Alevcare Hospice
A hospice in Mansfield, Texas 76063
315 S Main St, Mansfield, Texas 76063. (469) 630-2538.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 5 deficiencies cited in the last three years
- 5of 5 family caregiver rating
- 10of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- 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?
5 deficiencies cited in the last three years
The middle of the 90 hospices serving ZIP code 76063 had 3.
The last inspection on record was on Oct 9, 2024: a reaccreditation inspection by the Accreditation Commission for Health Care.
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
5 deficiencies in 1 month of the last 36. Last cited Oct 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
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 9, 2024: reaccreditation inspection by the Accreditation Commission for Health Care5 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 183 words
“Upon patient record review, 4 of 19 (Patient #4,5,6,8) 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 #4: Order dated 5/29/24 include wound care: Using aseptic technique....cleanse with NS and gauze and pat dry... There is no NS reflected on the medication profile. Patient #5: POC reflects Tessalon Pearles 100 mg capsule- take 1 tab po 3xday as needed- No prn reason listed on the medication profile. Patient #6: 5/5/22 order reflects Ondansetron 4 mg dissolving tab 1 tab po q8 hrs prn- No prn reason listed on the medication profile Patient #8: 7/15/24 Order written for Bacitracin 500 mg topically to right index finger BID- as of review, there is no wound to the patient’s right index finger. The medication should be discontinued on the medication profile.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 114 words
“Upon patient record review, 3 of 19 (Patient #5,6,8) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient #5: Order does not reflect prn reason for Tessalon Pearles 100 mg capsule take 1 tab po 3xday as needed. Patient #6: Order does not reflect prn reason for Ondansetron 4 mg dis. tab take 1 tab po q 8 hrs prn. Patient #8: Order dated 7/15/24 Bacitracin 500 topically to R index finger bid- There is currently no wound to the patient’s right index finger and the Bacitracin was not discontinued as of 10/9/24”
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Program activities (42 CFR 418.58(c)(2))
“Upon observation, there was no evidence the hospice investigates all adverse events, incidents, accidents. Patient #5: 10/3/24 SNV states family reports to SN that 12 Hydrocodone are missing from patient’s medication. No evidence of incident report found.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 167 words
“Upon patient record review, 2 of 19 (Patient #5,6) 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 #5: Aide Care Plan dated 8/5/24 denotes Purewick checked. It is not clear if the aide or family maintains. Patient #6: Aide Care Plan dated 9/11/24 assigned oral care “as allowed” by pt, clean nails and file them (without frequency listed).”
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Supervision of hospice aides (42 CFR 418.76(h)(1))
The inspectors’ words, 108 words
“Upon patient record review 1 of 19 (Patient #5) did not have evidence documentation in the patient record that a Registered Nurse made 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 to ensure that services ordered by the hospice interdisciplinary group meet the patient’s needs. Patient #5: The SNV dated 10/3/24 the SN noted that the aide was performing the tasks as assigned but in reality the aide had not performed any services 10/1-10/3/24 as patient refused all tasks/services and RN had not provided oversight of aide services.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 9, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 5 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 29, 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): 15.1 nurse care minutes per routine home care day, 8.4% of skilled nursing minutes at weekends and a visit near death for 99.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 58% at home, 41% in assisted living, 1% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 15.1 min |
| Skilled nursing minutes at weekends | 8.4% |
| Visits near death | 99.1% of patients who died |
Who owns it?
- 10 owners or officers are people: David Dowd (owns 5% or more directly, 75%); Craig Porter (owns 5% or more directly, 25%); Wendy Wooley (managing employee (on the payroll), 0%); Craig Porter (corporate officer); Michelle A Beeson (managing employee (under contract), 0%); David Dowd (corporate officer); David Dowd (managing employee (on the payroll)); Henry Dollahite (managing employee (under contract), 0%); Diann Grigsby (managing employee (on the payroll)); Edwin Robert Duppstadt (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?
- Family caregivers rate it 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 90% rated it 9 or 10 out of 10, and 91% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 89.02% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 88.5% 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 | 5 of 5 |
| 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 90 hospices CMS’s data show serving patients in ZIP code 76063, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; this one had 5.
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 |
|---|---|
| Cardinal Hospice | 2 |
| Greenleaf Hospice LLC | 8 |
| Alevcare Hospice This hospice | 5 |
| Texas Life Hospice - Fort Worth | 3 |
| A Brightstart Services, Inc. | 0 |
| Carestar Hospice | 2 |
| Community Healthcare of Texas | 2 |
| Vitas Healthcare of Texas LP | 15 |
| VNA | 1 |
| Gentiva | 13 |
| Vitas Healthcare of Texas, L.P. | 3 |
| Custom Care Hospice | 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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.