Green Mountain Healthcare Services LLC
A hospice in El Paso, Texas 79902
2311 N. Mesa Suite H, El Paso, Texas 79902. (915) 500-4883.
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The short answer
Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.
- 3 deficiencies cited in the last three years
- Not rated family caregiver rating
- 6of 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?
3 deficiencies cited in the last three years
The middle of the 25 hospices serving ZIP code 79902 had 2.
The last inspection on record was on Apr 5, 2024: 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
3 deficiencies in 1 month of the last 36. Last cited Apr 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.
Apr 5, 2024: reaccreditation inspection by the Community Health Accreditation Partner3 deficiencies
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Approach to service delivery (42 CFR 418.56(a))
The inspectors’ words, 271 words
“It is required that the hospice designates a registered nurse member of the IDG to provide coordination of care, ensure continuous assessment of each patient’s and family’s needs, and ensure the implementation of the interdisciplinary plan of care. This standard was not met as evidenced by clinical record review, document review, and interview. In 2 of 14 (14%) clinical records reviewed revealed the hospice did not ensure the patients were provided coordination of care, ensured continuous assessments of patient’s and family’s needs, and that the interdisciplinary plan of care was implemented. Agency Policy 013115 Hospice-CHAP, titled, Plan of Care, stated in part, the registered nurse will coordinate the implementation of the plan of care for each patient. The registered nurse is also responsible for ensuring care coordination, case management, ongoing evaluation, and assessment of the provision of hospice care for the patient and family. Clinical Record 1: The plan of care dated 11/28/2023 included an order for hospice aide visits for three times a week. The hospice aide documented visits on 12/09/2023 and 12/30/2023. There was no documented evidence for the missed visits. Clinical Record 2: The plan of care dated 09/20/2022 included an order for skill nursing visits for one time a week. The skilled nurse documented visits on 09/20/2022, 09/21/2022, 09/29/2022, 10/09/2022 and 10/12/2022. There were no documented visits by a skilled nurse during the week of 10/02/2022 through 10/08/2022. There was no documented evidence for the missed visits. During joint clinical records reviewed on 04/03/2024, the Director of Nursing agreed patient’s visits had been missed and no documented evidence for the missed visits were in the clinical records.”
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
The inspectors’ words, 214 words
“It is required that hospice aides are supervised by a registered nurse who makes an on-site visit to the patient’s home no less frequently than every 14 days to assess the quality of care and services provided by the hospice aide and ensure that services ordered by the hospice Interdisciplinary Group (IDG) meet the patient’s need. The hospice aide does not need to be present. This standard was not met as evidenced by clinical record review and interview. In 2 of 11 (18%) clinical records reviewed revealed that the hospice agency did not ensure the hospice aides were supervised by a registered nurse no less than every fourteen (14) days. Clinical Record 1: The documented aide supervisory notes completed were dated 12/18/2023 and 12/26/2023. They both listed an aide who had been terminated on 12/10/2023. Clinical Record 7: The documented aide visit was on 06/21/2023. There was a documented aide supervisory visit on 06/20/2023 and the next one was not documented until 07/12/2023. The aide supervisory visit was completed eight (8) days late. During an interview on 04/05/2024, the Director of Nursing agreed that a registered nurse had not made aide supervisory visits every fourteen (14) days and that she was the nurse who documented the notes and just said it was a mistake.”
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Discharge or transfer of care (42 CFR 418.104(e)(2)(i))
The inspectors’ words, 206 words
“It is required that if a patient revokes the election of hospice care or is discharged from hospice per hospice regulation §418.26 (i.e., no longer terminally ill), the hospice forwards to the patient’s attending physician a copy of the hospice discharge summary. This standard was not met as evidenced by clinical record review, document review, and interview. In 1 of 2 (50%) clinical records reviewed for patients who were live discharges while on services revealed that the hospice did not ensure that a copy of the hospice discharge summary was forwarded to the attending physician. Agency Policy 013115 Hospice-CHAP, titled, Transfer of the Designated Hospice, stated in part, if the care of a patient is transferred to another Medicare/Medicaid facility. the hospice will notify the attending and the hospice must forward a copy of the discharge summary to the attending physician. Clinical Record 11: The patient elected their hospice benefit on 05/31/2023. The patient was later discharged on 01/26/2024 due to being transferred to another hospice. There was no documented evidence that the discharge summary was forwarded to the attending physician. During an interview on 04/05/2024, the Director of Nursing agreed a copy of the discharge summary had not been forwarded to the patient’s attending physician.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 5, 2024 | Reaccreditation inspection by the Community Health Accreditation Partner | 3 deficiencies cited |
| Nov 30, 2023 | Complaint inspection by the state | No deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 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): 5.9 nurse care minutes per routine home care day, 7.7% of skilled nursing minutes at weekends and a visit near death for 100% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 81% at home, 14% in assisted living, 5% in a nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 5.9 min |
| Skilled nursing minutes at weekends | 7.7% |
| Visits near death | 100.0% of patients who died |
Who owns it?
- 9 owners or officers are people: Nahid Vandshekari (managing employee (on the payroll), 100%); Nahid Vandshekari (owns 5% or more directly, 70%); Roberto Flores (owns 5% or more directly, 30%); Liza Rodriguez (managing employee (on the payroll)); Maanit Kohli (managing employee (on the payroll)); Maanit Kohli (runs it (operational or managerial control)); Natalia Cardona (managing employee (on the payroll), 0%); Natalia Cardona (runs it (operational or managerial control), 0%); Roberto Flores (managing employee (on the payroll)).
- 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: 6 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 89.19% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 53.9% 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 | 6 of 10 |
How does it compare nearby?
- Of the 25 hospices CMS’s data show serving patients in ZIP code 79902, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2; this one had 3.
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 |
|---|---|
| Cuidado Casero Home Health of El Paso Inc. | 0 |
| New Age Hospice - El Paso | 0 |
| Green Mountain Healthcare Services LLC This hospice | 3 |
| Grandview Hospice Inc. | 0 |
| Hospice of El Paso Inc. | 0 |
| Enhabit Hospice | 1 |
| Gentiva | 8 |
| Envision Hospice | 0 |
| Global Hospice Care Inc. | 18 |
| Elara Caring | 0 |
| Ayuda Home Health Care Services LLC | 4 |
| Am Hospice Inc. | 2 |
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.