Hearth Record

Tender Care Home Health & Hospice

A hospice in El Paso, Texas 79912

6400 Escondido, El Paso, Texas 79912. (915) 581-3345.

CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

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.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited Aug 2026. Most serious: Standard-level. Every month

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?

1 deficiency cited in the last three years

The middle of the 27 hospices serving ZIP code 79912 had 2.

The last inspection on record was on Aug 27, 2026: a recertification inspection by the state.

Source:

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

1 deficiency in 1 month of the last 36. Last cited Aug 2026. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

1 deficiency by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Aug 27, 2026: recertification inspection by the state1 deficiency

  • Level of activity (42 CFR 418.78(e))

    The inspectors’ words, 476 words

    “Based on record review and interviews, the agency failed to ensure volunteers provide day-to-day administrative and/or direct patient care in an amount that equaled a minimum of 5% of the total patient care hours of all paid hospice employees and contract staff for the years 2024 and 2025 for 2 of 2 Volunteer Cost Savings Report reports reviewed. This failure had the potential to affect all agency patients that could have benefited from assistance by agency volunteers. Findings Included:Review of the agency Volunteer Cost Savings Report for 2024 revealed the agency provided a total of 124 hours and 35 minutes of volunteer services. Review of the agency Volunteer Cost Savings Report for 2025 revealed the agency provided a total of 34 hours and 44 minutes of volunteer services.On 08/26/2026 at 1:20 p.m. an interview was conducted with the Administrator and HD A. The agency’s volunteer cost savings reports for 2024 and 2025 were reviewed during the interview. The Administrator acknowledged the agency did not meet the minimum 5% annual cost savings. The Surveyor asked why the agency was unable to meet the requirement. HD A stated the agency had a difficult time finding volunteers. Surveyor asked what recruitment efforts were made. HD A stated they put flyers in the medical school but did not get any responses. HD A stated they advertised for volunteers with a nonprofit organization but the individuals that applied did not pass the criminal background check. HD A stated the agency hired a new Volunteer Coordinator last month and there was currently one volunteer.On 08/26/2026 at 1:20 p.m. an interview was conducted with the Administrator and HD- A. The agency’s volunteer cost savings reports for 2024 and 2025 were reviewed. The Administrator acknowledged the agency did not meet the minimum 5% annual cost savings required by Medicare. The Surveyor asked why the agency was unable to meet the requirement. HD- A stated the agency had a difficult time finding volunteers. Surveyor asked what recruitment efforts were made. HD- A stated they put flyers in the medical school but did not get any responses. HD- A stated they advertised for volunteers with a nonprofit organization but the individuals that applied did not pass the criminal background check. HD- A stated the agency hired a new Volunteer Coordinator last month and there was currently one volunteer.Review of the agency’s Policy and Procedure Manual revealed a policy titled, “Coordination of Care- Volunteers, Reviewed 3/30/2020”, which read “(Agency) utilizes volunteers as an integrated component of the interdisciplinary team. Volunteers will provide day-to-day administrative and/or direct patient care services in an amount that, at a minimum, equals 5 percent of the total patient care hours of all paid hospice employees and contract staff. The hospice will maintain records on the use of volunteers for patient care and administrative services, including the type of services and time worked.””

    Rule L0647. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Aug 27, 2026Recertification inspection by the state1 deficiency cited

Is it certified?

  • Medicare-certified hospice since May 13, 2020.
  • Ownership: for-profit.
  • No deficiency or on record in the last three years.
Source:

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.
Source:

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): 8.7 nurse care minutes per routine home care day, 7.4% of skilled nursing minutes at weekends and a visit near death for 90.3% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 100% at home.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day8.7 min
Skilled nursing minutes at weekends7.4%
Visits near death90.3% of patients who died

Who owns it?

  • Arm Healthcare L.L.C. owns 100% directly since Nov 3, 2005.
  • 4 owners or officers are people: Ann Marie Rodriguez - Mcconnell (corporate officer, 0%); Ann Marie Rodriguez - Mcconnell (corporate director, 0%); Ann Marie Rodriguez - Mcconnell (managing employee (on the payroll), 0%); Ann Marie Rodriguez - Mcconnell (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.
Source:

CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
Arm Healthcare L.L.C.Owns 5% or more directly100%Nov 3, 2005

What do families say?

  • CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
  • In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 85% rated it 9 or 10 out of 10, and 88% would definitely recommend it.
  • CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 97.16% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 62.6% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5Not 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 threshold8 of 10

How does it compare nearby?

  • Of the 27 hospices CMS’s data show serving patients in ZIP code 79912, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2; this one had 1.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

The 27 hospices CMS lists serving ZIP code 79912
PlaceDeficiencies, 3 years
Armonia Hospice LLC2
Tender Care Home Health & Hospice This hospice1
Hospice of El Paso Inc.0
Enhabit Hospice1
Gentiva8
Envision Hospice0
Global Hospice Care Inc.18
Elara Caring0
Cuidado Casero Home Health of El Paso Inc.0
New Age Hospice - El Paso0
Ayuda Home Health Care Services LLC4
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

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

Sign in

A free account keeps your watch list, shortlists, comparisons and saved searches on every device, and can email you when something you watch changes. Browsing never needs one.