Vida De Paz LLC
A hospice in Alamo, Texas 78516
103 N Tower Rd. Ste 4, Alamo, Texas 78516. (956) 601-1914.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 8 deficiencies cited in the last three years
- Not rated family caregiver rating
- 7of 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?
8 deficiencies cited in the last three years
The middle of the 43 hospices serving ZIP code 78516 had 6.
The last inspection on record was on Dec 9, 2025: 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
8 deficiencies in 1 month of the last 36. Last cited Dec 2025. 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 9, 2025: reaccreditation inspection by The Joint Commission8 deficiencies
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Update of comprehensive assessment (42 CFR 418.54(d))
“Observed in Record Review. In 1 of 10 patient records reviewed, it was noted that the organization did not ensure that the comprehensive assessment was updated at least every 15 days. For example, during a review of the medical record for RRHV#2, it was noted that the first update to the comprehensive assessment was completed 64 days after the initial plan of care was established. This observation was reviewed with the Administrator.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 147 words
“Observed in Record Review. In 7 of 10 patient records reviewed, The written plan of care failed to be based on the patient’s centered specific goals as identified in RRNHV#1: patient /CG will verbalize that depression is absent or reduced to an acceptable level. RRNHV#2: Pt/CG will verbalize demonstrate feeling supported by hospice team, family and/or friend and will adapt to changes, challenges and crisis’s throughout the hospice admission. RRNHV#3: Patient will exhibit a decrease in pain related behaviors RRNHV#4: - patient/caregiver will verbalize that anxiety is absent or reduced to an acceptable level. RRNHV#5: Patient will exhibit a decrease in pain related behaviors. RRNHV#6: MSW goal -Patient/CG will express acceptance of health status and will find meaning in personal and health care treatment choices. RRNHV#7: patient/caregiver will verbalize that anxiety is absent or reduced to an acceptable level, this was observed and validated by the Administrator”
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Content of plan of care (42 CFR 418.56(c)(1))
The inspectors’ words, 150 words
“Observed in Record Review. In 5 of 10 patient records reviewed, The organization plan of care failed to include all services needed for the palliation and management of the terminal illness and related conditions as evidenced in the following records no orders obtained: RRNHV#2: Patient is a type 2 diabetic and no parameter for care identified . RRNHV#3: The HHA care plan stated may apply Vitamin D with Zinc ointment to sacrum to prevent skin breakdown, instructions were not clear when to apply them. RRNHV#5: No glucose monitoring in the care plan, Facility currently monitoring blood sugar TID and diabetes managed with Humulin R 5 units TID and Metformin 500 mgs TID. RRNHV#6: Patient has an AICD and no goals and type 2 diabetic and no parameters identified. RRNHV#7: Patient has dialysis 3 times a week and not in the care plan, this was observed and validated by the Administrator”
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Content of plan of care (42 CFR 418.56(c)(2))
“Observed in Record Review. In 7 of 10 patient records reviewed, The organization prior to providing care, the organization failed to obtains or renew PRN orders based on patients identified needs as evidenced in RRNHV#1:RRNHV#2, RRNHV#3, RRNHV#4, RRNHV#5, RRNHV#6 and RRNHV#7: MSW Freq: 1m3, PRN for psychosocial needs, end of life planning, family dynamics per patient/CG request and Chaplain: 1m3 PRN, for symptom management, immence, fall/injury, RN 1w14 PRN: for symptom management, immence, fall/injury, this was observed and validated by the Administrator”
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Coordination of services (42 CFR 418.56(e)(4))
“Observed in Record Review. In 1 of 10 patient records reviewed, The organization failed to ensure ongoing sharing of information between all disciplines as evidenced in RRNHV#3: HHA had a missed visit and documentation stated that physician and RN were not notified, this was observed and validated by the DON”
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Program activities (42 CFR 418.58(c)(1)(iii))
“Observed in Data Session. The organization failed to select performance improvement activities that affect palliative outcomes that are based on severity of problems as evidenced by there was no palliative performance improvement project, this was observed and validated by the DON”
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Control (42 CFR 418.60(b)(2)(ii))
“Observed in Infection Control Tracer. The organization failed to implement a hand hygiene program, set goals for improving compliance with hand hygiene guidelines and improve compliance with hand hygiene guidelines based on established goals, as evidenced by the organization was collecting data during supervising visits, however, did not have a written goal to compare the data to, and there was no analysis of the data being collected, this was observed and validated by Administrator”
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Competency evaluation (42 CFR 418.76(c)(1))
“Observed in HR File Review. In 1 of 1 HR files reviewed, The organization completed the required aide competencies but the documentation failed to confirm competencies completed with an actual patient or a qualified pseudo patient, this was observed in the HHA personnel file HR#7, this was validated by the Administrator”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 9, 2025 | Reaccreditation inspection by The Joint Commission | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 16, 2019.
- 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): 11.3 nurse care minutes per routine home care day, 4.3% of skilled nursing minutes at weekends and a visit near death for 93% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 81% at home, 16% in assisted living, 4% 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 | 11.3 min |
| Skilled nursing minutes at weekends | 4.3% |
| Visits near death | 93.0% of patients who died |
Who owns it?
- 11 owners or officers are people: Sergio A Perez (owns 5% or more directly, 100%); Sergio A Perez (corporate director, 100%); Sergio A Perez (runs it (operational or managerial control), 100%); Cynthia D Farias (corporate director, 4%); Cynthia D Farias (runs it (operational or managerial control), 4%); Jorge Pina (corporate director, 0%); Jorge Pina (runs it (operational or managerial control), 0%); Jorge Pina (other role (CMS gives no detail), 0%); Stanley P Sy (managing employee (under contract)); Saida Ochoa (corporate director, 0%); Saida Ochoa (runs it (operational or managerial control), 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: 7 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); 29% 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 | 7 of 10 |
How does it compare nearby?
- Of the 43 hospices CMS’s data show serving patients in ZIP code 78516, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 8.
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 |
|---|---|
| Vida De Paz LLC This hospice | 8 |
| 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 |
| Hospice Compassionate Care Services LLC | 5 |
| Allstate Hospice LLC | 5 |
| Atex Hospice | 2 |
| Amara Hospice | 3 |
| Only Love Hospice | 8 |
| Superior Hospice LLC | 1 |
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.