Anchorage Hospice, Inc.
A hospice in San Antonio, Texas 78230
3201 Cherry Ridge Dr Ste B-206, San Antonio, Texas 78230. (210) 239-7519.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 3 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?
3 deficiencies cited in the last three years
The middle of the 100 hospices serving ZIP code 78230 had 4.
The last inspection on record was on Aug 14, 2025: 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 Aug 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.
Aug 14, 2025: reaccreditation inspection by the Community Health Accreditation Partner3 deficiencies
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 278 words
“It is required that hospice aides are assigned to a specific patient by a registered nurse who is a member of the Interdisciplinary Group. Written patient care instructions for a hospice aide are prepared by a RN (Registered Nurse) who is responsible for the supervision of the hospice aide. This standard was not met as evidenced by clinical record review and interview. In 1 of 9 (11%) clinical records reviewed with hospice aide services provided, the agency did not ensure the Registered Nurse provided specific patient care instructions for the hospice aide. CLINICAL RECORD 4: The patient elected the hospice benefit on 07/17/2025. The plan of care dated 07/17/2025 to 09/14/2025 included orders for skilled nursing, spiritual counselor, social worker, and hospice aide services. The nurse documented on the initial nursing assessment that the patient had a wound to the sacrum. The hospice aide plan of care/assignment dated 07/17/2025 did not include information to the aide related to the patient’s sacral wound. The RN documented on the nursing visit note dated 07/31/2025 that staples were removed from the right hip and right knee. The hospice aide assignment was reviewed on 08/13/2025 and continued to include the statement “patient has staples covered with a dressing to the right hip and above the right knee please do not get them wet.” The aide assignment was not updated when the staples were removed. During a joint review of the record and interview on 08/13/2025, the Director of Clinical Services (Personnel Record 8) stated she did know why the aide care plan was not updated but they would provide additional education to the clinical staff to update the aide plan of care.”
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Discharge or transfer of care (42 CFR 418.104(e)(1)(i))
The inspectors’ words, 168 words
“It is required that if the care of a hospice patient is transferred to a Medicare/Medicaid certified facility, the hospice forwards to the receiving facility a copy of the hospice discharge summary described in HCDT 40.I, and the patient’s record, if requested. This standard was not met as evidenced by clinical record review and interview. In 1 of 1 (100%) clinical record reviewed with patient transfer, the agency did not ensure the hospice forwarded a copy of the discharge summary to the receiving facility. CLINICAL RECORD 14: The patient elected the hospice benefit on 10/12/2024 and was transferred to another hospice on 10/19/2024. There was no documented evidence in the clinical record that the discharge summary was sent to the receiving hospice. During an interview on 08/13/2025, the Director of Clinical Services (DCS) (Personnel Record 8) stated she remembers that they sent information to the receiving hospice, but apparently it was not documented. The DCS also stated that they would educate the staff on the live discharge process.”
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Discharge or transfer of care (42 CFR 418.104(e)(2)(i))
The inspectors’ words, 168 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, and the patient’s record, if requested. This standard was not met as evidenced by clinical record review and interview. In 1 of 1 (100%) clinical record reviewed where the patient revoked the election of hospice services, the agency did not ensure the discharge summary was sent to the patient’s attending physician. CLINICAL RECORD 13: The patient elected the hospice benefit on 10/12/2024 and choose to revoke hospice services on 01/07/2025. There was no documented evidence in the clinical record that the agency sent the discharge summary to the patient’s attending physician. During an interview on 08/13/2025, the Director of Clinical Services (Personnel Record 8) stated she did not realize that the discharge summary needed to be sent to the attending physician when the patient was discharged.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 14, 2025 | Reaccreditation inspection by the Community Health Accreditation Partner | 3 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jan 16, 2020.
- 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): 8.4 nurse care minutes per routine home care day, 6.4% of skilled nursing minutes at weekends and a visit near death for 87.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 46% at home, 51% in assisted living, 3% 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 | 8.4 min |
| Skilled nursing minutes at weekends | 6.4% |
| Visits near death | 87.2% of patients who died |
Who owns it?
- 7 owners or officers are people: Ernesto Gonzalez (owns 5% or more directly, 100%); Ernesto Gonzalez (corporate officer, 100%); Edna Martinez (managing employee (on the payroll), 0%); Ernesto Gonzalez (managing employee (on the payroll)); Katie Boggs (managing employee (on the payroll)); Benjamin S Zertuche (managing employee (under contract), 0%); Nilda A Guerra-Cavazos (managing employee (under contract)).
- 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).
- 96.88% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 39% 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 100 hospices CMS’s data show serving patients in ZIP code 78230, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; 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 |
|---|---|
| Alamo Hospice | 25 |
| Accentcare Hospice & Palliative Care of Texas -San Antonio | 6 |
| Superior Hospice LLC | 1 |
| Holy Savior Hospice | 5 |
| Opuscare of Texas | 4 |
| Companion Hospice and Palliative Care of South Texas LLC | 24 |
| Three Oaks Hospice | 1 |
| Anchorage Hospice, Inc. This hospice | 3 |
| Cardinal Hospice of South Texas | 12 |
| Advanced Hospice of Texas | 6 |
| Yellow Rose Hospice Care, Inc. | 13 |
| Advanced Hospice of Texas | 7 |
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.