Luna Del Valle
A hospice in Albuquerque, New Mexico 87109
4273 Montgomery Blvd NE, Bldg K, Suite 110, Albuquerque, New Mexico 87109. (505) 365-0321.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.
- 21 deficiencies cited in the last three years
- 2of 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?
21 deficiencies cited in the last three years
The middle of the 25 hospices serving ZIP code 87109 had 7.5.
The last inspection on record was on Dec 17, 2025: a reaccreditation inspection by the Accreditation Commission for Health Care.
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
21 deficiencies in 2 months of the last 36. Last cited Dec 2025. 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.
Dec 17, 2025: reaccreditation inspection by the Accreditation Commission for Health Care20 deficiencies
-
Notice of rights and responsibilities (42 CFR 418.52(a)(1))
“Upon observation, there was no evidence that during the initial assessment visit in advance of furnishing care, the hospice provided the patient and/or family with verbal (meaning spoken) and written notice of the Patient’s Rights and Responsibilities in a language and manner that the patient understands. Patient #6: Patient with hospice diagnosis of Alzheimer’s electronically signed consent/election of hospice form.”
-
Notice of rights and responsibilities (42 CFR 418.52(a)(2))
“Upon patient record review, 1 of 20 (Patient #6) did not have evidence that the hospice informed and provided written information to the patient concerning its policies on advance directives, including a description of applicable state law. Patient #6: Patient with hospice diagnosis of Alzheimer’s electronically signed consent/election of hospice form.”
-
Notice of rights and responsibilities (42 CFR 418.52(a)(3))
“Upon patient record review, 1 of 20 (Patient #6) did not have evidence that the hospice obtained the patient’s or representative’s signature confirming that they received a copy of the Patient’s Rights and Responsibilities. Patient #6: Patient with hospice diagnosis of Alzheimer’s electronically signed consent/election of hospice form.”
-
Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(3))
“Upon patient record review, 1 of 20 (Patient #6) did not have evidence that if a state court has not adjudged a patient incompetent, any legal representative designated by the patient in accordance with state law may exercise the patient’s rights to the extent allowed by state law. Patient #6: Patient with hospice diagnosis of Alzheimer’s electronically signed consent/election of hospice form.”
-
Rights of the patient (42 CFR 418.52(c)(4))
“Upon patient record review, 1 of 20 (Patient #6) did not have evidence that the patient chooses a health care provider, including an attending physician. Patient #6: Patient with hospice diagnosis of Alzheimer’s electronically signed consent/election of hospice form.”
-
Rights of the patient (42 CFR 418.52(c)(5))
“Upon patient record review, 1 of 20 (Patient #6) did not have evidence of the appropriate documentation for release of confidential information. Patient #6: Patient with hospice diagnosis of Alzheimer’s electronically signed consent/election of hospice form.”
-
Rights of the patient (42 CFR 418.52(c)(7))
“Upon patient record review, 1 of 20 (Patient #6) did not have evidence that the patient received information about the services covered under the hospice benefit. Patient #6: Patient with hospice diagnosis of Alzheimer’s electronically signed consent/election of hospice form.”
-
Rights of the patient (42 CFR 418.52(c)(8))
“Upon patient record review, 1 of 20 (Patient #6) did not have evidence that the patient received information about the scope of services that the hospice will provide and specific limitations on those services. Patient #6: Patient with hospice diagnosis of Alzheimer’s electronically signed consent/election of hospice form.”
-
Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 249 words
“Upon patient record review, 8 of 20 (Patient #1, 2, 3, 4, 5, 6, 7, 8) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient’s plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patient #1: MSW frequency is 1-2 prn. There is no baseline frequency. Patient #2: SC 1mo3; 2mo3 PRN. There are too many PRN’s ordered. Patient #3: SN 1wk13 10/22-1/18/26. SN 2wk14 PRN 10/22-1/18/26. MSW 1wk1; 1-2PRN. SC 1wk13 PRN change in condition 10/27-1/18/26. There are too many PRN’s ordered. Patient #4: SN 2w14; 10/29-1/26 and 2wk14 PRN. MSW 1wk1 10/29-11/01/25. MSW 1m2 PRN 11/3-12/31. There are too many PRN’s ordered. Patient #5: SN 2w14; SN 2wk14 PRN both for 10/9/25-1/6/26. SC 1wk1 10/9-10/11. SC 2m4 PRN. There are too many PRN’s ordered. Patient #6: SN 2wk14 and 2wk14 PRN 11/7/25-2/4/26. SC 2mo4 11/20-2/4/26; SC 2m4 PRN. There are too many PRN’s ordered. Patient #7: SN 2wk14 and 2wk14 PRN 11/6/25-2/3/26. There are too many PRN’s ordered. Patient #8: SN 2wk14 and 2wk14 PRN 11/5-2/2/26; SC 1wk1 for 11/5-11/8; 2m4 PRN 11/5-2/2/26. There are too many PRN’s ordered.”
