Harbor Hospice of North Missouri, LP
A hospice in Plattsburg, Missouri 64477
208 North Main Street, Plattsburg, Missouri 64477. (816) 601-1512.
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The short answer
Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.
- 6 deficiencies cited in the last three years
- Not rated family caregiver rating
- 9of 10 CMS’s Hospice Care Index
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 19 hospices serving ZIP code 64477 had 7.
The last inspection on record was on Jun 4, 2026: a reaccreditation inspection by The Joint Commission.
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 Jun 2026. Most serious: Standard-level. The last 3 years, to Oct 27, 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 hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Jun 4, 2026: reaccreditation inspection by The Joint Commission6 deficiencies
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Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))
“Observed in Record Review. In 1 of 2 patient records reviewed, for live discharge records, it was noted by the nurse surveyor that the patient/patient’s representative was not issued a correctly filled out Notice of Medicare Non-coverage (NOMNC) at least two days prior to discharge as required. For HOSRRDC#1, the signed NOMNC did not include the patient’s name, medical record number, or expected date of discharge as required. Findings were discussed with the Administrator/Volunteer Coordinator, DON, and Director of the Independence Missouri Office.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 122 words
“Observed in Record Review. In 10 of 10 patient records reviewed, for all active records, the nurse surveyor noted that the goals were not measurable or individualized. For example, “Patient will be able to eat/drink to her satisfaction,” Anxiety /agitation controlled through course of care”, and “Family/caregiver verbalize/demonstrate measures to achieve optimum comfort level.” There were no short-term goals at start of care to address issues of immediate needs such as understanding medication management, symptom management, pain management, or safety. Additionally, time frames for completion were set for the certification cycle and goals were not updated when the patient’s condition changed or goals were met. Finding was discussed with the Administrator/ Volunteer Coordinator, DON, and the Director of the Independence Missouri Office.”
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Competency evaluation (42 CFR 418.76(c)(1))
“Observed in HR File Review. In 2 of 2 HR files reviewed, for Hospice Aides, it was noted by the nurse surveyor that there was no documentation to support that Hospice Aide Staff, HOSRRHR#4 and HOSRRHR#5 had been checked off on the required initial competencies at time of hire. Findings were verified with Finding was verified by the Administrator/ Volunteer Coordinator, DON, and the Administrator of the Independence Office.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 271 words
“Observed in Patient Home. In 3 of 10 patient records reviewed, for active patients, it was noted by the nurse surveyor that the hospice aide care plan did not contain all the necessary or current information. For HOSRRHV#2, the patient has an order for PRN oxygen, however, the hospice aide care plan did not have any information regarding what the hospice aide was supposed to do with the oxygen during the patient’s bath should she have her oxygen on. The patient’s ambulatory status has changed, and the HHA care plan has not been updated to the change in the patient’s mobility. Additionally, there is no instruction to notify the nurse for a change in the patient’s condition. For HOSRRHV#3, as the patient’s condition has declined over the past few months, so has his mobility yet his HHA care plan has not been updated. He is now chair/wheelchair bound with mechanically assisted transfers with the assist of two, His care plan still has ambulate with assistance. Additionally, there is no instruction to notify the nurse for a change in the patient’s condition. For HOSRRNHV#1, the patient was on a ventilator with continuous oxygen, and had a feeding tube, there were no instructions on the aide care plan as to how the hospice aide should handle these devices. Additionally, the patient had developed a pressure ulcer on his ear, and the care plan was not updated to include instructions for the aide. There also were no instructions for the aide to notify the nurse for a change in condition. Findings were verified by the Administrator, DON, and the Administrator of the Independence location.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2)(ii))
The inspectors’ words, 109 words
“Observed in Patient Home. In 1 of 2 home visits conducted, for patients with the hospice aide, the nurse surveyor noted that care was not provided according to the hospice aide plan of care. HOSRRHV#3, the Home Health Aide Care Plan indicated that the hospice aide was to provide sit to stand assistance (with two people if necessary). During the home health aide visit, two hospice aides provided the care, and they used a “sit to stand lift” to transfer the patient from his chair to the wheelchair, and then to the shower chair. Findings were verified by the Director of Nursing who was present on the home visit.”
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Level of activity (42 CFR 418.78(e))
“Observed in Tracer Activities. It was noted by the nurse surveyor that volunteers did not provide at least 5% of the total patient care hours of all paid hospice employees and contract staff for 2024, 2025, and year to date 2026. Percent of volunteer hours worked were 4.08% for 2024, 1.58% for 2025, and 0.34% for 2026 year to date. Finding was verified by the Administrator/ Volunteer Coordinator, DON, and the Director of the Independence Missouri Office.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 4, 2026 | Reaccreditation inspection by The Joint Commission | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Apr 24, 2023.
- CMS doesn’t list its type of ownership.
- 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 or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
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.
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): 18.5 nurse care minutes per routine home care day, 4.3% of skilled nursing minutes at weekends and a visit near death for 94.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 68% at home, 7% in assisted living, 25% in a nursing facility, 1% in a hospital.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 18.5 min |
| Skilled nursing minutes at weekends | 4.3% |
| Visits near death | 94.2% of patients who died |
Who owns it?
- 5 owners or officers are people: Qamar U Arfeen (owns 5% or more through other companies, 50%); Kelley L Arfeen (owns 5% or more through other companies, 50%); Karen Carter (managing employee (on the payroll)); Qamar U Arfeen (corporate officer); Pamela Thompson (managing employee (on the payroll)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Arfeen Properties, L.P. | Limited partner | 99% | May 3, 2021 |
| Hhcs Managers LLC | General partner | 1% | May 3, 2021 |
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: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 91.98% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 46.9% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | Not 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 threshold | 9 of 10 |
How does it compare nearby?
- Of the 19 hospices CMS’s data show serving patients in ZIP code 64477, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 6.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| Harbor Hospice of North Missouri, LP This hospice | 6 |
| Kansas City Hospice and Palliative Care | 10 |
| Saint Luke’s Hospice | 0 |
| Mosaic Life Care Hospice | 3 |
| Three Oaks Hospice | 3 |
| Comfort Care Hospice | 7 |
| Hospice Compassus-Central Missouri | 3 |
| Heartland Hospice (Kansas City) | 14 |
| Good Shepherd Hospice of Mid-America, Inc. | 16 |
| Elara Caring | 7 |
| Ascend Hospice | 2 |
| Three Rivers Hospice | 3 |
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
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Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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.
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.