October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

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Medicare-certified home health agency

Metro Pavia @ Home- San Juan

Home health agency in San Juan, Puerto Rico

CMS Care Compare, released 2026-07-15

Quality of care

Patient survey

How patients did

Compared with the average Puerto Rico agency. The dot is this agency; the solid line is the state average, the dashed line the U.S.

Care started on time98.3%
Better than the Puerto Rico averageState average 82.8%U.S. average 96.5%995 of 1012 patients
What this measures

Share of patients whose first visit happened on the date the doctor ordered, or within 2 days of the referral or of coming home from the hospital when no date was ordered.

Patients got better at walking100.0%
Better than the Puerto Rico averageState average 73.1%U.S. average 88.6%521 of 659 patients
What this measures

Share of patients who could walk or move around more easily by the end of care.

Falls with major injury · lower is better0.2%
About the Puerto Rico averageState average 0.3%U.S. average 0.9%2 of 1012 patients
What this measures

Share of patients who had a fall that caused a broken bone, head injury or similar during care. Lower is better.

Patients sent home to the community69.0%

likely between 61.6% and 74.0%

Medicare: Worse Than National RateU.S. rate 77.7%
What this measures

Share of patients who went home or to the community after home health and stayed out of a facility, adjusted for how sick patients were.

Preventable hospital stays during care · lower is better11.6%

likely between 7.7% and 17.6%

Medicare: Same As National RateU.S. rate 10.8%
What this measures

Share of home health stays with a hospital or observation stay for a problem good care might have prevented, adjusted for how sick patients were. Lower is better.

See all 17 measures
Checked on flu shot12.2%
Below the Puerto Rico averageState average 35.5%U.S. average 64.2%80 of 655 patients
What this measures

Share of patients who were determined to have received the flu shot for the current flu season, from the agency or elsewhere.

Got better at getting in and out of bed100.0%
Better than the Puerto Rico averageState average 76.1%U.S. average 89.7%544 of 658 patients
What this measures

Share of patients who needed less help getting in and out of bed by the end of care.

Got better at bathing100.0%
Better than the Puerto Rico averageState average 75.9%U.S. average 90.6%569 of 660 patients
What this measures

Share of patients who needed less help washing themselves by the end of care.

Less short of breath100.0%
Better than the Puerto Rico averageState average 89.4%U.S. average 91.3%351 of 363 patients
What this measures

Share of patients who were less short of breath by the end of care.

Got better at taking medicines100.0%
Better than the Puerto Rico averageState average 72.1%U.S. average 88.1%595 of 648 patients
What this measures

Share of patients who could take their medicines correctly on their own by the end of care.

Pressure ulcers that got worse or appeared · lower is better0.2%
Better than the Puerto Rico averageState average 0.7%U.S. average 0.2%6 of 753 patients
What this measures

Share of patients who developed a new or worsened pressure ulcer during care. Lower is better.

Medication problems acted on in time99.1%
Better than the Puerto Rico averageState average 94.2%U.S. average 94.5%1003 of 1012 patients
What this measures

Share of patients whose medications were reviewed at the start of care and, each time a medication problem was found, the doctor-recommended action was completed with timely follow-up.

Met expected function at discharge59.7%
About the Puerto Rico averageState average 58.5%U.S. average 71.7%393 of 658 patients
What this measures

Share of patients whose ability to move and care for themselves at discharge met or beat what was expected for them.

Medication list sent to the next provider98.4%
Better than the Puerto Rico averageState average 65.1%U.S. average 81.2%300 of 305 patients
What this measures

Share of patients whose current medication list was sent in a timely way to the next doctor or facility at transfer or discharge.

Medication list given to the patient99.4%
Better than the Puerto Rico averageState average 91.8%U.S. average 92.2%681 of 685 patients
What this measures

Share of patients given their current medication list in a timely way when discharged to a home or similar setting.

Preventable readmission within 30 days · lower is better4.4%

likely between 3.1% and 5.9%

Medicare: Same As National RateU.S. rate 4.1%
What this measures

Share of patients readmitted to a hospital within 30 days of leaving home health for a problem good care might have prevented, adjusted for how sick patients were. Lower is better.