-
Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 103 words
“Upon patient record review, 3 of 20 (Patient #2, 5, 7, ) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient #2: POC order for Oxygen is Oxygen 6L intranasally daily, hypoxemia. Start 11/5/25. This is an incomplete order. Patient #5: POC order for Oxygen 2L intranasally daily, incomplete order. Patient #7: Oxygen 5L intranasally daily. Comprehensive assessment notes that patient supplements regular soft diet with enteral feedings. Jevity 1 carton 1.5 TID. Does not specify route. (Gastrostomy per 11/18/25 visit note).”
-
Content of plan of care (42 CFR 418.56(c)(5))
“Upon patient record review, 1 of 20 (Patient #14) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs. Patient #14: Patient has a foley catheter there are no catheter supplies listed”
-
Coordination of services (42 CFR 418.56(e)(2))
“Upon client record review, 1 of 20 (Patient #5) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #5: 12/13/25 Patient called agency with complaint of knee pain. Requested (steroid) injection. Agency advised hospice does not provide that - to use cold compresses, and take her pain medication and then relax with left leg up. Patient verbalized understanding. No order obtained for compresses. In addition, the volunteer assessment completed on 10/24/25 with no order.”
-
Coordination of services (42 CFR 418.56(e)(3))
“Upon patient record review 1 of 20 (Patient #5) did not have evidence that the IDG ensures that the care and services provided are based on all assessments of the patient and family needs. Patient #5: 10/24/25 Volunteer assessment and patient accepting of massage therapy. Agency unable to follow through as volunteer has not completed orientation due to family crisis.”
-
Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 168 words
“Upon patient record review, 2 of 19 (Patient #1,2) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient #1: 11/19/25 and 11/26/25 addendum Hospice Aide Care Plan does not address oxygen and/or oxygen precautions. Patient has 2 LPM via NC prn. Patient #2: 11/05/23 Hospice Aide Care Plan has tasks frequency of 2 but Hospice Aide visit frequency is 1/wk.”
-
Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 237 words
“Upon patient record review 6 of 20 (Patient #1,2, 6, 7, 8, 10 ) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient #1: 10/20/25 Hospice Aide Care Plan says 2x/week. First order is 11/16/25. Updated care plan for 1x/week. First visit 11/19/25. Patient #2: 11/5/25 Hospice Aide 1/week. No visit documented week of 11/18/25. Follow up SV 12/3/25 note does not address missed visit. Patient #6: Patient admitted 11/7/25. Initial POC has Hospice Aide frequency 2wk14. Hospice Aide care plan completed. No visits provided thus far. Patient #7: Patient admitted 11/6/25. Hospice Aide 2wk14 start 11/6-2/3/25. Hospice Aide Care Plan 11/6/25. Another Hospice Aide Care Plan 11/11/25. The only visit provided was 11/17/25. Hospice Aide SV 11/17/25 with no mention that no visit provided prior to 11/17/25 Patient #8: Patient admitted 11/5/25. Hospice Aide Care plan and order 11/5/25 for Hospice Aide. Multiple orders written related to missed visits. 12/5 for 11/30-12/6 decrease Hospice Aide frequency to 0 POA declined 2nd attempt. There was no updated frequency for the following week when visits made 12/9 and 12/11/25. Patient #10: Patient admitted 10/19/24 with Hospice Aide frequency of 2/wk. Only 1 visit made week of 11/11/25.”
-
Content (42 CFR 418.104(a)(2))
“Upon patient client record review, 1 of 20 (Patient #6) did not have evidence that each patient record contains: • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 Patient #6: Hospice Election/Consent/Acknowledgement electronically signed by the patient. Patient’s primary diagnosis is Alzheimer’s Disease.”
-
Authentication (42 CFR 418.104(b))
The inspectors’ words, 113 words
“Upon patient client record review, 1 of 20 (Patient #4) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #4: 12/11/25 visit note respiratory section states patient is dyspneic with walking> 20 ft, and with moderate exertion. Notes Oxygen in use and patient is on Oxygen 2L during visit. (not on Oxygen 12/5 or 12/9/25 visits). No order in POC for oxygen. Upon interview, agency reports patient is not on Oxygen.”
-
Label dispose storage drugs (42 CFR 418.106(e)(2)(i)(A))
“Upon observation, there was no evidence a copy is provided of the hospice written policies and procedures on the management and disposal of controlled drugs to the patient or patient representative and family. Patient #6: Patient with hospice diagnosis of Alzheimer’s electronically signed consent/election of hospice form.”
