La Mision Palliative Care & Hospice
A hospice in Edinburg, Texas 78539
3413 W. Alberta Rd., Edinburg, Texas 78539. (956) 515-5050.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 9 deficiencies cited in the last three years
- Not rated family caregiver rating
- 9of 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?
9 deficiencies cited in the last three years
The middle of the 39 hospices serving ZIP code 78539 had 4.5.
The last inspection on record was on Nov 4, 2025: 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
9 deficiencies in 1 month of the last 36. Last cited Dec 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.
Dec 15, 2023: reaccreditation inspection by the Accreditation Commission for Health Care9 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
“Upon patient record review 2 of 14 (Patient #3,6) did not have evidence in the patient record that the hospice interdisciplinary group, in consultation with the individual’s attending physician (if any), completed the comprehensive assessment no later than 5 calendar days after the election of hospice care. Patient #3, Patient was admitted on 11/24/23, psychosocial assessment completed on 11/30/23. Patient #6, Patient was admitted on 7/7/23, psychosocial assessment completed on 7/14/23.”
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Content of comprehensive assessment (42 CFR 418.54(c)(4))
“Upon patient record review, 14 of 14 (Patient #1,2,3,4,5,6,7,8,9,10,11,12,13,14) did not have evidence in the patient record that the comprehensive assessment takes into consideration the imminence of death. Patient #1,2,3,4,5,6,7,8,9,10,11,12,13,14, No evidence of imminence of death documented in comprehensive assessment.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 94 words
“Upon patient record review, 1 of 14 (Patient #2) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient #2, Order written on 12/5/23 to discontinue simethicone. Medication list dated 12/8/23, no evidence simethicone was discontinued, remains as a current medication.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 216 words
“Upon patient record review, 5 of 14 (Patient #1,3,5,9,10) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient #1, No evidence of care plan for self care deficit. Patient receives aide services 3x/week. Patient #3, Wound care order to left dorsal foot missing on care plan. Care plan was not personalized to patient care. No care plan for self care deficit, patient is receiving aide services every day. Patient #5, resolved pressure ulcer without care plan for alteration in skin integrity, Patient developed another ulcer. Upon home visit, daughter states she put on a patch. No direction in plan of care for wound care. Patient #9, Wound care orders silvadene, every day to ulcer on buttock. Care plan for skin integrity without direction for wound care. Care plan was not personalized to patient wound. Patient #10, No evidence of care plan with wound care orders, Wound care to sacral wound cleanse with ns pat dry, cover with gauze.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 122 words
“Upon patient record review, 14 of 14 (Patient #1,2,3,4,5,6,7,8,9,10,11,12,13,14) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient’s plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patient #1,2,3,4,5,6,7,8,9,10,11,12,13,14, All initial orders have frequency with 2 PRN/week. Totaling 90 days of 24 PRNs and 60 day cert of 16 PRNs for change in condition.”
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Prevention (42 CFR 418.60(a))
“Upon observation, there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. Patient #2,3, the RN sanitized their hand then proceeded to go into back multiple times without sanitizing hands each time they enter their nursing bag. Per bag technique policy, states they are to hand sanitize each time they enter their nursing bag.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 146 words
“Upon patient record review, 1 of 14 (Patient #11) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient #11, Aide frequency order is 3x/week. Aide visit on 7/14/23, 7/15/23. Patient was only seen 2x for the first week.”
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Authentication (42 CFR 418.104(b))
“Upon patient client record review, 1 of 14 (Patient #14) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #14, Patient has diagnosis of Alzheimer disease, both nursing comprehensive and MSW comprehensive documents patient is alert and oriented. Patient signed their own consents.”
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Multiple locations (42 CFR 418.116(a))
“Upon observation, there was no evidence the organizational chart matches the hospice’s information submitted to CMS and/or State licensing agencies for ownership and management personnel. The organizational chart identifies titles, no evidence of name of person in that position.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Nov 4, 2025 | Complaint inspection by the state | No deficiencies cited |
| Dec 15, 2023 | Reaccreditation inspection by the Accreditation Commission for Health Care | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 27, 2017.
- 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): 12.1 nurse care minutes per routine home care day, 7.2% of skilled nursing minutes at weekends and a visit near death for 90.8% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 100% at home.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.1 min |
| Skilled nursing minutes at weekends | 7.2% |
| Visits near death | 90.8% of patients who died |
Who owns it?
- 9 owners or officers are people: Armin Solis (corporate officer, 100%); Sandra Trevino (runs it (operational or managerial control), 50%); Julian Juarez (owns 5% or more directly, 50%); Julian Juarez (corporate director, 50%); Armin Solis (owns 5% or more directly, 50%); Armin Solis (corporate director, 50%); Jose Elijio Juarez (runs it (operational or managerial control), 25%); Homero Rosas (managing employee (under contract), 0%); Hobert L Smith (managing employee (under contract), 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.
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).
- 100% 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 | 9 of 10 |
How does it compare nearby?
- Of the 39 hospices CMS’s data show serving patients in ZIP code 78539, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4.5; this one had 9.
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 |
|---|---|
| Allstate Hospice LLC | 5 |
| Amara Hospice | 3 |
| Dhr Health Hospice | 13 |
| Tree of Life Hospice LLC | 6 |
| La Mision Palliative Care & Hospice This hospice | 9 |
| Casa Mia Hospice Care, LLC. | 3 |
| Our Sacred Heart Hospice, LLC | 3 |
| Gentiva | 0 |
| Bristol Hospice - North Central Texas | 11 |
| Legacy Home Health Agency Inc. | Not given |
| Greater Valley Hospice Alliance, LP | 15 |
| Caring Hearts of Texas | 4 |
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.