Reliant at Home
A hospice in Shenandoah, Texas 77385
19221 I 45 S Ste 320, Shenandoah, Texas 77385. (936) 856-6888.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 8 deficiencies cited in the last three years
- 3of 5 family caregiver rating
- 9of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- 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.
- 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?
8 deficiencies cited in the last three years
The middle of the 50 hospices serving ZIP code 77385 had 6.
The last inspection on record was on Mar 20, 2025: 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
8 deficiencies in 1 month of the last 36. Last cited Mar 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
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.
Mar 20, 2025: reaccreditation inspection by the Accreditation Commission for Health Care8 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c))
“Upon patient record review 1 of 19 (Patient #14) did not have evidence in the patient record that the comprehensive assessment identifies the physical, psychosocial, emotional, and spiritual needs related to the terminal illness that must be addressed in order to promote the hospice patient’s well-being, comfort, and dignity throughout the dying process. Patient #14: There was no evidence of a psychosocial assessment.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 218 words
“Upon patient record review, 4 of 19 (Patient #1,2,3,4) 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 #1:The hospice medication profile indicated the patient was taking Omeprazole and Senna plus. The caregiver showed me the home medication list which indicated the patient was also receiving Atorvastatin, lisinopril, Clopidogrel, Levothyroxine, and ASA. Patient #2:The hospice medication profile indicated the patient was receiving Eliquis, Lasix, KCL and, Seroquel which was not on the facility medication profile. Additionally, The facility medication profile indicated the patient was receiving Lorazepam, Trazadone and Tylenol which was not on the hospice medication profile. Patient #3:The hospice medication profile indicated the patient was receiving Pantoprazole and Remeron which was not on the facility medication profile. Additionally, the facility medication profile indicated the patient was receiving Famotidine, Cholecalciferol which was not on the hospice medication profile. Patient #4: Trazadone was on the medication profile, but the caregiver stated the patient was not taking the medication and it is not in the home.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 148 words
“Upon client record review, 3 of 19 (Patient #1,#4,#6) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #1:The plan of care dated 2/19/25 indicated the nurse frequency was 1 every 2wk2, 1wk8. However, the patient received a visits on 2/25/25, 3/4 and 3/13 indicating the actual frequency was 1 x per week. Patient #4:The nurse frequency on the plan of care dated 2/11/25, indicated the frequency was 2wk1, and 1wk6, During the week beginning 2/23/25, there were 2 visits one on 2/25/25 by an RN and 2/27/25 by an LVN. Patient #6:The initial plan of care indicated nurse frequencies were 3wk1, 1wk12, On week 1, there were 2 visits on 12/30 and 1/2/25, and on the week of 1/26 - 2/1/25, there were no visits and no evidence of a missed visit note.”
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Prevention (42 CFR 418.60(a))
“Upon observation, there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. Patient #3: The RN used Walgreen’s 70% Isopropyl Alcohol Wet Wipes to clean equipment. The directions indicated this was used for skin abrasions and not for equipment. The RN stated she bought these and I confirmed it was not supplied by the agency.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 103 words
“Upon patient record review 1 of 19 (Patient #5) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care Patient #5:The initial plan of care effective 02-10-25 showed the aide frequency was 2wk1, 3wk12. For the week of 2/9-2/15/25, there was 1 missed visit note for 2/13 and no evidence of a visit, indicating 1 visit in week 1. For the week of 2/16-2/22/25, there was a missed visit for 2/16, and 3 visits for the17th, 19th, and the 21st indicating 4 visits.”
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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 annual report documented 0 volunteer hours.”
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Authentication (42 CFR 418.104(b))
The inspectors’ words, 117 words
“Upon patient client record review, 3 of 19 (Patient #2, #6, #11) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #2:A supervisory assessment was completed by the RN on 11-12-24, but there was no aide visit until 11-13-24. Patient#6:An aide supervisory visit was completed by the RN on 2/14/25, 2/16/25, and 03/04/25, but the aide was discontinued on 02/05/25. Patient #11:An aide supervisory visit was completed on 03/10/25, but there was no aide assigned.”
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Hospice plan of care (42 CFR 418.112(d))
“Upon client record review, 1 of 19 (Patient #2) did not have evidence that a written hospice plan of care is established and maintained in consultation with SNF/NF or ICF/IID representatives. All hospice care provided is in accordance with this hospice plan of care. Patient #2:The plan of care dated 02-07-25 indicated nursing visits were 1q2wk2, 1wk12. Nursing visits were provided on 2/12, 2/20, 2/25 indicating 1 x per week.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 20, 2025 | Reaccreditation inspection by the Accreditation Commission for Health Care | 8 deficiencies cited |
| Dec 6, 2024 | Complaint inspection by the state | No deficiencies cited |
Is it certified?
- Medicare-certified hospice since Nov 29, 2005.
- 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): 13 nurse care minutes per routine home care day, 6% of skilled nursing minutes at weekends and a visit near death for 89.6% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 40% at home, 36% in assisted living, 7% in a nursing facility, 16% in a skilled nursing facility, 1% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 13.0 min |
| Skilled nursing minutes at weekends | 6% |
| Visits near death | 89.6% of patients who died |
Who owns it?
- Loial Hopsice, LLC owns 100% directly since Apr 5, 2021.
- 6 owners or officers are people: John Boaz (owns 5% or more through other companies, 10%); Matthew Mcmurphy (corporate officer); Casey Wilson (corporate officer); Casey Wilson (managing employee (on the payroll)); Rajesh Singh (corporate officer); Brannon George (managing employee (under contract)).
- 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 |
|---|---|---|---|
| Reliant at Home Midco LLC | Owns 5% or more through other companies | 100% | Apr 5, 2021 |
| Reliant at Home Inc. | Owns 5% or more through other companies | 100% | Apr 5, 2021 |
| Loial Hopsice, LLC | Owns 5% or more directly | 100% | Apr 5, 2021 |
| Loial Holdings, LLC | Owns 5% or more through other companies | 100% | Apr 5, 2021 |
| Merit Mezzanine Fund VI LP | Owns 5% or more through other companies | 75.3% | Aug 1, 2018 |
| Claremont Healthcare Holdings, LLC | Owns 5% or more through other companies | 8% | Aug 1, 2018 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 74% rated it 9 or 10 out of 10, and 73% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 97.19% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 52.5% 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 | 3 of 5 |
| 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 50 hospices CMS’s data show serving patients in ZIP code 77385, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 8.
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 |
|---|---|
| Reliant at Home This hospice | 8 |
| Oasis Hospice | Not given |
| Houston Hospice | 4 |
| Vitas Healthcare of Texas L P | 4 |
| Benchmark Hospice, LLC | Not given |
| Vitalcaring Group | Not given |
| Hospice Compassus Houston | 1 |
| Silverado Hospice - North Houston | 8 |
| Choice Health at Home | 6 |
| Gentiva | 15 |
| 1st Choice Hospice LLC | 0 |
| Amedisys Hospice | 9 |
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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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.