Generous Home Care Management, LLC

Currently servicing Regions 8 and 11 in Texas. Effective 4/30/18, servicing all Texas regions.



Our Philosophy of shared beliefs is the foundation of Generous Home Care Management, LLC. We believe in morals and acceptance of God. We believe healthcare must be transparent, safe, and responsible. We believe in our country, the United States of America, and its people. We believe that protecting life is the most important issue on earth. We believe obsession with money ends lives, directly and indirectly. We believe in safeguarding the integrity of healthcare professionals. We believe patients have rights and we implement those rights. We believe in connecting hands that need employment with hands that need support. We believe in the pro-life movement and agree with the “pro-life healthcare” philosophy of the Hospice Patients Alliance and the Pro-life Healthcare Alliance. We believe our calling is to protect human life by working together. We believe this calling is given by our Heavenly Father.


Our mission is to restore the broken relationship between healthcare professionals and the community. We strive to protect patients from health care financial predators. We earn our reputation one patient and one home at a time.


We envision creating a transparent service that works for those facing illness. We envision protecting patients from political and health care systems that seek to minimize costs and maximize profits no matter the toll on human lives. We foresee a day when the United States of America will have a healthcare system that provides real care and support to patients and communities.




Hospice is a program of care and support for people who are terminally ill. The hospice team is composed of physicians and nurses, social workers and chaplains, therapists and volunteers who join in the effort to provide holistic care that helps a person with a terminal illness live a comfortable and dignified life. This professional group attends to the biological, psychological, sociological and spiritual needs of the person at the end of life and his or her family members. This end-of-life care includes adequate pain management, relief from uncomfortable symptoms, assistance coping with existential issues and addressing social concerns. A physician must certify that the patient is terminally ill with a six-month or less life expectancy if the disease takes its normal course. The patient and or family must be aware of the prognosis and elect palliative comfort care rather than active curative interventions.


Home Health Care focuses on the patient’s recovery. Knowledge is crucial to protect one’s health. Therefore it is our responsibility to educate the patient and/or the patient’s caregiver(s) about the patient’s health and matters that can cause him or her harm. Details matter. The more patients and caregivers know, the more tools they will have to protect themselves and others.


Our Philosophy is the primary reason that you will find yourself comfortable with our services. We are about service that is transparent and free of fraud. We seek to safeguard our patients’ well being and lives by serving them responsibly. We believe in a health care system that allows the voice of the patient to be heard. We strongly believe words such as “compassion” and “high quality service” cannot be used by an organization until such words are earned by the service it provides to patients and their families.


Nursing Services: We provide a wide range of skilled nursing procedures and interventions to meet the health care needs of our patients. We work side by side with physicians to provide optimum care, including evaluation, direct service, patient education, and consultation service.


Medical Social Worker: The social worker coordinates with the physician and nursing agency to help patients obtain community resources that assist with housing, medications, food, and security; and assists with advance directives for health care and other legal documents.


Physical Therapy/Occupational Therapy: Therapists evaluate and treat patients who have muscular and joint deficiencies from surgical procedures, stroke, falls, or generalized weakness. They provide evaluation, direct service, exercise instruction, and/or consultation service.


Speech Therapy: The therapist provides evaluation, direct service, language instruction, and/or consultation service. They provide assistance with speech difficulty related to recent trauma or lesion.


Nutritional Counseling: A registered nurse (RN) or dietitian provides direct services. Home Health Aide: Aides provide services related to personal care and specific tasks assigned and directed under the supervision of an RN. They also provide services related to extension of therapy to patients under the supervision of a registered therapist.




  1. Do Not Resuscitate (DNR) order: The patient has the right to choose either a DNR order or full code. Patients have the right to call 911 and use hospital systems. Education on advance directives for health care is common practice for our clinicians. We make certain that no patient/family is placed under pressure regarding these serious life decisions. We believe education about the Patient Bill of Rights is essential in order to keep patients safe.


  1. We provide intravenous (IV) hydration in home settings if indicated by the patient’s plan of care. (Note: the Generous team and family/patient/caregiver work together in these circumstances.)


  1. Generous provides assistance with tube feedings if indicated. We support patients with a terminal diagnosis. We do not hasten the end of life. We do not perform euthanasia. We do not agree with any organization (such as Compassion & Choices, formerly known as the Hemlock Society) that promotes euthanasia and/or assisted suicide. We oppose laws, such as Oregon’s “Death with Dignity Act,” which permit doctors to provide patients with drugs to kill themselves.




Generous is pioneering how service works–efficiently, safely, and transparently. Generous brings together clinicians who agree with our Philosophy, since we have found our Philosophy to be the most important piece of this new movement. We have already seen results in improved quality of care. Quality service is our focus and is measured by performance. For example, nurses are not overloaded with work, so we have very little nurse turnover. This improves quality because it results in consistency of care and improved communication with patients and families and between team members. We have found that including the patient and family in all aspects of their care, listening to their suggestions for improving our services, and asking them to rate our performance, keeps our organization on the right path. We welcome both positive and negative comments as a way to assess our service and improve our performance. This helps us continually shape how we make our service work for many people.




The health care system, in general, is no longer safe, particularly for patients who are “devalued”–mentally or physically disabled, chronically ill, incurable, elderly, or poor. Healthcare has become an industry controlled by aggressive business and financial decisions made for merging health care groups. As a result, physicians, nurses, and other health care providers are pressured to serve business interests even when these conflict with patients’ interests. They are often misled about what is ethical and moral. Those health care providers who disagree with practices that endanger patients’ lives are unable to speak up.


Some healthcare providers are motivated by financial compensation rather than patient welfare. Generous coined the term “health care predators” to describe providers who act in this way.


  • It is essential to understand the Patient Bill of Rights, which spells out a patient’s rights such as the right to accurate information, the right to emergency services, the right to complain, the right to respect, etc.
  • Read the organization philosophy and do not be afraid to ask uncomfortable questions.
  • If in a hospital setting, ask for a list of options, pay attention to attitudes and to any high-pressure push for a decision on your behalf.
  • With the exception of the person (agent) you appointed in your Durable Power of Attorney for Healthcare, absolutely do not allow others to decide for you in matters of health care.
  • If you have been given a terminal diagnosis, research the disease and obtain full records.
  • Do not lose hope no matter how others view your circumstances. Health care predators often play on a patient’s loss of hope to the patient’s disadvantage.
  • Understand that hospice is a service which is only to assist patients facing terminal illness.
  • If the philosophy of a hospice or home health care agency doesn’t sound right, that’s because it’s not right.
  • Avoid agencies that use the term “empowering physicians.” Empowering is a word commonly used among health care predators.

Contact information:

Jose Aguilar, RN, President and Administrator

Generous Home Care Management, LLC

8600 Wurzbach Road, Ste. 802

San Antonio, TX 78240

Phone: (210) 239-5056

Fax: (210) 267-9011