Hearth Record

Lonestar Legacy Hospice LLC

A hospice in El Paso, Texas 79924

9206 Mccombs Street Suite 33, El Paso, Texas 79924. (915) 218-5876.

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 Mar 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 28 hospices serving ZIP code 79924 had 2.

The last inspection on record was on Mar 26, 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 Mar 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.

Mar 26, 2025: initial inspection by the Community Health Accreditation Partner1 deficiency

  • Discharge or transfer of care (42 CFR 418.104(e)(1)(i))

    The inspectors’ words, 349 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 2 of 2 (100%) clinical records reviewed of patients who revoked the hospice benefit, revealed the agency did not ensure that the discharge summary was sent to the hospital when the patient transferred to a hospital for aggressive treatment. CLINICAL RECORD 4: The patient elected the hospice benefit on 11/08/2024. On 11/23/2024 the nurse completed the agency document titled “Discharge Summary Live” that was signed by registered nurse (RN), that stated, “discharge to a hospital for aggressive treatment. Patient was admitted to the hospital revoked the hospice benefit.” The “Discharge - Live” document included a summary of the patient’s care while on hospice and included documentation of the patient’s medications, treatments/symptom management and orders, however it was not sent. There was no documented evidence that the discharge summary was sent to the hospital where the patient was transferred for treatment. CLINICAL RECORD 6: The patient elected the hospice benefit on 02/28/2025. On 03/20/2025. the nurse completed the agency document titled “Discharge Summary Live” that was signed by registered nurse (RN), that stated, “discharge to a hospital for aggressive treatment. Patient was admitted to the hospital revoked the hospice benefit.” The “Discharge - Live” document included a summary of the patient’s care while on hospice and included documentation of the patient’s medications, treatments/symptom management and orders, however it was not sent. There was no documented evidence that the discharge summary was sent to the hospital where the patient was transferred for treatment. In an interview and a joint review of clinical records with the Alt Director of Nursing (Personnel Record 2), it was confirmed that the “Discharge summary was completed and there was no documentation in the clinical record that this form was sent to the hospital where the patients were admitted for care.”

    Rule L0682. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Mar 26, 2025Initial inspection by the Community Health Accreditation Partner1 deficiency cited

Is it certified?

  • Medicare-certified hospice since Apr 7, 2025.
  • 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?

  • 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?

  • 6 owners or officers are people: Cristal Coker (managing employee (on the payroll), 100%); David Garcia (owns 5% or more directly, 20%); Cristal Coker (owns 5% or more directly, 20%); Maribel Araiza (owns 5% or more directly, 20%); Daisy Guynes (owns 5% or more directly, 20%); Pablo Garcia (owns 5% or more directly, 20%).
  • 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 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 28 hospices CMS’s data show serving patients in ZIP code 79924, 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 28 hospices CMS lists serving ZIP code 79924
PlaceDeficiencies, 3 years
Lonestar Legacy Hospice LLC 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
1st Choice Home Health7

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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