-
Label dispose storage drugs (42 CFR 418.106(e)(2)(i)(B))
“Upon observation, there was no evidence the hospice discussed the policies and procedures for managing the safe use and disposal of controlled drugs with the patient or representative and the family in a language and manner that they understand to ensure that these parties are educated regarding the safe use and disposal of controlled drugs. Patient #6: Patient with hospice diagnosis of Alzheimer’s electronically signed consent/election of hospice form.”
-
Label dispose storage drugs (42 CFR 418.106(e)(2)(i)(C))
“Upon client record review, 1 of 20 (Patient #6) did not have evidence that the written policies and procedures for managing controlled drugs was provided and discussed. Patient #6: Patient with hospice diagnosis of Alzheimer’s electronically signed consent/election of hospice form.”
May 20, 2025: complaint inspection by the state1 deficiency
-
Personnel qualification (42 CFR 418.114(c)(2))
The inspectors’ words, 394 words
“Based on record review and interviews, the facility failed to verify a licensure for 1 (S[staff]4) of 3 (S2-4) LPN’s (Licensed Practical Nurse) applicants. S4 was licensed as a CNA (Certified Nursing Assistant) but was working and seeing patients as an LPN. CNAs have a shorter term of education and are prepared to take VS (vital signs) including heart rate, blood pressure, pulse, and temperature. A CNA can help patients with bathing, dressing and getting in and out of bed. An LPN has additional education and training to assess and monitor patients for changes in their condition. This deficient practice could possibly lead to failure to recognize important changes in a patient’s condition which could result in poor patient outcomes. The findings are:A. Record review of S4’s clinical employee file revealed S4 was hired in March 2024 with an active CNA license. S4 indicated on her initial application for employment that she was an LPN. On 08/14/24, S5 nonclinical completed an online check with Nursys (national database for verification of nurse licensure, discipline and practice privileges for disciplines including LPN’s and PN’s [Practical Nurse]) which showed a PN license active in the state of Kansas for S4. S4 was promoted to an LPN position on 08/14/2024 by S7 non-clinical, the former Director of Clinical Services (S7). B. Record review of the patient charts’ revealed that S4 conducted patient visits where she carried out complete assessments, monitored deterioration of status, performed wound care, and administered medications which is illegal for CNAs to conduct under the New Mexico State Nurse Practice ActC. During an interview with S1, clinical on 05/20/25 at 9:50 AM, S1 confirmed that CNAs do not perform patient assessments, that function is assigned to skilled nursing.D. During an interview with S5, non-clinical on 05/20/2025 at 2:00 PM, she acknowledged the responsibility for licensure verification. She stated the licenses of all staff are checked online every three months. S4 licensure was checked online in March 2024, August 2024, and December 2024. S5 reported in August 2024 the former director of clinical services reviewed “Nursys” report for S4 and made the decision to promote S4 to LPN. When S5 conducted a routine check of licensure in December 2024 she realized S4 did not have an active LPN license, but S4 did have an active CNA license. S5 then escalated the finding to S8 the administrator.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 17, 2025 | Reaccreditation inspection by the Accreditation Commission for Health Care | 20 deficiencies cited |
| May 20, 2025 | Complaint inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Dec 29, 2022.
- CMS doesn’t list its type of ownership.
- 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.
- 1 deficiency cited in the last three years came from an inspection 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): 17.5 nurse care minutes per routine home care day, 5.4% of skilled nursing minutes at weekends and a visit near death for 87.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 43% at home, 56% in assisted living, 2% in a nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 17.5 min |
| Skilled nursing minutes at weekends | 5.4% |
| Visits near death | 87.1% of patients who died |
Who owns it?
- 4 owners or officers are people: Laura Hollingsworth (managing employee (on the payroll), 90%); Leandro Xavier Centenera (owns 5% or more directly, 50%); Denise Irwin Podlesny (owns 5% or more directly, 50%); Denise Irwin Podlesny (runs it (operational or managerial control), 10%).
- 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 2 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 72% rated it 9 or 10 out of 10, and 79% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 95.85% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 43.6% 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 | 2 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 87109, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7.5; this one had 21.
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 |
|---|---|
| Family Hospice, Ltd D/B/A Gentiva | 16 |
| Harmony Home Health Services, LLC | 5 |
| Compassus Hospice Albuquerque South | 17 |
| Heritage Hospice Inc. | Not given |
| Hospice De La Luz | 10 |
| Luna Del Valle This hospice | 21 |
| Q Hospice | 5 |
| Lilycare of New Mexico | 24 |
| Rio Grande Hospice LLC | 6 |
| Presbyterian Hospice Inpatient Unit | 2 |
| Ambercare Hospice Inc. | 7 |
| Hospice of New Mexico, LLC | 60 |
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
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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.