Sj Hospice Services LLC
A hospice in Weslaco, Texas 78596
315 W Business 83, Weslaco, Texas 78596. (956) 294-1410.
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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
- 8of 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 43 hospices serving ZIP code 78596 had 5.5.
The last inspection on record was on Oct 17, 2024: a reaccreditation inspection by The Joint Commission.
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 Oct 2024. 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.
Oct 17, 2024: reaccreditation inspection by The Joint Commission9 deficiencies
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Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))
The inspectors’ words, 102 words
“Observed in Record Review. In 1 of 1 records reviewed where the patient revoked hospice care, there was no revocation statement found. In RRDC #1, it was noted in the patient chart that the caregiver called hospice to let them know they took the patient to the ER. The nursing note stated SN informed caregiver that the patient would be revoking Hospice Services due to her visit to the ER. There was no documentation in the record that a revocation statement was signed and the document was not located in the organization’s electronic or paper record. This was discussed with agency leadership.”
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Update of comprehensive assessment (42 CFR 418.54(d))
“Observed in Record Review. In 1 of 10 active patient records reviewed, the Surveyor noted the registered nurse had not completed a comprehensive visit every 15 days. On RRNHV #1, there had been 3 weeks between registered nurse comprehensive visits. This was discussed with agency leadership.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 179 words
“Observed in Record Review. In 1 out of 10 active patient records reviewed, the organization failed to ensure the care and services were provided in accordance with the plan of care. On review of RRNHV #1 the spiritual counselor was scheduled for monthly visits but there have been no documented visits over the last three months. This was reviewed with agency leaders. Observed in Record Review. In 3 of 3 patient records where the patient had passed away on service, the bereavement plan of care was not followed. Agency policy for bereavement services is a combination of phone calls and mailings based on the assessed patient risk with the first contact being a sympathy card mailing in the first week, instead a call was made first and the bereaved declined services. On RRBR #1 and RRBR #2, the sympathy card was not mailed out per policy in the first week of death. On RRBR #3, the organization had no documentation that the sympathy card was mailed to the patient per policy. This finding was reviewed with the agency leadership.”
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Program data (42 CFR 418.58(b)(2)(ii))
The inspectors’ words, 119 words
“Observed in Data Session. During review of the organization’s quality program, the organization had been collected data on areas of patient satisfaction, adverse events infections and complaints, however the data was not compiled in a manner it could be analyzed or used to identify performance trends or variances. This finding was reviewed with agency leadership. Observed in Data Tracer. During review of the organization’s quality program, the organization had been collecting data but it was not being aggregated, trended or analyzed so therefore it was not being utilized to identify areas for process improvement. For example the organization had HIS data that was below national and state averages in multiple areas and had not utilized the data for improvement.”
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Program data (42 CFR 418.58(b)(3))
“Observed in Data Tracer. During review of the organization’s quality program, the governing body had not approved the frequency and detail of the data collection associated to QAPI measures for 2023 and 2024. This was reviewed and validated with agency leadership. This finding was reviewed with agency leadership.”
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Homemaker supervision and duties (42 CFR 418.76(k)(1))
The inspectors’ words, 120 words
“Observed in Record Review. On 2 of 10 active patient records reviewed, Homemaker staff were not supervised effectively. Agency Policy for Homemaker services will supervise the homemaker every 30 days and documentation will be put in the Progress Note of the supervision. On RRHV #2, it was noted that the homemaker was not being supervised every 30 days since admission. On RRNHV #6, it was noted that the patient has been receiving homemaker services for the past 2 months and there has not been any supervision completed. On RRNHV #7 it was noted that patient has been receiving homemaker services for 2 months and no supervision has been documented in the clinical record. This finding was reviewed with Agency Leadership.”
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Level of activity (42 CFR 418.78(e))
“Observed in Tracer Activities. In review of the volunteer program the volunteer coordinator reported that she currently has no volunteers and has not had any for several months and is actively recruiting. Since there have been no volunteers available the agency was not able to demonstrate that volunteers provide at least 5% of the total patient care hours provided by the hospice. This finding discussed and reviewed”
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Discharge or transfer of care (42 CFR 418.104(e)(2)(i))
“Observed in Record Review. In 2 of 2 discharge records reviewed, the discharge summary was not provided to the attending physician or notification that it was available on request. On RRDC #1, it was noted that the patient revoked hospice to go to the ER but there was no discharge summary created to be sent to the receiving provider. On RRDC #2, patient discharged from service and no discharge summary was created or sent to the attending physician. This finding was reviewed with agency leadership.”
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Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))
“Observed in Patient Home. In 1 of 3 home visits conducted, the organization did not provide education on the safe storage of oxygen cylinders in the home. On RRHV #2, it was noted on the visit that the oxygen cylinders were being stored upright without being secured. On review of the education provided the education did not discuss securing tanks when in the upright position or that if they couldn’t be secured to place them lying down. This finding was reviewed with agency leadership.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 17, 2024 | Reaccreditation inspection by The Joint Commission | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Mar 10, 2018.
- 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): 9.7 nurse care minutes per routine home care day, 7.9% of skilled nursing minutes at weekends and a visit near death for 76.7% 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 | 9.7 min |
| Skilled nursing minutes at weekends | 7.9% |
| Visits near death | 76.7% of patients who died |
Who owns it?
- 10 owners or officers are people: Smiriam Limon (owns 5% or more directly, 100%); Smiriam Limon (runs it (operational or managerial control), 100%); Jorge Pina (owns 5% or more through other companies, 25%); Jorge Pina (managing employee (on the payroll), 25%); Priscilla Garza (runs it (operational or managerial control), 25%); Smiriam Limon (managing employee (on the payroll), 25%); Jose Castillo (owns 5% or more through other companies, 25%); Jose Castillo (managing employee (on the payroll), 25%); Smiriam Limon (corporate director); Stanley P Sy (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.
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: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 73.33% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 16.2% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
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 | 8 of 10 |
How does it compare nearby?
- Of the 43 hospices CMS’s data show serving patients in ZIP code 78596, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5.5; 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 |
|---|---|
| United Hospice Care Services LLC | 11 |
| Lynncare Hospice Services LLC | 7 |
| Sj Hospice Services LLC This hospice | 9 |
| A Healing Touch Hospice | 6 |
| Angel Wings Hospice Services LLC | 9 |
| Ims Home Health & Hospice Care, Inc. | 4 |
| Maximum Quality Hospice LLC | 4 |
| Gentiva | 0 |
| Bristol Hospice - North Central Texas | 11 |
| Legacy Home Health Agency Inc. | Not given |
| Iph Hospice Care Inc. | 2 |
| Greater Valley Hospice Alliance, LP | 15 |
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.