Hearth Record

Heavenly Health Care

A hospice in Mission, Texas 78572

1506 E Griffin Parkway Ste B, Mission, Texas 78572. (956) 271-4755.

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 6 deficiencies in 1 month of the last 36. Last cited Aug 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?

6 deficiencies cited in the last three years

The middle of the 49 hospices serving ZIP code 78572 had 6.

The last inspection on record was on Jun 18, 2026: a complaint 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

6 deficiencies in 1 month of the last 36. Last cited Aug 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

6 deficiencies 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 7, 2025: reaccreditation inspection by The Joint Commission6 deficiencies

  • EP Testing Requirements (42 CFR 418.113(d)(2))

    “Observed in Environment of Care Session. During the Emergency Management session for the Hospice program, it was noted that the organization did not activate its Emergency Operations plan during the year 2024 in response to either an actual emergency or as a planned exercise. This observation was reviewed with the agency leadership team.”

    Rule E0039. Standard-level.

  • Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))

    “Observed in Record Review. In 1 of 2 discharged records reviewed, it was noted that the patient’s right to be notified when Medicare covered services were ending and the right to appeal the decision was not implemented. For example, a review of the medical record for HosRRDC#2, revealed no documented evidence that a Notice of Medicare Non-Coverage form was completed prior to the patient being discharged from Hospice services. This observation was reviewed with the agency leadership team.”

    Rule L0505. Standard-level.

  • Content of comprehensive assessment (42 CFR 418.54(c)(7))

    “Observed in Record Review. In 4 of 10 patient records reviewed, it was noted that the organization did not ensure all requirements related to a comprehensive assessment were implemented. For example, during a review of the medical record(s) for HosRRHV#3, HosRRNHV#2, HosRRNHV#3, and HosRRNHV#4, it was noted that the comprehensive assessment did not include the initial bereavement risk assessment. This observation was reviewed with the agency leadership team.”

    Rule L0531. Standard-level.

  • Content of plan of care (42 CFR 418.56(c)(4))

    “Observed in Record Review. In 6 of 10 patient records reviewed, it was noted that the organization did not ensure medication orders were clear and accurate. For example, during a review of the medical record(s) for HosRRHV#1, HosRRHV#2, HosRRHV#3, and HosRRNHV#4, HosRRNHV#5, and HosRRNHV#6, the following order was noted: Oxygen, 2-5 lpm Inhale prn, daily as needed, shortness of breath, O2 below 90%. The order did not include the device for oxygen administration. This observation was reviewed with the agency leadership team.”

    Rule L0549. Standard-level.

  • Initial certification of terminal illness (42 CFR 418.102(b))

    The inspectors’ words, 138 words

    “Observed in Record Review. In 5 of 10 patient records reviewed, the organization did not ensure its policy titled Certification of Terminal Illness was implemented. For example, a review of the Certification of Terminal Illness statement(s) for benefit period #1, for HosRRNHV#2, and HosRRNHV#4, and HosRRNHV#7, revealed that the Certifying Physician Summary did not document clinical information to support the medical prognosis and support for certification of hospice services. This area of the document was left blank. Example #2: A review of the Certification of Terminal Illness statement(s) for benefit period #1, and benefit period #2, for HosRRNHV#3, and HosRRNHV#6, revealed that the Certifying Physician Summary did not document clinical information to support the medical prognosis and support for certification of hospice services. This area of the document was left blank. This observation was reviewed with agency leadership.”

    Rule L0667. Standard-level.

  • Authentication (42 CFR 418.104(b))

    “Observed in Record Review. In 1 of 10 patient records reviewed, it was noted that the organization did not implement its policy related to entries in the medical record. For example, during the review of the medical record for HosRRHV#2, it was noted that 9 weeks after the start of care date the Physician’s signature line on the Certification of Terminal Illness statement for benefit period #1, did not include a signature and date. This observation was reviewed with the agency leadership team.”

    Rule L0679. Standard-level.

All 3 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Jun 18, 2026Complaint inspection by the stateNo deficiencies cited
Sep 24, 2025Follow-up inspection by The Joint CommissionNo deficiencies cited
Aug 7, 2025Reaccreditation inspection by The Joint Commission6 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Sep 15, 2023.
  • CMS doesn’t list its type of ownership.
  • 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): 10.8 nurse care minutes per routine home care day, 18.1% of skilled nursing minutes at weekends and a visit near death for 76.9% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 43% at home, 52% in assisted living, 4% in a skilled nursing facility.
Source:

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

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day10.8 min
Skilled nursing minutes at weekends18.1%
Visits near death76.9% of patients who died

Who owns it?

  • 3 owners or officers are people: Nora Elizabeth Shah (owns 5% or more directly, 65%); Grecia Padilla (owns 5% or more directly, 35%); Grecia Padilla (managing employee (on the payroll), 35%).
  • 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.

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).
  • 87.84% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025).
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 49 hospices CMS’s data show serving patients in ZIP code 78572, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 6.
Source:

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

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

The 49 hospices CMS lists serving ZIP code 78572
PlaceDeficiencies, 3 years
Hospice Compassionate Care Services LLC5
Heavenly Health Care This hospice6
High Point Hospice6
Gentiva0
Bristol Hospice - North Central Texas11
Legacy Home Health Agency Inc.Not given
Iph Hospice Care Inc.2
Greater Valley Hospice Alliance, LP15
Caring Hearts of Texas4
Allstate Hospice LLC5
Atex Hospice2
Amara Hospice3

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.

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