Gentiva
A hospice in Brownwood, Texas 76801
2400 Crockett Drive Suite 300, Brownwood, Texas 76801. (325) 643-5718.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 7 deficiencies cited in the last three years
- Not rated family caregiver rating
- 10of 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?
7 deficiencies cited in the last three years
The middle of the 9 hospices serving ZIP code 76801 had 5.
The last inspection on record was on Feb 6, 2026: a reaccreditation inspection by the Accreditation Commission for Health Care.
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
7 deficiencies in 1 month of the last 36. Last cited Feb 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.
Feb 6, 2026: reaccreditation inspection by the Accreditation Commission for Health Care7 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 121 words
“Upon patient record review, 1 of 14 (Patient #2) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient#2: Upon review it was noted that the agency medication record did not match the SNF MAR. Both contained Breztri aerosphere inhalation 160-9-4.8. However, the agency medication record indicates the medication is administered 2 puffs twice a day. The facility MAR list this medication to be administered 1 puff daily.”
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Approach to service delivery (42 CFR 418.56(a)(1))
The inspectors’ words, 199 words
“Upon patient record review, 3 of 14 (Patient #1,#2,#6) did not have evidence that a Registered Nurse is designated to ensure continuous assessment of the patient and family’s needs and to coordinate activities with other members of the interdisciplinary group (IDG). The IDG must work together and is responsible for supervision of the care and service for each patient and family. Patient#1: Upon record review, it is documented that patient had a wound to left heel from 7/23/24 until 9/10/24. There is no evidence of wound measurements the week of 8 /18, 8/25, 9/1/24. It is the policy of the agency for wound measurements to be completed weekly. Patient#2: Upon record review, it is documented that patient had a wound to buttocks from 5/16/25 until 6/24/25. There is no evidence of measurements for this wound the week of 5/18/25, 5/25, or 6/8. It is the policy of the agency for wound measurements to be completed weekly. Patient#6: Upon record review, it is documented that the aide reports noting a spot to the patients left big toe. She also notes that the facility LVN stated this was new. There is no evidence of any follow up that this was addressed.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 104 words
“Upon patient record review, 1 of 14 (Patient #8) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient#8: Pre-bereavement risk assessment was completed by the MSW on 11/12/25 was scored as high. No evidence that the bereavement care plan was updated to reflect the caregivers needs.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 111 words
“Upon client record review, 1 of 14 (Patient #2) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient#2: Upon review it is documented that volunteer plan of care was to begin on 3/12/25 1 x week tuck in calls. There are missed visit notes in the record for 3/21/25, 3/28, 4/5, and 4/11 stating visit missed due to volunteer unavailable. No evidence that the visits were missed due to patient/caregiver refusal or that an order was placed to change the visit frequency for the week. This patient was a home patient at the time of these visits.”
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Coordination of services (42 CFR 418.56(e)(3))
“Upon patient record review 1 of 14 (Patient #8) did not have evidence that the IDG ensures that the care and services provided are based on all assessments of the patient and family needs. Patient#8: Pre-bereavement risk assessment was completed by the MSW on 11/12/25 was scored as high. No evidence that a follow-up was completed or that anything was done to start supporting the high risk person at the time that the need was identified.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 197 words
“Upon patient record review, 1 of 14 (Patient #5) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient#5:Upon record review, the aide plan of care indicates patient to get a shower at each visit. Aide documents on 1/15/25, 1/20, 1/22, 1/29, and 2/3 that patient refused the shower. The aide documents that she contacted the RN and received verbal to give a bed bath which the patient accepted. There is no evidence that the RN followed up to address the patient needs and update the plan of care appropriately.”
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Level of activity (42 CFR 418.78(e))
“Upon observation, there was no evidence the annual report documents the use of volunteers providing day to day administrative and/or direct patient care services in an amount that, at a minimum, equals 5 percent of the total patient care hours of all paid hospice employees and contract personnel. The agency had a volunteer utilization rate of 2.6% for 2025.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 6, 2026 | Reaccreditation inspection by the Accreditation Commission for Health Care | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jul 25, 2001.
- Ownership: 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 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): 12.1 nurse care minutes per routine home care day, 7.8% of skilled nursing minutes at weekends and a visit near death for 92.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 61% at home, 4% in assisted living, 29% in a nursing facility, 6% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.1 min |
| Skilled nursing minutes at weekends | 7.8% |
| Visits near death | 92.1% of patients who died |
Who owns it?
- Odyssey Healthcare LP, LLC owns 99% directly since Jul 16, 2023; Odyssey Healthcare Gp, LLC owns 1% directly since Feb 1, 2016.
- 7 owners or officers are people: Ronald C Lazas (corporate officer, 0%); David Robinson Arnold (corporate officer, 0%); David Robinson Arnold (runs it (operational or managerial control), 0%); Yvonne Castillo (managing employee (on the payroll), 0%); Thomas Joseph Dolan (corporate officer, 0%); David Allen Causby (corporate officer, 0%); Janet L Combs (corporate officer, 0%).
- 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 |
|---|---|---|---|
| Ch Services Midco Holdings Inc. | Owns 5% or more through other companies | 100% | Feb 5, 2015 |
| Curo Health Services Holdings, Inc. | Owns 5% or more through other companies | 100% | Jun 6, 2014 |
| Odyssey Healthcare Inc. | Owns 5% or more through other companies | 100% | Jul 1, 2001 |
| Charlotte Midco, LLC | Owns 5% or more through other companies | 100% | Aug 11, 2022 |
| Falcon Hospice, LP | Owns 5% or more through other companies | 100% | Aug 11, 2022 |
| Charlotte Buyer, Inc. | Owns 5% or more through other companies | 100% | Jul 11, 2018 |
| Curo Health Services LLC | Owns 5% or more through other companies | 100% | Jul 11, 2018 |
| Odyssey Healthcare Holding Company | Owns 5% or more through other companies | 100% | Jul 1, 2001 |
| Kah Hospice Company, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Ch Services Group Holdings Inc. | Owns 5% or more through other companies | 100% | Feb 5, 2015 |
| Ch Services Holdings Inc. | Owns 5% or more through other companies | 100% | Jun 6, 2014 |
| Odyssey Healthcare LP, LLC | Owns 5% or more directly | 99% | Jul 16, 2023 |
| Cd&r Falcon Holdings, LP | Owns 5% or more through other companies | 60% | Aug 11, 2022 |
| Kentucky Homecare Parent Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Kentucky Homecare Holdings, Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Humana Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Centerwell Health Services Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Odyssey Healthcare Gp, LLC | Owns 5% or more directly | 1% | Feb 1, 2016 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 88% rated it 9 or 10 out of 10, and 90% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 95.56% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 72.3% 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 | 10 of 10 |
How does it compare nearby?
- Of the 9 hospices CMS’s data show serving patients in ZIP code 76801, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 7.
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 |
|---|---|
| Gentiva This hospice | 7 |
| Hospice of Wichita Falls | 2 |
| Hospice of San Angelo | 5 |
| Cypress Basin Hospice Inc. | 5 |
| Solaris Hospice Inc. | 5 |
| Alpha Omega Hospice | 10 |
| Excelacare Hospice | 1 |
| Kinder Hearts Hospice | 0 |
| Coleman Home Health and Hospice Inc. | 0 |
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.