9/17/2024 | — |
Source: CMS Hospice All Owners file, linked to this provider through its Medicare enrollment record. Medicare's Care Compare does not present ownership in this form.
Everything on this page is reproduced from the CMS Provider Data Catalog (July 2026 release) and, where shown, the CMS ownership and Medicare enrollment files. Nothing here is a rating or opinion of ours. If you believe a figure is wrong, email data@carerecords.org with the CCN and we verify against the official file within 5 business days.
How to cite this page: CareRecords, "Ascend Hospice — hospice records, San Juan, PR." Compiled from the CMS Provider Data Catalog (July 2026 release), CCN 401571. https://carerecords.org/hospice/puerto-rico/ascend-hospice-san-juan/