ASCEND HOSPICE
Provider Information
- Address
- 85 AVE DE DIEGO STE 231
SAN JUAN, PR 00927 - Ownership Type
- For-Profit
- Medicare Certified Since
- August 6, 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) | 28 |
| Licensed Practical Nurses (LPN) | 11 |
| Physicians | 1 |
| Volunteers | 1 |
97
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 ASCEND HOSPICE 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 2021.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how ASCEND HOSPICE compares to hospices nationwide.
16 minutes
of nurse care per routine home care day, on average
That is the 82nd percentile among hospices nationally. The national median is about 12 minutes.
149
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 day16 min
Ranks better than about 82% 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 weekends3.7%
Ranks better than about 7% 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 life68.9%
Ranks better than about 7% 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 visits63.2%
Ranks better than about 35% 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 care9.5%
Ranks better than about 29% 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 months41.1%
Ranks better than about 38% 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 care5.6%
Ranks better than about 58% 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 hospice1.7%
Ranks better than about 41% 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$6,256 · 2nd 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 25.9% of patients or more. Most hospices score above 90 percent.
- Pain screening99.4%
- Pain assessment100%
- Breathing difficulty screening99.3%
- Breathing difficulty treatment99.8%
- Treatment preferences discussed100%
- Beliefs and values discussed99.9%
- Bowel care for patients on opioids100%
- Visits in the last days of life25.9%
- All care steps completed99%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer20%
- Dementia41%
- Heart and circulatory disease11%
- Lung and respiratory disease10%
- Stroke8%
- 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 Ascend Hospice
Ascend Hospice provides compassionate end-of-life care in San Juan, Puerto Rico. They focus on comfort and support for patients and their families. Their team works to meet the physical and emotional needs of those they serve. They offer care in the local community to ensure patients remain in familiar surroundings. Choosing the right hospice is a major decision for any family. This provider strives to offer high-quality care to those in the San Juan area. They are dedicated to helping families navigate this difficult journey with grace and dignity. If you live in the 00927 area, they are a local option for your loved one's needs.
About Ascend Hospice
Ascend Hospice operates as a for-profit provider in San Juan. They have been certified by Medicare since August 6, 2015. This long history shows their commitment to meeting federal standards for hospice care. Medicare certification means they follow strict rules to protect patient safety. Families should know that being for-profit does not change the quality of care they give. Their focus remains on the patient and family. You can reach their office at 85 Ave De Diego, Suite 231. Their phone number is (787) 946-1048. They welcome questions about how their team can support your specific needs. Understanding these basics can help you feel more confident in your search for the right hospice provider.
Quality of Care Rating
Understanding Hospice Care in San Juan
Hospice care in San Juan is designed to support the whole person. It is not just about medical care. It is about improving the quality of life during a very sensitive time. Providers in Puerto Rico aim to keep patients comfortable at home. They manage pain and other symptoms so the patient can focus on time with family. Local hospice teams include doctors, nurses, and social workers. They also have grief counselors to help the family after a loss. Accessing these services in San Juan means your loved one stays close to home. The goal is to provide comfort, peace, and support in a familiar place. You do not have to walk this path alone. Local providers are ready to help you every step of the way.
What to Ask When Choosing a Hospice Provider
Picking the right hospice is a big step. You should ask questions to feel sure about your choice. Here are some key things to ask any provider:
- How quickly can your team come to our home if we have an emergency?
- Can you tell me how you manage pain and other difficult symptoms?
- What specific support do you offer to family members during this time?
- How does your team handle communication with our primary doctor?
Take your time to talk with the hospice team. A good provider will be happy to answer all your questions. They should make you feel heard and supported. Do not be afraid to ask for more details. Your family deserves to feel safe and cared for during this journey.
Preserve Your Family Stories
Your loved one has a unique life story that deserves to be remembered. Recording their memories is a beautiful way to honor their life and keep their spirit alive for future generations.
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Helpful Guides for Families
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How to Choose a Hospice Provider: A Family’s Complete Guide
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Some stories are worth writing down
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