The Worst Home Health Care Agencies in Puerto Rico

As the US population grows older, more of us are going to need some kind of help with our daily routines or to recover from specific afflictions. Much of that care will take place outside of a hospital or residential care setting. We believe that one of the best ways to live longer or to recover faster is through health care services that are delivered in your home.

There are many benefits to receiving health care at home. First, it is often more convenient for patients, since they don’t have to travel to a facility. Second, it can be less expensive than receiving care in a hospital or other setting. Third, patients may feel more comfortable and relaxed in their own homes. Home treatment has been shown to lead to faster recoveries and better overall outcomes than similar treatments administered in a hospital or group home setting.

Home Health Care Agencies in Puerto Rico

There are 38 home health care companies registered with the Centers for Medicare & Medicaid that serve the Highland, Arkansas area. Because home health care agencies visit your home, you may be in an agency's service area even if they do not have an office in Highland.

The list below shows the worst home health care agencies in the market ranked by their overall 5-star quality of care rating. (Click here to see the best home health care agencies in Puerto Rico.)

Name	5-Star Quality of Care Rating
SALUD INTEGRAL EN LA MONTANA INC CARR 164 KM 0.2 NARANJITO, PR 00719	1.5:
GEMINIS HOME CARE CARR 159 KM 13 4 BO PUEBLO COROZAL, PR 00783	1.5:
FIRST HOME CARE CENTER INC. CALLE MCKINLEY OESTE 96 MAYAGUEZ, PR 00680	2:
PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS INC SOLAR 7 CARR 2 KM124.9 CAIMITAL BAJO AGUADILLA, PR 00605	2.5:
HOME HEALTH LA MONSERRATE INC AVENIDA 5 DE DICIEMBRE NUM 100 SABANA GRANDE, PR 00637	2.5:
PROGRAMA DE SALUD EN EL HOGAR LAS VEGAS CARR 2 KM 46 4 EDIF LAS VEGAS 420 BO CAMPO ALEGRE MANATI, PR 00674	2.5:
LUZ DE ESPERANZA HOME CARE INC CARR 668 BDA FELIX CORDOVA DAVILA 126 ALT DE LUCHETTI, PR 00674	2.5:
RYDER HOMECARE PROGRAM 355 FONT MARTELO AVE HUMACAO, PR 00791	2.5:
HOME CARE GREGORIA AUFFANT 114 CALLE ELEANOR ROOSEVELT URB EL VEDADO SAN JUAN, PR 00918	2.5:
PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS INC WESTERN AUTO PLAZA EXPRESO TRUJILLO ALTO TRUJILLO ALTO, PR 00978	2.5:
PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS INC CARR 2, KM 81.0 BO. SAN DANIEL ARECIBO, PR 00612	3:
PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS INC 917 AVENIDA TITO CASTRO EDIFICIO A 4TO PISO PONCE, PR 00716	3:
HOSPITAL METROPOLITANO DR PILA HOME CARE 7218 CALLE RAMON POWER PONCE, PR 00717	3:
SERVICIOS DE SALUD EN EL HOGAR MENONITA BO BAIROA CARR 1 KM 34 9 CAGUAS, PR 00725	3:
PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS INC CALLE E URBANIZACION VILLA BLANCA EDIFICIO ANGORA CAGUAS, PR 00726	3:
NAZARENO HOME CARE CALLE 2 #816, URBANIZACION BRISAS DEL MAR LUQUILLO, PR 00773	3:
PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS INC CARR. 167 KM 19.5 AVE COMERIO BAYAMON, PR 00958	3:
NUEVA VIDA DE LA SALUD HOME CARE CORP PLAZA BAYAMON CARR 2 KM 15 5 SUITE HATO TEJAS BAYAMON, PR 00959	3:
ADVANCED HOME CARE SERVICE WEST INC CARR 869 URB PALMAS INDUSTRIAL PARK CALLE 19 BO P BO PALMAS, PR 00962	3:
ARECIBO MEDICAL HOME CARE URB GARCIA CALLE MORELL CAMPOS #57 ARECIBO, PR 00612	3.5:
CMS HOME CARE OESTE LLC CARR 2 KM 156 5 SUITE 402 EDIFICIO OFFICE PARK MAYAGUEZ, PR 00680	3.5:
CMS HOME CARE SUR LLC 2004 CARR 506 COTO LAUREL COTO LAUREL, PR 00780	3.5:
CONDADO HOME CARE PROGRAM INC 186 CALLE JUAN P DUARTE HATO REY, PR 00917	3.5:
CUIDADO CASERO GUAYNABO AVE DE DIEGO 580 PUERTO NUEVO SAN JUAN, PR 00920	3.5:
AMERICARE HOMEHEALTH SERVICES AVE. DE DIEGO 580 2DO PISO STE B SAN JUAN, PR 00920	3.5:
CMS HOME CARE METRO LLC LAS VISTAS SHOPPING CENTER VILLAGE SAN JUAN, PR 00926	3.5:
CMS HOME CARE NORTE, LLC GALERIA DEL NORTE II CARR 2 KILOMETER 81.6 SUITE 2D HATILLO, PR 00659	4:
ST LUKES HCP AVE LOS PATRIOTAS CARR 111 KM 3 4 LARES, PR 00669	4:
PUERTO RICO HOME HEALTH CALLE RAFOLS 125 QUEBRADILLAS, PR 00678	4.5:
METRO PAVIA @ HOME METROPOLITAN OFFICE BUILDING 153 AVE JOSE DE DIEGO STE. 205 ARECIBO, PR 00612	5:
METRO PAVIA @ HOME- MAYAGUEZ PLAZA MONSERRATE IV CARR 345 KM 2.1 INT CARR PR 2 HORMIGUEROS, PR 00660	5:
METRO PAVIA @ HOME HUMACAO PLAZA LAS PIEDRAS CARR PR 183 KM20 60 LAS PIEDRAS, PR 00771	5:
ANGELES SAN CRISTOBAL 6 CALLE LA CRUZ JUANA DIAZ, PR 00795	5:
BEST OPTION HEALTHCARE PUERTO RICO 359 DE DIEGO AVENUE SUITE 201 SAN JUAN, PR 00909	5:
METRO PAVIA AT HOME SAN JUAN CALLE BOLIVIA 60 PISO 3 HATO REY CENTRO SAN JUAN, PR 00917	5:
OPTIMA INFUSION PHARMACY INC CARR 2 KM 26 2 ESPINOSA WARD DORADO DORADO, PR 00646	-:
SPECIAL CARE PHARMACY SERVICES, LLC 55 CALLE ARZUAGA SAN JUAN, PR 00925	-:
NOVA INFUSION CALLE SANTA CRUZ #70 PLAZA SAN PABLO II BAYAMON, PR 00961	-:

