Hearth Record

Excelacare Hospice

A hospice in San Antonio, Texas 78228

4335 W Piedras Dr Ste 213b, San Antonio, Texas 78228. (682) 200-4311.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited Apr 2025. 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 117 hospices serving ZIP code 78228 had 4.

The last inspection on record was on Apr 23, 2025: an initial inspection by the Community Health Accreditation Partner.

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 Apr 2025. 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.

Apr 23, 2025: initial inspection by the Community Health Accreditation Partner1 deficiency

  • Content of comprehensive assessment (42 CFR 418.54(c)(6)(i))

    The inspectors’ words, 413 words

    “It is required that the documented comprehensive assessment includes a drug profile that contains the patient’s current prescription and over-the-counter (OTC) drugs, supplements; herbal remedies; [and] other alternative treatments that could affect drug therapy. The medication review process includes the identification of the following: the effectiveness of drug therapy; drug side effects; actual or potential drug interactions; duplicate drug therapy; [and] drug therapy associated with laboratory monitoring. The assessment includes evidence that common side effects of medication in the hospice populations are anticipated, and, as appropriate, preventive measures are implemented to manage the side effects. The drug profile is updated per the hospice policy and procedure, but, at minimum, at the time of each comprehensive assessment and/or when new medication is added or changes are made to existing medication. This standard was not met as evidenced by clinical record review, document review, and interview. Agency policy “ Drugs and Biologicals” (dated 06/17/2024) stated in part, “Medication records are established at time of admission and updated as needed. The medical record will contain a current medication list.” In 1 of 7 (14%) clinical records reviewed and home visits observed, the agency did not ensure that the initial comprehensive assessment included documentation of a drug profile that contained the patient’s current prescription and over-the-counter medications that could affect drug therapy. Clinical Record 1/Home Visit 1: The patient elected hospice care on 03/27/2025 with the diagnosis of chronic obstructive pulmonary disease (COPD). During a home visit with the Registered Nurse (RN) [Personnel Record 3] on 04/21/2025, a review of the patient’s medications with the patient’s daughter revealed the patient was using Xyzal 5mg, one (1) by mouth (PO) every night (hs), Prevagen, one (1) tab po daily, docusate 100mg, one (1) cap po 3 times a week, vitamin B 12, one (1) po daily, Areds, two (2) soft gels po AM and PM. The patient’s daughter stated in part that the patient is new to Xyzal, but had been taking the Prevagen, Areds, and vitamin B12 since before the hospice admission. The patient was seen weekly by the RN since admission to hospice services on 03/27/2025. The medication profile was not updated in accordance with the agency’s policy. There was no documented evidence that these medications were reviewed with the patient’s medication regimen. The Clinical Services Director, who was present during the home visit, confirmed that the medications were not on the medication profile and had not been reviewed as part of the patient’s medication regimen.”

    Rule L0530. Standard-level.

All 3 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Apr 23, 2025Initial inspection by the Community Health Accreditation Partner1 deficiency cited
Aug 16, 2024Complaint inspection by the stateNo deficiencies cited
Aug 13, 2024Complaint inspection by the stateNo deficiencies cited

Is it certified?

  • Medicare-certified hospice since Jul 28, 2021.
  • 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?

  • CMS hasn’t published nursing time from Medicare claims for this hospice.
Source:

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

Who owns it?

  • Echo West LLC owns 100% directly since Dec 14, 2023.
  • 17 owners or officers are people: Donnie Maberry (runs it (operational or managerial control), 100%); Donnie Maberry (owns 5% or more through other companies, 50%); Camille Brianne Neece (owns 5% or more through other companies, 25%); Camille Brianne Neece (other role (CMS gives no detail), 25%); Anna Elizabeth Durbin (owns 5% or more through other companies, 25%); Brett Nicole Gaines (owns 5% or more through other companies, 25%); Brett Nicole Gaines (other role (CMS gives no detail), 25%); Alexandra Anne Durbin (owns 5% or more through other companies, 25%); Alexandra Anne Durbin (other role (CMS gives no detail), 25%); Beth Ford (managing employee (on the payroll), 0%); Jesus S Gallegos (managing employee (on the payroll)); Rachael Nicki Green (managing employee (on the payroll), 0%); Kashaunna Lopez (managing employee (on the payroll), 0%); Brooke Scheetz (managing employee (on the payroll), 0%); Brandi Larson (managing employee (on the payroll), 0%); Kimberly Barnett (managing employee (on the payroll), 0%); Katie Walker (managing employee (on the payroll)).
  • 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
Excelacare Capital CorporationOwns 5% or more through other companies100%Jun 30, 2022
Excelacare Hospice of Texas, LLCOwns 5% or more through other companies100%Jun 29, 2022
Excela Holdings, LLCOwns 5% or more through other companies100%Jul 26, 2022
Echo West LLCOwns 5% or more directly100%Dec 14, 2023
Point 83 Holdings, LLCOwns 5% or more through other companies100%Mar 5, 2024
Seven Eleven 99 LLCOwns 5% or more through other companies50%Mar 3, 2020
Seven Eleven TrustOwns 5% or more through other companies25%Jul 25, 2020

What do families say?

  • CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
  • CMS gives no Hospice Care Index for this hospice.
Source:

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

How does it compare nearby?

  • Of the 117 hospices CMS’s data show serving patients in ZIP code 78228, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; 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 117 hospices CMS lists serving ZIP code 78228
PlaceDeficiencies, 3 years
Gentiva10
Embrace Hospice14
American Medical Hospice & Palliative Care21
Klarus Hospice0
Excelacare Hospice0
Nightingale Hospice Care, Inc.12
Canyon Home Care & Hospice4
Excelacare Hospice This hospice1
Pacific Hospice and Palliative Care, LLC10
Arms of Compassion Hospice Care18
All Faith Hospice Care, Inc.8
Christus VNA Hospice San Antonio0

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

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

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