Hearth Record

Hospice Compassionate Care Services LLC

A hospice in Mission, Texas 78572

2411 E Griffin Pkwy, Mission, Texas 78572. (956) 581-9450.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 5 deficiencies 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 mean2
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?

5 deficiencies cited in the last three years

The middle of the 49 hospices serving ZIP code 78572 had 6.

The last inspection on record was on May 30, 2025: a reaccreditation inspection by The Joint Commission.

Source:

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

5 deficiencies in 1 month of the last 36. Last cited May 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

5 deficiencies 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 hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

May 30, 2025: reaccreditation inspection by The Joint Commission5 deficiencies
  • Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))

    “Observed in Record Review. In 1 of 2 Live discharge records, it was noted the organization failed to ensure that the patient was informed in advance about the expected outcomes of care and services. For example, in RRDC#1 the patient was discharged from hospice services due to patient no longer terminally ill. The Notification of Medicare Non-Coverage (NOMNC) was provided however, it was issued on the same day the patient was discharged. This finding was discussed and validated by the Hospice management team.”

    Rule L0505. Standard-level.

  • Content of plan of care (42 CFR 418.56(c)(4))

    The inspectors’ words, 103 words

    “Observed in Record Review. In 1 of 14 patient records reviewed, it was noted that the organization failed to ensure that the plan of care includes all services needed for the palliation and management of the terminal illness and related conditions, including the treatment necessary to meet the patient’s needs. For example, during the home visit conducted for record RRHV#1, it was observed that the patient was using oxygen continuously at 2 LPM via nasal cannula. However, a review of the clinical record revealed no documented physician order for the oxygen use. This finding was discussed and validated by the Director of Nursing.”

    Rule L0549. Standard-level.

  • Content of plan of care (42 CFR 418.56(c)(5))

    The inspectors’ words, 93 words

    “Observed in Record Review. In 2 of 14 patient records reviewed, it was noted that the organization failed to ensure that the plan of care includes all services needed for the palliation and management of the terminal illness and related conditions, including the medical appliances necessary to meet the patient’s needs. For example, a review of records of RRHV#1 and RRBR#2, it was noted the plan of care did not include oxygen concentrator as medical appliances necessary to meet the patient’s needs. This finding was discussed and validated by the Director of Nursing.”

    Rule L0550. Standard-level.

  • Authentication (42 CFR 418.104(b))

    “Observed in Record Review. In 7 of 14 patient records reviewed, it was noted that the organization failed to ensure that all documentation entries were appropriately authenticated as per required by policy. (Policy no. C15 Clinical Records). During the review of RRHV#3,RRNHV#3,RRNHV#4,RRNHV#5,RRNHV#6,RRDC#1, some paper clinical documents, such as the Home Oxygen Safety Risk Assessment form, were found to be missing the required title of the individual signing the form. Additionally, in record RRBR#2, the signature was not present. This finding was discussed and validated by the Director of Nursing.”

    Rule L0679. Standard-level.

  • Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))

    “Observed in Patient Home. In 1 of the 2 home visits conducted with home oxygen, (RRHV#3), it was observed that the oxygen cylinder was stored in a closet filled with clothes and boxes. Throughout the entire episode of the home visit, there was no follow up action or re-education provided to the family regarding proper storage of oxygen when not in use. This finding was discussed and validated by the Administrator who was present during the home visit.”

    Rule L0702. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
May 30, 2025Reaccreditation inspection by The Joint Commission5 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Jan 21, 2010.
  • Ownership: for-profit.
  • No deficiency or on record in the last three years.
Source:

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.
Source:

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): 5.8 nurse care minutes per routine home care day, 5.3% of skilled nursing minutes at weekends and a visit near death for 67% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 85% at home, 5% in assisted living, 9% in a nursing facility.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day5.8 min
Skilled nursing minutes at weekends5.3%
Visits near death67.0% of patients who died

Who owns it?

  • 7 owners or officers are people: Dehra Vela (owns 5% or more directly, 52%); Ferney Medina (corporate officer, 25%); Adriana Fox (owns 5% or more directly, 20%); Ferney Medina (owns 5% or more directly, 15%); Ferney Medina (managing employee (on the payroll), 15%); Ruben Plata (owns 5% or more directly, 13%); Ferney Medina (general partner).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

What do families say?

  • CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
  • CMS’s Hospice Care Index: 7 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 66.67% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 5.4% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5Not rated
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 threshold7 of 10

How does it compare nearby?

  • Of the 49 hospices CMS’s data show serving patients in ZIP code 78572, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 5.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

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

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 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.

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

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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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