Three Oaks Hospice
A hospice in San Antonio, Texas 78230
9830 Colonnade Boulevard, Suite 470, San Antonio, Texas 78230. (210) 780-3003.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency cited in the last three years
- Not rated family caregiver rating
- 10of 10 CMS’s Hospice Care Index
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 100 hospices serving ZIP code 78230 had 4.
The last inspection on record was on Mar 20, 2025: a reaccreditation inspection by the Community Health Accreditation Partner.
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 Mar 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.
Mar 20, 2025: reaccreditation inspection by the Community Health Accreditation Partner1 deficiency
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Content of comprehensive assessment (42 CFR 418.54(c)(5))
The inspectors’ words, 295 words
“It is required that the comprehensive assessment includes consideration of the following factors: symptoms and symptom severity. This standard was not met as evidenced by clinical record review, document review, and interview. Agency policy # PC.30, “Plan of Care Process” (revision date 09/01/2024) stated in part, “The IDG/IDT will be proactive in developing each patient’s plan of care (POC) by planning ahead for anticipated patient changing needs and measurable outcomes anticipated from implementing and coordinating the plan of care (POC).” In 2 of 19 (11%) clinical records reviewed, the hospice did not ensure that the comprehensive assessment included the severity of anxiety symptoms. Clinical Record 9: The patient elected hospice care on 04/12/2024. The plan of care (POC) dated 04/12/2024 identified the problem: “Anxiety.” The POC documented the patient’s goal: “Patient /caregiver will rate anxiety 3/10.” The comprehensive assessment completed by the RN on 04/12/2024 did not include an anxiety assessment scale or tool to evaluate the severity and presence of the patient’s anxiety symptoms. During an interview and a joint record review on 03/19/2025, the Director of Clinical services confirmed that the electronic medical record (EMR) did not include an anxiety assessment scale. No further documentation was provided. Clinical Record 10: The patient elected hospice care on 01/25/2025. The plan of care (POC) dated 01/25/2025 identified the problem: “Anxiety.” The POC documented the patient’s goal: “Patient /caregiver will rate anxiety 3/10.” The comprehensive assessment completed by the RN on 01/25/2025 did not include an anxiety assessment scale or tool to evaluate the severity and presence of the patient’s anxiety symptoms. During an interview and a joint record review on 03/19/2025, the Director of Clinical services confirmed that the electronic medical record (EMR) did not include an anxiety assessment scale. No further documentation was provided.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 20, 2025 | Reaccreditation inspection by the Community Health Accreditation Partner | 1 deficiency cited |
| Jan 24, 2024 | Complaint inspection by the state | No deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 27, 2016.
- 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): 11.2 nurse care minutes per routine home care day, 4.6% of skilled nursing minutes at weekends and a visit near death for 94.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 48% at home, 8% in assisted living, 28% in a nursing facility, 16% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 11.2 min |
| Skilled nursing minutes at weekends | 4.6% |
| Visits near death | 94.3% of patients who died |
Who owns it?
- Three Oaks Hospice, Inc. owns 100% directly since Jul 17, 2019.
- Three Oaks Hospice, Inc. runs it.
- 14 owners or officers are people: David C Gasmire (corporate officer); David C Gasmire (corporate director); Owen Davis (corporate director); Owen Davis (other role (CMS gives no detail)); Kelly A Priegnitz (corporate director); Kelly A Priegnitz (other role (CMS gives no detail)); Phillip Campbell (corporate director); Phillip Campbell (other role (CMS gives no detail)); Lisa M Pekar (managing employee (on the payroll)); Andrea F Bohannon (corporate officer); Andrea F Bohannon (corporate director); Ross J Taylor (corporate officer); Alexei Arkhipov (managing employee (under contract), 0%); Joyce Smith (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.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Cypress Purchaser, LLC | Owns 5% or more through other companies | 100% | Oct 22, 2024 |
| Cypress Midco, Inc. | Owns 5% or more through other companies | 100% | Oct 22, 2024 |
| Three Oaks Hospice, Inc. | Owns 5% or more directly | 100% | Jul 17, 2019 |
| Three Oaks Hospice, Inc. | Runs it (operational or managerial control) | 100% | Jul 17, 2019 |
| Cypress Parent Holdings, LLC | Owns 5% or more through other companies | 100% | Oct 22, 2024 |
| Martis Partners IV Cypress Aggregator LP | Owns 5% or more through other companies | 80.39% | Oct 22, 2024 |
| Martis Partners IV, LP | Owns 5% or more through other companies | 63.1% | Oct 22, 2024 |
| Martis Partners IV Pv, LP | Owns 5% or more through other companies | 12.93% | Oct 22, 2024 |
| Martis Partners IV Gp, LLC | Other role (CMS gives no detail) | Oct 22, 2024 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 68% rated it 9 or 10 out of 10, and 72% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 93.8% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 61.1% 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 | Not 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 threshold | 10 of 10 |
How does it compare nearby?
- Of the 100 hospices CMS’s data show serving patients in ZIP code 78230, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; this one had 1.
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 |
|---|---|
| Alamo Hospice | 25 |
| Accentcare Hospice & Palliative Care of Texas -San Antonio | 6 |
| Superior Hospice LLC | 1 |
| Holy Savior Hospice | 5 |
| Opuscare of Texas | 4 |
| Companion Hospice and Palliative Care of South Texas LLC | 24 |
| Three Oaks Hospice This hospice | 1 |
| Anchorage Hospice, Inc. | 3 |
| Cardinal Hospice of South Texas | 12 |
| Advanced Hospice of Texas | 6 |
| Yellow Rose Hospice Care, Inc. | 13 |
| Advanced Hospice of Texas | 7 |
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).
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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.