Primary Home Health
A home health agency in Manor, Texas 78653
13419 Us Hwy 290 E Bldg 11, Unit B, Manor, Texas 78653. (210) 384-1123.
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The short answer
Record last released by CMS on Oct 21, 2026.
- Not rated quality of patient care rating
- Not rated patient survey rating
- 1 deficiencies cited in the last three years
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?
The last inspection on record was on Jun 10, 2026: a recertification inspection.
1 deficiency cited in the last three years.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Jun 2026. Most serious: Standard-level. The last 3 years, to Oct 24, 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 home health inspection reports. Released Oct 20, 2026. Updated monthly.
Jun 10, 2026: recertification inspection1 deficiency
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Performance Improvement Projects
The inspectors’ words, 537 words
“Performance improvement projects CFR(s): 484.65(d)(1)(2) Standard: Performance improvement projects. Beginning July 13, 2018 HHAs must conduct performance improvement projects. (1) The number and scope of distinct improvement projects conducted annually must reflect the scope, complexity, and past performance of the HHA’s services and operations. (2) The HHA must document the quality improvement projects undertaken, the reasons for conducting these projects, and the measurable progress achieved on these projects. This Standard is not met as evidenced by: Based on record review and interview, the agency failed to have a performance improvement project, either in development, on-going, or completed, within the calendar year in 3 (2023, 2024, and 2025) of 3 years reviewed. Failure of the agency to complete a performance improvement project resulted in a missed opportunity to improve upon an area of weakness and improve agency functioning and patient care. Findings included: Per record review of the agency’s QAPI binder for years 2023, 2024 and 2025 there was no documentation found of any performance improvement projects outlining steps planned for improvement, goals, or evaluation criteria. In an interview with the Administrator and Office Manager on 6/9/2026 at 12:45 PM, the Administrator and Office Manager were asked what the agency’s performance improvement projects were for the years under review (2023, 2024 and 2025), and Administrator and Office Manager were unsure what was being asked. Surveyor explained in the QAPI binder provided by the agency, the surveyor was able to see the quarterly meetings conducted by the agency, but there was no documentation for any completed, ongoing or in development performance improvement projects. Surveyor asked if they had any documentation showing these activities and the Office Manager stated they were unsure when it became a requirement for performance improvement projects. The Surveyor reviewed the State Operation Manual, Appendix B (https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_b_hha.pdf) under G658 (Rev. 219; Issued: 04-12-24; Effective: 04-12-24; Implementation: 04-12-24) §484.65(d) Standard: Performance improvement projects which read in part “Beginning January 13, 2018 HHAs must conduct performance improvement projects.” The Administrator and Office Manager were unable to provide documentation which supported the quality improvement projects undertaken, reasons the projects were conducted, and the measurable progress achieved on these projects. The Surveyor asked whose responsibility it was to ensure the performance improvement projects were completed, and the Administrator stated it was the administrator’s responsibility. Surveyor asked why it was important to patient care to have yearly performance improvement projects, and the Administrator stated it was “important to identify issues that the agency was having and work on it and then go back to check on what was done had any measurable effect.” Review of Agency’s Administrative Policy (copyright 2014) under section 8.6 “Quality Assessment and Performance Improvement Initiatives” reads in part “As an Agency seeking to provide the highest quality of care and customer satisfaction, we must effectively design a quality improvement program that systematically measures, assesses and improves the performance of the quality of care and services provided by the agency. The design emphasizes the importance of the Agency affecting its best efforts to create appropriate processes and functions required to achieve improved client health outcomes and customer satisfactions.” Further review of the Agency’s Administrative Policy (copyright 2014) did not reveal any specific policy outlining performance improvement project requirements.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 10, 2026 | Recertification inspection | 1 deficiency cited |
Is it certified?
- Medicare-certified home health agency since Oct 13, 2011.
- Ownership: proprietary (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 on record in the last three years.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.
Who does the caring?
- Offers nursing care, physical therapy, occupational therapy and speech pathology.
- Doesn’t offer medical social services and home health aide services.
- CMS doesn’t publish staffing levels for home health agencies.
CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
Who owns it?
- 4 owners or officers are people: Spencer Clark (owns 5% or more directly, 100%); Spencer Clark (corporate officer, 100%); Spencer Clark (corporate director, 100%); Spencer Clark (managing employee (on the payroll), 100%).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Home Health Agency All Owners and Home Health Agency Enrollments. Released Sep 29, 2026. Updated quarterly.
How do patients fare?
- CMS gives no CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “The number of patient episodes for this measure is too small to report.”
- CMS gives no CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “No survey results are available for this period.”
CMS, Home Health Care Agencies and Home Health Patient Survey. Released Oct 21, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Quality of patient care ratingCMS star rating, 1 to 5 in half stars | Not rated |
| Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 5 | Not rated |
How does it compare nearby?
- CMS gives this agency no quality of patient care rating to compare.
CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.
| Place | Quality rating |
|---|---|
| Primary Home Health This home health agency | Not given |
| Hana Care Texas | 1.5 |
| Progressive Home Health Agency | 4.5 |
| Home Care Providers of Texas | 2 |
| Resource Care Corporation | 1 |
| Centerwell Home Health | 4.5 |
| Vitalcaring Group | 4 |
| Elara Caring | 4.5 |
| Bellcoa Home Health Service Inc. | 3.5 |
| Coastal Staff Relief Inc. | 3 |
| Cc Home Health Central, Inc. | 2 |
| Adaptive Home Health | 4 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- QCOR says some of its home health reports are accurate or available only through May 19, 2021, because of a systems migration.
- Many home health agencies are inspected by a private accrediting organisation instead of the state, and QCOR’s home health file doesn’t appear to include those inspections: no inspection on record here doesn’t mean none took place.
Sources
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Centers for Medicare & Medicaid Services, Home Health Care Agencies (6jpm-sxkc).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Patient Survey (ccn4-8vby).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR home health inspection reports (HHA_2567s_2018_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 24, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency All Owners (fc009b2d-7846-44b1-b4a1-692f0c143879).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health Agency Enrollments (15f64ab4-3172-4a27-b589-ebd67a6d28aa).
Released Sep 29, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Home Health ZIP Codes (m5eg-upu5).
Released Oct 21, 2026 and checked Oct 24, 2026. Updated quarterly. Public domain (U.S. Government work).
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This copy of the record was made on Oct 24, 2026.
From the agency
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Replies
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Paid listing
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