Hearth Record

Heart to Heart Hospice of South Texas

A hospice in Pearsall, Texas 78061

130 S I-35 Frontage Road, Pearsall, Texas 78061. (830) 505-5600.

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 1 deficiency in 1 month of the last 36. Last cited Aug 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?

1 deficiency cited in the last three years

The middle of the 19 hospices serving ZIP code 78061 had 6.

The last inspection on record was on Aug 14, 2025: a reaccreditation inspection by the Community Health Accreditation Partner.

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

1 deficiency in 1 month of the last 36. Last cited Aug 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 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 hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Aug 14, 2025: reaccreditation inspection by the Community Health Accreditation Partner1 deficiency

  • Prevention (42 CFR 418.60(a))

    The inspectors’ words, 399 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. Agency policy #IC.15 “Hand Hygiene” (last reviewed 09/01/2024) stated in part, “Staff will apply the amount of product recommended by the manufacturer to hands and rub hands together vigorously for at least 15 seconds (with the recommendation of 20 seconds, but either time is acceptable), covering all surfaces of the hands and fingers. Staff will rinse hands and wrists thoroughly with water. With hands held upright, staff will dry hands and wrists thoroughly with a clean paper towel. They will use a paper towel to turn off the faucet...Unless hands are visibly soiled, an alcohol-based hand rub is preferred over soap and water in most clinical situations due to evidence of better compliance compared to soap and water. Staff may use an alcohol-based hand rub for routinely decontaminating hands in the clinical situations described below: prior to initial entry into the supply bag;... before moving from a contaminated body site to a clean body site during patient care;... after removing gloves.” In 1 of 3 (33%) home visits observed, the organization did not ensure that hand hygiene was performed when indicated per the agency’s policy. HOME VISIT 1: During the home visit with the Hospice Aide (HA) [Personnel Record 8] on 08/13/2025, the HA washed their hands with soap and water, dried them with a hand towel hanging on the towel bar, and then used the hand towel to turn off the water faucet. The HA did not use a clean paper towel to dry their hands or turn off the faucet per the agency’s policy. The HA returned to the patient’s room, donned gloves, and began removing the bedding for the bath. Due to the patient being uncooperative, the HA bathed the left side of the patient’s body, and then the patient’s perineum and buttocks. The HA began to change the bed and the patient’s brief. The HA did not doff their gloves and sanitize their hands after cleaning the patient’s perineum and buttocks before moving to changing the bed. During an interview on 08/14/2025, the Area Vice President of Operations/Interim Executive Director/Registered Nurse agreed that the staff did not follow the hand hygiene policy.”

    Rule L0579. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Aug 14, 2025Reaccreditation inspection by the Community Health Accreditation Partner1 deficiency cited

Is it certified?

  • Medicare-certified hospice since Nov 25, 2013.
  • 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): 8.6 nurse care minutes per routine home care day, 8.6% of skilled nursing minutes at weekends and a visit near death for 90.1% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 57% at home, 7% in assisted living, 35% 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 day8.6 min
Skilled nursing minutes at weekends8.6%
Visits near death90.1% of patients who died

Who owns it?

  • Heart to Heart Hospice Holdings LLC owns 100% directly since Jan 27, 2020; West Texas Medical Couriers and Express Delivery Services, LLC owns 100% directly since Jan 27, 2020.
  • 5 owners or officers are people: Kelly Mitchell (owns 5% or more through other companies, 65.87%); Diane Pastrano (managing employee (on the payroll), 0%); John D Clark (managing employee (under contract), 0%); Kelly Mitchell (corporate officer, 0%); Kelly Mitchell (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, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
Heart to Heart Hospice Holdings LLCOwns 5% or more directly100%Jan 27, 2020
West Texas Medical Couriers and Express Delivery Services, LLCOwns 5% or more directly100%Jan 27, 2020
H to H Founders, LLCOwns 5% or more through other companies59.83%Oct 27, 2021
Htohh Preferred LLCOwns 5% or more through other companies39.92%Oct 27, 2021

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: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 97.5% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 61.2% 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 threshold9 of 10

How does it compare nearby?

  • Of the 19 hospices CMS’s data show serving patients in ZIP code 78061, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 1.
Source:

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

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

The 19 hospices CMS lists serving ZIP code 78061
PlaceDeficiencies, 3 years
Heart to Heart Hospice of South Texas This hospice1
Gentiva Hospice15
Vitas Healthcare of Texas LP3
Uvalde Hospice3
Reliant at Home8
Heart to Heart Hospice of San Antonio, LLC6
New Century Hospice of San Antonio15
Good Shepherd Hospice of San Antonio, L.L.C.4
Guiding Light Hospice Inc.3
Holy Savior Hospice5
Trinity Hospice0
Provista Hospice24

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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