Hospice of Wichita Falls
A hospice in Vernon, Texas 76384
5020 Wilbarger St, Vernon, Texas 76384. (940) 691-0982.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 2 deficiencies cited in the last three years
- 5of 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?
2 deficiencies cited in the last three years
The middle of the 10 hospices serving ZIP code 76384 had 2.
The last inspection on record was on Feb 28, 2024: a complaint inspection by the state.
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
2 deficiencies in 1 month of the last 36. Last cited Nov 2023. 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.
Nov 10, 2023: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 363 words
“It is required that each patient’s individualized written plan of care identifies planned interventions based on problems identified in the initial and updated comprehensive assessments. This standard was not met as evidenced by clinical record review and interview. In 2 of 23 (9%) clinical records reviewed, the agency did not ensure that the written plan of care identified planned interventions based on problems identified in the initial and updated comprehensive assessments. Clinical Record 6: The patient elected the hospice benefit on 3/31/23, with the diagnosis of malignant neoplasm of the lung. The Registered Nurse (RN) visit note dated 10/3/23 documented, “O2 (oxygen), 2L (liters) via N/C (nasal cannula) continuous, dyspnea present...patient lying in semi-fowler’s position taking her oxygen on and off...Patient has foley catheter in place draining yellow urine via gravity.” The RN visit note dated 10/12/23 documented, “she does get SOB (short of breath) with minimal exertion; she is currently wearing her O2 at 2 LPM via N/C...Foley cath is patent and drainage clear urine with small amount of sediment assessed. Nurse removed current cath and replaced using aseptic technique.” The plan of care for benefit period three (3), dated 9/27/23 through 11/25/23, did not document problems, goals, or interventions to address the care of the patient’s dyspnea or urinary catheter care. Clinical Record 18: The patient elected the hospice benefit on 8/7/21 with a diagnosis of legal blindness. The comprehensive assessment completed by the RN on 10/24/23 documented, “(patient name) is blind and uses a walking stick.” On 10/27/23, the Chaplain visit note documented, “Patient is blind and had misplaced the 45 adapter for her record player.” The comprehensive assessment completed by the RN on 11/8/23 documented, “She remains high fall risk... she is blind, slow/shuffled gait and stooped posture.” The plan of care for benefit period thirteen (13), dated 10/16/23 through 12/14/23, did not document problems, goals, or interventions to address the patient’s legal blindness. During an interview on 11/9/23, the Director of Clinical Services confirmed that Record 6 did not document problems, goals, or interventions to address the patient’s dyspnea or urinary catheter care, and Record 13 did not document problems, goals, or interventions to address the patient’s blindness.”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 248 words
“It is required that the hospice follows accepted standards of practice to prevent the transmission of infections and communicable disease, including the use of standard precautions, such as, hand hygiene. This standard was not met as evidenced by document review, interview, and observation. In 2 of 6 (33%) home visits observed, the agency did not ensure that hand hygiene was performed as indicated per the agency’s policy. Agency policy “Infection Control-Hand Hygiene” (undated) stated in parts, “Hospice follows the hand hygiene guidelines recommend by the Centers for Disease Control and the World Health Organization... Hospice staff must wash hands c. after performing tasks that involve risk of exposure to body fluids; e. before and after wearing gloves.” Home Visit 2: During the home visit on 11/7/23 with the Licensed Vocational Nurse (LVN) [Personnel Record 17], the LVN doffed their gloves and donned clean gloves twice during the assessment and care of the patient. The LVN did not perform hand hygiene before and after wearing gloves. Home Visit 4: During the home visit on 11/7/23 with the Registered Nurse (RN) [Personnel Record 5], the RN doffed their gloves and donned clean gloves twice during patient care, once after assisting the patient in toileting and changing an incontinence brief. The RN did not perform hand hygiene before and after wearing gloves. During an interview on 11/7/23, the Director of Clinical Services (DCS) confirmed that the LVN and RN did not follow standard precautions and the agency policy for hand hygiene.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 28, 2024 | Complaint inspection by the state | No deficiencies cited |
| Nov 10, 2023 | Reaccreditation inspection by the Community Health Accreditation Partner | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 18, 1988.
- Ownership: non-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): 12.4 nurse care minutes per routine home care day, 7.3% of skilled nursing minutes at weekends and a visit near death for 97.7% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 43% at home, 6% in assisted living, 40% in a nursing facility, 5% in a skilled nursing facility, 6% in an inpatient hospice.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.4 min |
| Skilled nursing minutes at weekends | 7.3% |
| Visits near death | 97.7% of patients who died |
Who owns it?
- 24 owners or officers are people: Alisa Echols (corporate officer, 100%); Lauren Johnson (corporate director); Timothy Kevin Thomas (corporate director); Shunta Mcfadden (corporate director); Tessa Alexandra Menchaca (corporate director); Kristina Mccasland (corporate director); Shana Vordenbaum (corporate director); Randy Martin (corporate director); Helen Willingham (corporate director); Abirami Ravikumar Tanjavur (managing employee (under contract)); Cindy Tolentino (corporate director); Joni Lively (corporate officer); Joni Lively (managing employee (on the payroll)); Ann Gunn (corporate director); Justin Brom (corporate director); Charla Hoff (corporate director); Tarvarus Sanders (corporate director); Lynda Hillery (corporate director); Alisa Echols (corporate director); Alisa Echols (managing employee (on the payroll)); Jeffrey Morton (corporate director); Stephanie Robles (corporate director); Thomas Murchison (corporate director); Lee Haines (corporate director).
- 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 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 91% rated it 9 or 10 out of 10, and 93% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 93.99% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 64.3% 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 | 5 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 10 hospices CMS’s data show serving patients in ZIP code 76384, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2; this one had 2.
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 |
|---|---|
| Hospice of Wichita Falls This hospice | 2 |
| Angels Care Hospice | 1 |
| Childress Regional Medical Center Hospice | 0 |
| Gentiva | 22 |
| Solaris Hospice Inc. | 5 |
| Hospice Plus | 18 |
| Excelacare Hospice | 1 |
| Beyondfaith Hospice of Wichita Falls LLC | Not given |
| Completetx Hospice | 1 |
| Healing Hands Healthcare LLC | 3 |
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.