Maximum Quality Hospice LLC
A hospice in Weslaco, Texas 78596
1609 Davenport Street Suite D, Weslaco, Texas 78596. (956) 520-8004.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 4 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?
4 deficiencies cited in the last three years
The middle of the 43 hospices serving ZIP code 78596 had 5.5.
The last inspection on record was on May 29, 2026: 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
4 deficiencies in 1 month of the last 36. Last cited May 2026. 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.
May 29, 2026: reaccreditation inspection by The Joint Commission4 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
“Observed in Document Review. In 1 of 12 patient records reviewed, the social worker failed to complete their initial assessments within five days after the election of hospice. For example, in RRNHV#4 the assessment was not completed until approximately 20 days after the election of benefits. This finding was reviewed and discussed with the DON.”
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Content of plan of care (42 CFR 418.56(c)(1))
The inspectors’ words, 166 words
“Observed in Record Review. In 5 of 12 patient records reviewed, the agency failed to include interventions for safety precautions related to bleeding precautions for a patient on anticoagulants. For example, the hospice survey observed, in RRHV#3, RRNHV#3, RRNHV#4 and RRNHV#5, the medication profile included Eliquis 2.5 mg tablet -Instructions: 1 tablet oral twice a day; however, intervention for bleeding precautions were not included in the POC. In addition, in RRNVH#1, that the medication profile included Xarelto 20 mg tablet Instructions: 1 TABLET ORAL DAILY; however, goals for bleeding, precautions were not included in the POC. These findings were reviewed and discussed with the DON. Observed in Record Review. In 1 of 12 patient records reviewed, the agency failed to ensure that the medication orders obtained. For example, in RRNHV#5 Hydrocodone/apap 5/325mg 1 tablet oral every 6-8 hours as needed for pain was included in the admission assessment nursing note; however it was omitted from the medication profile. This was reviewed and discussed with the DON.”
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Content of plan of care (42 CFR 418.56(c)(3))
“Observed in Record Review. In 2 of 12 patient records reviewed, the agency failed to address a high-risk medication in the plan of care and failed to demonstrate safe management/education/monitoring related to anticoagulant therapy. For example, the hospice survey observed, in RRHV#3, the medication profile included Eliquis 2.5 mg tablet -Instructions: 1 tablet oral twice a day; however, interventions for bleeding precautions were not included in the POC.”
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Content (42 CFR 418.104(a)(3))
“Observed in Record Review. In 12 of 12 patient records reviewed, the nurse surveyor noted that the IDG nursing summaries were not incorporated into the patient’s clinal records; however, the documentation was retained in a binder. For example, this was identified in all patient records reviewed, HOS RRVH#1,HOS RRVH#2,, HOS RRVH#3, HOS RRNVH#1, HOS RRNVH#2, HOS RRNVH#3, HOS RRNVH#4, HOS RRNVH#5, HOS RRNVH#6, HOS RRNVH#7, RRDC#1 and RRDC#2 . This was reviewed and discussed with the DON.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 29, 2026 | Reaccreditation inspection by The Joint Commission | 4 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 4, 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): 6 nurse care minutes per routine home care day, 4.9% 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): 100% at home.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 6.0 min |
| Skilled nursing minutes at weekends | 4.9% |
| Visits near death | 100.0% of patients who died |
Who owns it?
- 11 owners or officers are people: Antonio Arredondo (owns 5% or more directly, 100%); Arturo Ramos (corporate director, 50%); Arturo Ramos (runs it (operational or managerial control), 50%); Antonio Arredondo (corporate director, 50%); Roberta L Reyes (corporate director, 25%); Roberta L Reyes (runs it (operational or managerial control), 25%); Jorge Saenz (managing employee (on the payroll), 25%); Jorge Saenz (runs it (operational or managerial control), 25%); Linda D Nunez (corporate director, 25%); Linda D Nunez (runs it (operational or managerial control), 25%); Antonio Arredondo (runs it (operational or managerial control)).
- 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).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 9.5% 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 | 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 43 hospices CMS’s data show serving patients in ZIP code 78596, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5.5; this one had 4.
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 |
|---|---|
| United Hospice Care Services LLC | 11 |
| Lynncare Hospice Services LLC | 7 |
| Sj Hospice Services LLC | 9 |
| A Healing Touch Hospice | 6 |
| Angel Wings Hospice Services LLC | 9 |
| Ims Home Health & Hospice Care, Inc. | 4 |
| Maximum Quality Hospice LLC This hospice | 4 |
| 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 |
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.