CMS 4.5- and 5-Star Home Health Agencies in Puerto Rico
The 9 Medicare-certified home health agencies in Puerto Rico that CMS rates 4.5 or 5 stars — its highest tier. Listed exactly as CMS publishes it.
How this list is built. This page lists the agencies meeting one explicit CMS threshold — a quality-of-patient-care star of 4.5 or 5 — in Puerto Rico. SeniorCareRating.com does not independently rank or recommend providers.
At a glance
- Rated 4.5–5★ by CMS
- 9
- quality-of-care star
- Share of rated agencies
- 26%
- of 34 rated
- Cities represented
- 7
- All agencies in state
- 39
Who runs the 4.5–5★ agencies
Ownership composition of the 9 home health agencies CMS rates 4.5 or 5 stars in Puerto Rico.
Ownership composition
Whether the state's top CMS-rated agencies are mostly proprietary, non-profit, or government-run.
CMS-reported data · updated 2026-08-03
Methodology
CMS 4.5- and 5-star home health agencies in Puerto Rico
All 9 agencies CMS rates 4.5 or 5 stars, with services, measures reported, and ownership.
| Agency | CMS star | Services | Measures | Actions |
|---|---|---|---|---|
| Best Option Healthcare Puerto Rico San Juan · Proprietary | 5 out of 5 | Nursing, PT, OT, Speech, Social, Aide | 17 | |
| Cms Home Care Sur LLC Coto Laurel · Proprietary | 4.5 out of 5 | Nursing, PT, OT, Speech, Social, Aide | 17 | |
| Corporacion Las Vegas, LLC Manati · Proprietary | 5 out of 5 | Nursing, PT, OT, Speech, Social, Aide | 17 | |
| First Home Care Center Inc. Mayaguez · Non-Profit | 4.5 out of 5 | Nursing, PT, OT, Speech, Social | 17 | |
| Metro Pavia @ Home Arecibo · Proprietary | 4.5 out of 5 | Nursing, PT, OT, Speech, Social, Aide | 16 | |
| Metro Pavia @ Home Humacao Las Piedras · Proprietary | 5 out of 5 | Nursing, PT, Speech, Social, Aide | 16 | |
| Metro Pavia @ Home- Mayaguez Hormigueros · Proprietary | 5 out of 5 | Nursing, PT, OT, Speech, Social, Aide | 17 | |
| Metro Pavia at Home San Juan San Juan · Proprietary | 5 out of 5 | Nursing, PT, OT, Speech, Social, Aide | 17 | |
| Programa De Servicios De Salud En El Hogar Y Hospicio San Lucas INC Arecibo · Proprietary | 4.5 out of 5 | Nursing, PT, OT, Speech, Social, Aide | 17 |
How to read a CMS home health star rating
What the rating does and does not tell you.
The quality-of-patient-care star summarizes a set of CMS patient-care measures as of the last reported data. It is a useful starting point, not a verdict, and a missing rating is not a low one — it usually means CMS lacked enough data to publish a star.
Before choosing, also review each agency’s:
- Measures reported. how complete its public CMS record is
- Selected outcomes. the individual patient-care measures
- Services. whether it offers the care you need
- Ownership / type. the CMS-reported ownership
- Data availability. why any measures are unavailable
- Certification. confirm on Medicare's Care Compare
Each agency links to its full CMS record, and you can put any of them side by side in Home Health Compare. Confirm current details on Medicare’s Care Compare.
Related research and tools
Frequently asked questions
How many top CMS-rated home health agencies are in Puerto Rico?
CMS rates 9 of the 34 rated Medicare-certified home health agencies in Puerto Rico at 4.5 or 5 stars — its highest tier (about 26%), across 7 cities.
Does a high CMS star rating mean an agency is right for me?
No. The quality-of-patient-care star summarizes past CMS measures, not current care or a fit for individual needs. SeniorCareRating.com does not independently rank or recommend providers. Review each agency's measures, services, and data availability, and confirm on Medicare's Care Compare.
Why the 4.5–5.0 threshold?
CMS home-health stars are fractional (in half-star steps). 4.5 and 5.0 are CMS's two highest values, so this page uses that band as the highest-rated tier. A missing rating is not a low rating — it usually means CMS lacked enough data.
How current is this list?
The ratings reflect the CMS data snapshot refreshed 2026-08-03. CMS updates ratings over time; confirm on Medicare's Care Compare.