How are Home Health Care Agencies Rated?

The Centers for Medicare & Medicaid ("CMS") generates two types of 5-star rating, the Quality of Patient Care Star Ratings and Patient Survey Star Ratings.

Quality of Patient Care Ratings are based on data compiled by CMS based on the percentage of patients whose conditions improve as a result of care provided by the agency. The general guidelines are that these measures should :

• Apply to a substantial proportion of home health patients and have sufficient data to report for a majority of home health agencies.
• Show a reasonable amount of variation among home health agencies and it should be possible for a home health agency to show improvement in performance.
• Have high face validity and clinical relevance.
• Be stable and not show substantial random variation over time.
• Have changed over time based on the results of ongoing monitoring analyses, technical expert panel input, and stakeholder feedback.

Patient improvement is measured in the following ways:

• Timely Initiation of Care
• Improvement in Ambulation
• Improvement in Bed Transferring
• Improvement in Bathing
• Improvement in Shortness of Breath
• Improvement in Management of Oral Medications
• Acute Care Hospitalization

CMS also regularly surveys home health care patients using The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Home Health Care Survey ("HHCAHPS”). Patients are asked to rate the home health care agency according the following:

• Percent Of Patients Who Reported That Their Home Health Team Gave Care In A Professional Way
• Percent Of Patients Who Reported That Their Home Health Team Communicated Well With Them
• Percent Of Patients Who Reported That Their Home Health Team Discussed Medicines, Pain, And Home Safety With Them
• Percent Of Patients Who Gave Their Home Health Agency A Rating Of 9 Or 10 On A Scale From 0 (lowest) To 10 (highest)
• Percent Of Patients Who Reported YES, They Would Definitely Recommend The Home Health Agency To Friends And Family

Because CMS loves to generate 5-star ratings, there are also 5-star ratings related to each of these questions.

Other Lists of the Worst Home Health Care Agencies

The worst home health care agencies in Puerto Rico

Major Cities in Puerto Rico

San Juan, PR (best, worst)	Bayamón, PR (best, worst)
Carolina, PR (best, worst)	Ponce, PR (best, worst)
Caguas, PR (best, worst)	Guaynabo, PR (best, worst)
Mayagüez, PR (best, worst)	Trujillo Alto, PR (best, worst)
Arecibo, PR (best, worst)	Levittown, PR (best, worst)
Fajardo, PR (best, worst)	Cataño, PR (best, worst)
Vega Baja, PR (best, worst)	Guayama, PR (best, worst)
Humacao, PR (best, worst)	Yauco, PR (best, worst)
Candelaria, PR (best, worst)	Cayey, PR (best, worst)
Dorado, PR (best, worst)	Manatí, PR (best, worst)

Best and Worst Home Health Care Lists in Other States

Alaska (best, worst)	Alabama (best, worst)
Arizona (best, worst)	Arkansas (best, worst)
California (best, worst)	Colorado (best, worst)
Connecticut (best, worst)	Delaware (best, worst)
District of Columbia (best, worst)	Florida (best, worst)
Georgia (best, worst)	Hawaii (best, worst)
Idaho (best, worst)	Illinois (best, worst)
Indiana (best, worst)	Iowa (best, worst)
Kansas (best, worst)	Kentucky (best, worst)
Louisiana (best, worst)	Maine (best, worst)
Maryland (best, worst)	Massachusetts (best, worst)
Michigan (best, worst)	Minnesota (best, worst)
Mississippi (best, worst)	Missouri (best, worst)
Montana (best, worst)	Nebraska (best, worst)
Nevada (best, worst)	New Hampshire (best, worst)
New Jersey (best, worst)	New Mexico (best, worst)
New York (best, worst)	North Carolina (best, worst)
North Dakota (best, worst)	Ohio (best, worst)
Oklahoma (best, worst)	Oregon (best, worst)
Pennsylvania (best, worst)	Rhode Island (best, worst)
South Carolina (best, worst)	South Dakota (best, worst)
Tennessee (best, worst)	Texas (best, worst)
Utah (best, worst)	Vermont (best, worst)
Virginia (best, worst)	Washington (best, worst)
West Virginia (best, worst)	Wisconsin (best, worst)
Wyoming (best, worst)	Guam (best, worst)
U.S. Virgin Islands (best, worst)	Puerto Rico (best, worst)