ADVANCE HOSPICE SERVICES INC
Provider Information
- Address
- CARR 869 URB PALMAS INDUSTRIAL PARK CALLE 19 BO PA
BO PALMAS, PR 00962 - Ownership Type
- For-Profit
- Medicare Certified Since
- June 24, 2015
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CMS Quality Ratings
Composite score combining quality measures and patient survey results.
Based on the CMS Hospice Care Index — 10 operational quality indicators including visits near death, nursing minutes, and care transitions.
CAHPS Hospice Survey — family caregivers rate communication, symptom management, respect, and overall experience.
CMS scores as of May 2026. Quality of Care derived from CMS Hospice Care Index. Patient Satisfaction from the CMS CAHPS Hospice Survey. Overall is the equally-weighted average of both. All source data published by the Centers for Medicare & Medicaid Services.
Staffing & Capacity
| Role | Staff Count |
|---|---|
| Registered Nurses (RN) | 18 |
| Licensed Practical Nurses (LPN) | 3 |
| Physicians | 5 |
47
Total Employees
Staffing data as reported to the Centers for Medicare & Medicaid Services.
Inpatient Care and Medical Equipment
Hospices report these services to Medicare when they are certified. This is what ADVANCE HOSPICE SERVICES INC reported, not a check of what it offers today. Confirm current arrangements with the hospice.
- Short-term inpatient care
- Arranged through another hospital or nursing home
- Type of inpatient care
- Both general inpatient care and respite care
- Medical supplies and equipment
- Brought in through an outside supplier
Short stays in a hospice inpatient unit, hospital, or nursing home for pain or symptoms that cannot be managed where the patient lives, or to give family caregivers a break.
Equipment and supplies tied to the terminal illness and the plan of care, such as a hospital bed, oxygen, wound supplies, or a wheelchair.
Medicare lets hospices provide these services through arrangements with other organizations. Either way, the hospice stays responsible for the covered care in the patient’s plan of care.
Reported by this hospice to the Centers for Medicare & Medicaid Services when it was certified in 2022.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how ADVANCE HOSPICE SERVICES INC compares to hospices nationwide.
7 minutes
of nurse care per routine home care day, on average
That is the 5th percentile among hospices nationally. The national median is about 12 minutes.
26
patients in care on an average day
A rough measure of size. Smaller can mean more personal. Larger can mean more resources.
Medicare reports this hospice billed for routine home care only from January 2022 through December 2024. Hospices can also provide continuous home care, inpatient care, and respite care when symptoms are harder to manage. There can be good reasons for this. Ask the provider how they handle a crisis at home.
How this hospice compares nationally
Bars show national standing on measures from the CMS Hospice Care Index. A fuller bar means this hospice does better than more of the hospices CMS tracks.
- Nurse care minutes per home care day7 min
Ranks better than about 5% of hospices nationally on this measure.
What this measures
The average minutes of nursing care per day for patients getting routine care at home, based on Medicare claims. More nurse time usually means more hands-on support.
- Skilled nursing on weekends9.1%
Ranks better than about 63% of hospices nationally on this measure.
What this measures
The share of skilled nursing time delivered on Saturdays and Sundays. Symptoms do not wait for weekdays, so weekend coverage matters.
- Nurse visits in the last days of life39.1%
Ranks better than about 2% of hospices nationally on this measure.
What this measures
The share of patients who got nurse visits in their final days of life. This is when families tend to need the most support.
- Gaps in nursing visits72.2%
Ranks better than about 23% of hospices nationally on this measure.
What this measures
How often patients went more than a week without a nursing visit. Fewer gaps mean steadier attention.
- Patients discharged alive early in care11.9%
Ranks better than about 17% of hospices nationally on this measure.
What this measures
The share of patients who left hospice alive within the first week of care. A rate of 0% means it did not happen to any of their patients.
- Patients discharged alive after 6 months26.2%
Ranks better than about 78% of hospices nationally on this measure.
What this measures
The share of patients discharged alive after six months or more in hospice care.
- Hospital transfers near the end of care2.4%
Ranks better than about 75% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, spent time in the hospital, then came back to hospice.
- Hospital stays that interrupt hospice0%
Ranks better than about 55% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, went to the hospital, and died there soon after.
- Days at higher levels of care (CHC or GIP)52nd percentile
What this measures
The share of care days delivered at higher levels, such as continuous home care or inpatient care. Shown only as a national rank because small percentages round to zero.
- Medicare spending per patient$4,249 · 1st percentile
What this measures
What Medicare paid per patient for this hospice's care. Higher or lower spending is not a quality judgment by itself.
Care steps completed at admissionShow detailsMedicare tracked 9 required care steps for new patients here, completed for 29.1% of patients or more. Most hospices score above 90 percent.
- Pain screening93.1%
- Pain assessment90.4%
- Breathing difficulty screening88.8%
- Breathing difficulty treatment98.9%
- Treatment preferences discussed98.4%
- Beliefs and values discussed97.9%
- Bowel care for patients on opioids73.2%
- Visits in the last days of life29.1%
- All care steps completed77.7%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer35%
- Dementia38%
- Heart and circulatory disease8%
- Other conditions10%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
About Advance Hospice Services Inc
Advance Hospice Services Inc provides compassionate care to families in Bo Palmas, Puerto Rico. They specialize in end-of-life support services. Their team focuses on comfort and quality of life for every patient. They work hard to help families during difficult times. The staff is dedicated to honoring the wishes of those they serve. They offer care that respects the dignity of each person. Choosing the right hospice is a very important decision for your loved ones. This provider serves the local community with care and focus. They aim to make the hospice journey as peaceful as possible for everyone involved.
About Advance Hospice Services Inc
Advance Hospice Services Inc is a for-profit hospice provider. They have been Medicare certified since June 24, 2015. This long history shows their commitment to meeting federal standards. Families should know that Medicare certification means they follow strict rules for safety. They must meet high standards for patient care and comfort. Being a for-profit organization, they focus on efficient service delivery. They operate out of the Palmas Industrial Park in Catano. Their office is ready to help answer your questions about eligibility. It is helpful to talk with them about their specific care plans. They want to ensure your family feels supported every step of the way. Understanding their background can help you feel more confident in your choice.
Understanding Hospice Care in Bo Palmas
Hospice care in Bo Palmas is about more than just medicine. It is about surrounding your loved one with peace and support. Many families find comfort in having professional help nearby. Local providers like Advance Hospice Services Inc understand the needs of the area. They provide care in homes and other settings. Hospice teams include nurses, aides, and social workers. They work together to manage pain and provide emotional support. You do not have to walk this path alone. The goal is always to improve the quality of each day. Having a local team means they can reach you quickly when needs change. It is a relief to have experts nearby who understand the local culture and community. They are here to help your family find balance and rest.
What to Ask When Choosing a Hospice Provider
It is normal to have many questions when picking a hospice team. Here are a few things to ask to help you decide:
- How quickly can a nurse come to our home if we have an emergency?
- What specific services do you offer to support family caregivers?
- How does your team handle pain and symptom management for patients?
- Can you explain how Medicare benefits cover the care you provide?
Asking these questions helps you understand the level of support you will get. Do not feel rushed when you speak with them. Take your time to get the right answers for your specific situation. You deserve to feel heard and supported throughout this process. A good hospice team will be happy to answer all of your questions clearly.
Preserve Your Family Stories
Your family history is a beautiful treasure. We can help you record stories and memories to keep for future generations.
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