While Hortense was near the eastern tip of the Dominican Republic, Punta Cana reported sustained winds of , which was the highest land wind report associated with the hurricane. Puerto Plata along the northern coast also reported hurricane-force winds. High winds destroyed a school and church, damaged several houses, and downed several power lines. Like its effects in Puerto Rico, Hortense dropped heavy rainfall in the Dominican Republic, peaking at in San Rafael del Yuma. While passing the region, the hurricane produced a storm surge. The combination of the surge and heavy rainfall produced flooding that closed roadways. Hortense damaged 80% of the crops in Samaná. In the country, the hurricane killed three people and left 21 missing.