Hearth Record

Gentle Partners in Hospice LLC

A hospice in San Antonio, Texas 78209

1635 NE Loop 410, Suite 501, San Antonio, Texas 78209. (210) 908-9616.

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 Oct 2024. 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 91 hospices serving ZIP code 78209 had 4.

The last inspection on record was on Oct 9, 2024: a complaint and recertification inspection by the state.

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 Oct 2024. 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.

Oct 9, 2024: complaint and recertification inspection by the state1 deficiency

  • Review of the plan of care (42 CFR 418.56(d))

    The inspectors’ words, 425 words

    “Based on record review and interview, the Agency failed to revise and document the individualized plan as frequently as the patients condition required for 1 of 14 patients (Patient #1), whose records were reviewed. This failure can result in the patients of the agency not receiving the proper care by the agency staff due to lack of communication with the physician based on the patient’s needs. Findings included: During a record review of Patient #1s plan of care, the plan of care revealed a start of care of 6/6/2023, with hospice services which included: skilled nursing twice weekly, home health aide three times weekly, chaplain services once monthly, and medical social worker services once monthly. Further review of the plan of care revealed the physician order of oxygen via a nasal cannula at 2-4 liters per minute continuously. During a review of Patient #1s nursing visit records, the agency began daily nursing visits on 6/26/2024 due to a change in Patients #1s condition. Further record review revealed a nursing visit on 6/27/2024 where RN B noted tat Patient #1s oxygen level was in the 70s and 80s (normal oxygen level is above 90). Further records reveal RN B repositioned Patient #1with pillows and increased Patient #1s oxygen to 5 liters per minute via nasal cannula to which the patient responded with increased blood oxygen into the 90s. Patient #1s condition was documented as stable the end of RN Bs visit. No documented evidence was noted that RN B called the physician to obtain orders for the increased oxygen to add to Patient #1 plan of care, or that RN B informed the physician of the what occurred during the visit. A joint interview was conducted with the Administrator and the Alternate Administrator on 10/9/024 at 1:30 p.m. and informed of the above findings. The Administrator stated she understood that RN B should have obtained a physicians order for the oxygen. The Alternate Administrator stated that she would begin to correct this issue with the staff. Record review of an Agency policy titled, “Administrative Policy Manual: “;Plan of Care Process,” dated 9/1/2024, revealed in part, “;...VII. The Hospice .... will review revise, and document the individualized plan as frequently a the patients condition requires, but no less frequently then every 15 calendar days....1. the Hospice staff ill review the patient care at each visit to identify needs that may have changed to make adjustments to the plan of care. 2. All written changes to the plan of care will be incorporated to the patients medical record...””

    Rule L0552. Standard-level. From a complaint.

All 2 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Oct 9, 2024Complaint and recertification inspection by the state1 deficiency cited
May 14, 2024Complaint inspection by the stateNo deficiencies cited

Is it certified?

  • Medicare-certified hospice since Jun 27, 2017.
  • 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.
  • 1 deficiency cited in the last three years came from an inspection 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, 13.1% of skilled nursing minutes at weekends and a visit near death for 71.4% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 99% at home, 1% 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 weekends13.1%
Visits near death71.4% of patients who died

Who owns it?

  • 11 owners or officers are people: Gerardo Luna (limited partner, 50%); Gerardo Luna (corporate officer, 50%); Gerardo Luna (corporate director, 50%); Gerardo Luna (managing employee (on the payroll), 50%); Gerardo Luna (runs it (operational or managerial control), 50%); Norma Luna (owns 5% or more directly, 50%); Norma Luna (limited partner, 50%); Norma Luna (corporate officer, 50%); Norma Luna (corporate director, 50%); Norma Luna (runs it (operational or managerial control), 50%); Jocelyn Villan Zarate (managing employee (on the payroll)).
  • 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).
  • 75.47% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 25.7% 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 91 hospices CMS’s data show serving patients in ZIP code 78209, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; 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 91 hospices CMS lists serving ZIP code 78209
PlaceDeficiencies, 3 years
Gentle Partners in Hospice LLC This hospice1
Inspiration Hospice0
Touchstone HealthNot given
Christus VNA Hospice San Antonio0
Gentiva Hospice15
Vitas Healthcare of Texas LP3
Gentiva10
Amedisys Hospice of San Antonio14
Elara Caring0
Heart to Heart Hospice of San Antonio, LLC6
Alamo Hospice25
Compassus - San Antonio4

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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