Hearth Record

Presidente Home Care Inc.

A home health agency in McAllen, Texas 78501

405 N Main Street Suite 1, McAllen, Texas 78501. (956) 687-6760.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 21, 2026.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited May 2025. Most serious: Standard-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean3
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.

What did inspectors find?

The last inspection on record was on May 22, 2025: a recertification inspection.

1 deficiency cited in the last three years.

Source:

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

When those deficiencies happened

1 deficiency in 1 month of the last 36. Last cited May 2025. Most serious: Standard-level. The last 3 years, to Oct 24, 2026.

1 deficiency by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

Source:

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

May 22, 2025: recertification inspection1 deficiency

  • Encoding And Transmitting Oasis

    The inspectors’ words, 610 words

    “Encoding and transmitting OASIS CFR(s): 484.45(a) Standard: An HHA must encode and electronically transmit each completed OASIS assessment to the CMS system, regarding each beneficiary with respect to which information is required to be transmitted (as determined by the Secretary), within 30 days of completing the assessment of the beneficiary. This Standard is not met as evidenced by: Based on record review and interview, the Agency failed to transmit completed OASIS (Outcome and Assessment Information Set: OASIS is a set of core assessment items for adult home care patients. ) Assessments to the CMS system within 30 days of completions for 25 of 177 assessments submitted between 05/01/24 through 05/01/25. This failure prevented the patient’s date from being made available to the Centers for Medicare and Medicaid (CMS) for analysis to identify Agency performance levels in the provision of patient care, which could cause a delay in effective patient care Findings included: Record review of IQIES (IQIES is an Internet -based system that includes survey and certification functions) “Home Health Error by Summary Agency” report generated from the CMS national data system during presurvey preparation on 05/16/25 revealed agency had submitted and processed 177 assessments. The report indicated the Agency had 25 assessments with error-3330 indicating those records were submitted after the 30th date of the M0090 date, which equaled to 14.127% of the total assessments submitted with error -3330. Record review of the Agency OASIS final validation reports with a report period between 05/01/24 through 05/01/25 revealed 177 total assessments were processed by the agency. Further review of the Agency OASIS final validation reports revealed 25 of the 177 assessments with error -3330 indicating those records were submitted after the 30th date of the M0090 date. In an interview on 05/21/25 at 10:30 AM, the Adm stated the process for OASIS assessment was to be started when nurse obtained order from physician. The Adm stated nurse had 24 hours to visit client and perform start of care assessment. The Adm stated the nurse had 48 hours to submit OASIS assessment to quality assessment (QA) department for revision. The Adm stated QA would then review the assessment and return the assessment to the nurse if revisions needed to be made. The Adm stated once revisions were made, the nurse would send back to QA for final revisions. The Adm stated after final revisions, QA would then return the assessment back to the nurse for signature and the plan of care would then be ready to go to the physician’s office for physician signature. The Adm stated that the Previous Biller had cut his hours at the agency, and he quit and was not submitting the assessments timely, and the New Biller was learning how to submit the assessments. Also, the Admin stated that there was a new Process from CMS in submitting All patients instead of just the Medicaid patients and they were trying to adjust with the changes. Record review of Agency policy titled, “ IM.10 OASIS Collecting, Encoding and Transmitting”, with revised date noted,01/01/21 and quoted in part, “OASIS information collected encoded and transmitted according to regulation, start of care, resumption of care, follow-up, and transfer to an inpatient facility will be encoded, edited, and locked into the computer system within seven calendar days from the date the assessment is completed. The OASIS information will be sent electronically to the State and will match the data in the clinical record…” “The Agency must Encode and Electronically transmit each Completed OASIS assessment to the CMS system for each beneficiary with respect to which information is required to be transmitted within 30 days of completing the assessment of the beneficiary.””

    Rule G0372. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
May 22, 2025Recertification inspection1 deficiency cited

Is it certified?

  • Medicare-certified home health agency since Dec 28, 2004.
  • Ownership: proprietary (for profit).
  • No deficiency on record in the last three years.
Source:

CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

Has anything been proven against it?

  • CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
  • 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

Who does the caring?

  • Offers nursing care, physical therapy, occupational therapy, speech pathology and home health aide services.
  • Doesn’t offer medical social services.
  • CMS doesn’t publish staffing levels for home health agencies.
Source:

CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.

Who owns it?

  • 8 owners or officers are people: Romeo Valladares (owns 5% or more directly, 100%); Romeo Valladares (corporate officer, 100%); Romeo Valladares (corporate director, 100%); Romeo Valladares (managing employee (on the payroll), 100%); Romeo Valladares (runs it (operational or managerial control), 100%); Lydia Valladares (corporate officer, 0%); Lydia Valladares (corporate director, 0%); Lydia Valladares (managing employee (on the payroll), 0%).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Home Health Agency All Owners and Home Health Agency Enrollments. Released Sep 29, 2026. Updated quarterly.

How do patients fare?

  • CMS rates its quality of patient care 1 of 5.
  • CMS gives no : “Zero, or very few, patients met the survey’s rules for inclusion.”
  • CMS compares it with the national rate: discharged to the community, the same.
Source:

CMS, Home Health Care Agencies and Home Health Patient Survey. Released Oct 21, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Quality of patient care ratingCMS star rating, 1 to 5 in half stars1 of 5
Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 5Not rated
Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate62.36% (same as the national rate)

How does it compare nearby?

  • Of the 86 agencies CMS’s data show serving patients in ZIP code 78501, where this agency’s office is, 66 have a quality of patient care rating; the middle one is 2.25 of 5, and this one is rated 1 of 5.
Source:

CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.

The 86 agencies CMS lists serving ZIP code 78501
PlaceQuality rating
Iph Home Health Care Inc.2.5
Presidente Home Care Inc. This home health agency1
True Life Home HealthNot given
Health Care Unlimited, Inc.5
With Open Arms Healthcare LLC3.5
AccuhealthNot given
Star Plus Home Care1
Allegiance Health Care Inc.3
Paz Home Health LLC5
Corazon Health Care Services LLCNot given
Dulce Esperanza Home Health Care LLC3.5
Alpha Care Home HealthNot given

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • QCOR says some of its home health reports are accurate or available only through May 19, 2021, because of a systems migration.
  • Many home health agencies are inspected by a private accrediting organisation instead of the state, and QCOR’s home health file doesn’t appear to include those inspections: no inspection on record here doesn’t mean none took place.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Oct 24, 2026.

From the agency

The public record above comes first. Anything the agency adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the agency will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the agency”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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