Catalina Hospice PLLC
A hospice in Tucson, Arizona 85719
3980 N Campbell Ave, Tucson, Arizona 85719. (520) 999-5903.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 7 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 10of 10 CMS’s Hospice Care Index
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?
7 deficiencies cited in the last three years
The middle of the 25 hospices serving ZIP code 85719 had 5.5.
The last inspection on record was on Aug 9, 2024: a reaccreditation inspection by The Joint Commission.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
When those deficiencies happened
7 deficiencies in 1 month of the last 36. Last cited Aug 2024. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
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.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Aug 9, 2024: reaccreditation inspection by The Joint Commission7 deficiencies
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EP Training Program (42 CFR 418.113(d)(1)(i))
“Observed in HR File Review. In 1 of 12 HR files reviewed, it was noted that staff did not receive initial education and training in emergency management. For example, the Volunteer’s HR file did not contain any indication that emergency education and training had been completed. This was confirmed with the owners/Med Director and NP, DPCS, assistant DPCS, Educator and Executive Director present.”
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EP Testing Requirements (42 CFR 418.113(d)(2))
“Observed in Emergency Management Session. During the Emergency Management session it was noted that the organization did not test its plan in 2023. This was confirmed with the owners/Medical Director and NP, Executive Director, Educator, DPCS and assistant DPCS present.
”
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Content of comprehensive assessment (42 CFR 418.54(c)(6)(i))
The inspectors’ words, 94 words
“Observed in Patient Home. In 3 of 3 home visits conducted, by a staff nurse it was noted that the hospice nurse failed to conduct an effective medication assessment. For example, during visits RRHV#1 and #2 the nurses asked if any refills were needed, but did not complete a medication assessment. During visit RRHV#3 the nurse asked the caregiver for the medications and completed an assessment of the medications provided by the caregiver, however the patient had multiple medications in a beside cabinet and these were not assessed. This was discussed with the DPCS.
”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 171 words
“Observed in Record Review. In 14 of 14 patient records reviewed, it was noted that the plan of care was not individualized for each patient. For example, in 3 of 3 patient records that include volunteer services the volunteer POC included interventions, but no goals. For example, in RRNHV#1 the goal (Patient name) will be supported by ministry of presence and encouraging conversation at each visit. This goal was identical, with name changed, in multiple records. In record RRNHV#10 the goal
(Name) will achieve and maintain as optimal skin integrity as possible with disease progression for the duration of the first benefit period. was identical with name changed in multiple records. In record RRHV#4 the goal (Name) will maintain optimal urinary elimination patterns and comfort. was identical with name changed in 3 of 3 patient’s records that had foley catheters. In record RRNHV#7 the goal (Name) will feel secure this benefit period was not individualized. This was confirmed and discussed with the DPCS, assistant DPCS, Executive Director and owners/Medical Director and NP.

”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 93 words
“Observed in Record Review. In 3 of 14 patient records reviewed, it was noted that care was not provided according to hospice plan of care. For example in record RRHV#2 the visit frequency for the volunteer was 2 visits a week and for 1 week there was only 1 visit documented and no missed visit note. In record RRNHV#5 the volunteer visit documentation was missing for 1 visit with no missed visit note. In record RRNHV#1 there was 1 visit missing in 2 different months. This was confirmed and discussed with the DPCS.

”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 112 words
“Observed in Patient Home. In 3 of 4 home visits conducted, it was noted that staff failed to perform hand hygiene consistent with the organization’s policy. For example, during visit RRHV#2 the RN did not perform hand hygiene prior to entering the nursing bag multiple times. During visit RRHV#1 the LPN failed to perform hand hygiene prior to entering the bag twice and after interacting with the environment multiple times. The organization’s Hand Hygiene policy stated that hand hygiene was to be performed prior to entering the bag, after removing gloves and after interacting with the patient’s environment and after touching the patient’s intact skin. This was confirmed with the DPCS present.”
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Counseling services (42 CFR 418.64(d)(1)(iv))
“Observed in Record Review. In 3 of 3 patient records reviewed, for Bereavement it was noted that the bereavement care plans did not include specific, individualized interventions, and the timing and frequency were the exactly the same for all 3 patients. For example the goal for all 3 patients was: Survivor to progress thru Grief with Low Risk Interventions . This was confirmed with the DPCS present.
”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 9, 2024 | Reaccreditation inspection by The Joint Commission | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 23, 2021.
- Ownership: for-profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 16.7 nurse care minutes per routine home care day, 5.3% of skilled nursing minutes at weekends and a visit near death for 95% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 27% at home, 66% in assisted living, 6% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 16.7 min |
| Skilled nursing minutes at weekends | 5.3% |
| Visits near death | 95.0% of patients who died |
Who owns it?
- 6 owners or officers are people: Jessica B Borbon (corporate officer, 100%); Ivan A Borbon (corporate director, 100%); Ivan A Borbon (runs it (operational or managerial control), 100%); Aron Baquet (owns 5% or more directly, 40%); Ivan A Borbon (owns 5% or more directly, 40%); Jessica B Borbon (owns 5% or more directly, 20%).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 84% rated it 9 or 10 out of 10, and 88% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 47.8% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | 4 of 5 |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 10 of 10 |
How does it compare nearby?
- Of the 25 hospices CMS’s data show serving patients in ZIP code 85719, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5.5; this one had 7.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| Catalina Hospice PLLC This hospice | 7 |
| Copper State Hospice Inc. | 5 |
| Sunset Hospice LLC | 8 |
| Hospice in the Desert LLC | 6 |
| Amedisys Hospice | 6 |
| T M C Hospice Aka Peppi’s House | 20 |
| Casa De La Luz Hospice | 5 |
| Arista Hospice | Not given |
| Aria Hospice Comfort Care | 4 |
| Bristol Hospice - Tucson | 2 |
| Agape Hospice & Palliative Care | 3 |
| Emblem Hospice Tucson | 1 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
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Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice 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 hospice”, and paying will never change a finding, a rating or the order of results.