Medicare spending per episode0.83

17% below the national average

What patients said

Some surveys

242 completed surveys · 29% response rate

Based on 100 to 299 surveys.

  • Care was professional
  • Team communicated well
  • Discussed medicines, pain and safety
  • Rated the agency 9 or 10

72% would definitely recommend this agency

State average 75% · U.S. average 79%

Medicare payment

Cohort

Larger-volume

Total performance score

39.1 of 100

Cohort average 32.2

Payment adjustment

+1.1%

Payment year 2026

How it's calculated
MeasureWeightAchievementImprovementCounted
Potentially preventable hospitalization26.25%0.03.63.6
Discharge to community5.83%0.03.63.6
Improvement in dyspnea5.83%10.00.010.0
Improvement in oral medications5.83%10.09.010.0
Improvement in mobility8.75%3.10.73.1
Improvement in self-care8.75%3.93.03.9
ED use8.75%8.20.08.2
Care of patients6.00%0.00.00.0
Communication6.00%0.00.00.0
Specific care issues6.00%0.01.51.5
Overall rating6.00%0.02.82.8
Willingness to recommend6.00%0.00.00.0

About the agency

Services
Nursing, physical therapy, occupational therapy, speech therapy, social work, home health aide
Ownership
For-profit
Certified since
1977
Address
Edificio First Medical, Calle Bolivia #60, Piso 3 Hato Rey Centro, San Juan, PR 00917
ZIP codes served
00646, 00692, 00719, 00720, 00721, 00729, 00735, 00738, 00745, 00772, 00773, 00782
All 66 ZIP codes

00646, 00692, 00719, 00720, 00721, 00729, 00735, 00738, 00745, 00772, 00773, 00782, 00783, 00794, 00901, 00907, 00908, 00909, 00910, 00911, 00912, 00913, 00915, 00916, 00917, 00918, 00919, 00920, 00921, 00923, 00924, 00925, 00926, 00927, 00928, 00929, 00934, 00936, 00937, 00949, 00951, 00952, 00953, 00954, 00956, 00957, 00959, 00960, 00961, 00962, 00963, 00965, 00966, 00968, 00969, 00970, 00971, 00976, 00977, 00979, 00981, 00982, 00983, 00985, 00986, 00987

Data from CMS Care Compare, released 2026-07-15. This is CMS data, not a Logicly rating.

Better, about and below compare the agency with the state average. That is Logicly's reading of CMS numbers, not a CMS rating.

  • Average Medicare spending associated with an agency's home health episodes compared with all home health episodes nationally - agency score: January 01, 2023-December 31, 2024
  • Average Medicare spending associated with an agency's home health episodes compared with all home health episodes nationally - count: January 01, 2023-December 31, 2024
  • Changes in skin integrity post-acute care: pressure ulcer/injury: October 01, 2024-September 30, 2025
  • Discharge Function Score: October 01, 2024-September 30, 2025
  • How often a patient had one or more falls with a major injury: October 01, 2024-September 30, 2025
  • How often home health patients, who have had a recent hospital stay, had a preventable hospital readmission within 30 days of discharge from home health: January 01, 2022-December 31, 2024
  • How often patients got better at bathing: October 01, 2024-September 30, 2025
  • How often patients got better at getting in and out of bed: October 01, 2024-September 30, 2025
  • How often patients got better at taking their drugs correctly by mouth: October 01, 2024-September 30, 2025
  • How often patients got better at walking or moving around: October 01, 2024-September 30, 2025
  • How often patients remained at home within 31 days of being discharged from home health: January 01, 2023-December 31, 2024
  • How often patients were admitted to the hospital for a potentially-preventable condition while receiving home health care: January 01, 2024-December 31, 2024
  • How often patients' breathing improved: October 01, 2024-September 30, 2025
  • How often the home health team began their patients' care in a timely manner: October 01, 2024-September 30, 2025
  • How often the home health team checked patients' medications and got doctor's orders for medication issues in a timely manner: October 01, 2024-September 30, 2025
  • How often the home health team made sure that their patients have received a flu shot for the current flu season: October 01, 2024-September 30, 2025
  • Transfer of Health Information to the Patient: October 01, 2024-September 30, 2025
  • Transfer of Health Information to the Provider: October 01, 2024-September 30, 2025