Harbor Hospice of Gulf Coast LP
A hospice in Rockport, Texas 78382
400 Enterprise Blvd Building C, Rockport, Texas 78382. (361) 727-1232.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 9 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?
9 deficiencies cited in the last three years
The middle of the 31 hospices serving ZIP code 78382 had 5.
The last inspection on record was on Jun 5, 2026: a complaint inspection by the state.
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
9 deficiencies in 1 month of the last 36. Last cited Jul 2025. 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.
Jul 11, 2025: reaccreditation inspection by The Joint Commission9 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6)(iv))
“Observed in Patient Home. In 1 of 3 home visits conducted, with a nurse it was noted that the hospice nurse failed to conduct a medication assessment. For example during RRHV#1 the nurse asked the patient and patient’s wife if there had been any changes to the medications, but did not complete a medication assessment. This was confirmed and discussed with the DON and Clinical Manager present.”
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Plan of care (42 CFR 418.56(b ))
The inspectors’ words, 98 words
“Observed in Record Review. In 4 of 14 patient records reviewed, it was noted that the written plan of care was not based on goals, time frames, settings, and service required to meet goals. For example, in RRNHV#1 the foley catheter goal stated to change 16Fr foley catheter per order.In RRHV#3 goals were not individualized, Mrs. -- recognizes energy limitations and understands/uses energy conservation techniques. In RRNHV#9 Patient will be free of preventable complications In RRNHV#8 goal Anxiety managed with lorazepam 1mg every 6 hours as needed This was confirmed and discussed with the DON and Clinical Manager.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Observed in Record Review. In 1 of 14 patient records reviewed, it was noted that the plan of care did not include all services needed for management of the illness. For example, in RRNHV#1 the patient’s foley catheter order was incomplete, foley catheter order incomplete with no frequency to change the catheter and no indication of what to fill the balloon with or how many CCs to fill the balloon with. This was confirmed and discussed with the DON present.”
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Coordination of services (42 CFR 418.56(e)(2))
“Observed in Patient Home. In 1 of 2 home visits conducted, with patient’s who had aide services it was noted that care was not provided according to hospice plan of care. For example, during RRHV#2 the patient with lower extremity edema reported that the aide had clipped her toe nails a couple weeks ago and this was not a task for the aide on the plan of care/aide assignment. This was confirmed and discussed with the DON and Clinical Manager present.”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 153 words
“Observed in Patient Home. In 1 of 4 home visits conducted, it was noted that the nurse did not follow the organization’s bag technique policy. For example during RRHV#4 the nursing bag was placed on a barrier on the patient’s floor in the middle of a walkway area. There were 2 clean dry surfaces, a table to one side of the walkway and a counter to the other side, that the nurse could have used. The patient’s home had 2 dogs who walked on the barrier to sniff the bag and equipment. Also during the visit, multiple people attempted to walk around the equipment and, due to the placement of the barrier, bag and equipment, ended up having to step over the bag, equipment, barrier area. The organization’s policy included that the bag should be placed on a clean dry surface. This was confirmed and discussed with the DON and Clinical Manager present.”
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Counseling services (42 CFR 418.64(d)(1)(iv))
“Observed in Record Review. In 2 of 2 patient records reviewed, for bereavement care it was noted that the bereavement care plans did not include specific, individualized interventions. For example, in RRBR#1 and RRBR#2 the goals and interventions were identical/not individualized for both patients. Survivor will be knowledgeable of bereavement services and, when needed, will use available support to achieve a more positive grief outcome. This was confirmed and discussed with the DON present.”
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Content (42 CFR 418.104(a)(3))
The inspectors’ words, 110 words
“Observed in Patient Home. In 2 of 3 home visits conducted, that included medication assessment it was noted that the medication list was discovered to be inaccurate. For example in RRHV#2 the patient reported using Reamdy Antifungal Medicated Powder to her excoriated skin folds and the nurse applied the powder during the visit, however the medication was not included on the patient’s medication list. During RRHV#4 the patient reported using Benadryl for her allergies and the medication was sitting on the table and discussed with the nurse present, however it was not included on the patient’s medication list. This was confirmed and discussed with the DON and Clinical Manager present.”
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Discharge or transfer of care (42 CFR 418.104(e)(2)(i))
“Observed in Record Review. In 2 of 2 patient records reviewed, for live discharge it was noted that the discharge summary had not been provided to the patient’s attending physician. For example, in RRDC#1 there was no documentation that the agency had provided the physician with the discharge summary after a discharge to the community. In RRDC#2 there was no documentation that the agency had provided the physician with the discharge summary after the patient revoked hospice services. This was confirmed and discussed with the DON present.”
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Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))
The inspectors’ words, 149 words
“Observed in Patient Home. In 2 of 3 home visits conducted, that included oxygen in the home it was noted that the staff did not provide education on the safe storage of oxygen cylinders in the home. For example, in RRHV#1 there were 6 E tanks and 2 M6 tanks stored in an enclosed closet and 5 of the 6 E tanks and both M6 tanks were free standing. Also in this home there were 2 additional M6 tanks stored in the enclosed patient’s car outside, in the southern Texas heat in the summer with the temperature in the 90s. In RRHV#3 there was 1 E tank free standing in the dining area of the home. In both cases the staff did not evaluate the safe storage of the oxygen or re-educate about safe storage of oxygen. This was confirmed and discussed with the DON and Clinical Manager present.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 5, 2026 | Complaint inspection by the state | No deficiencies cited |
| Jul 11, 2025 | Reaccreditation inspection by The Joint Commission | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Apr 26, 2007.
- 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): 7.4 nurse care minutes per routine home care day, 6.6% of skilled nursing minutes at weekends and a visit near death for 93.7% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 61% at home, 6% in assisted living, 29% in a nursing facility, 4% in an inpatient hospice.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 7.4 min |
| Skilled nursing minutes at weekends | 6.6% |
| Visits near death | 93.7% of patients who died |
Who owns it?
- 11 owners or officers are people: Qamar U Arfeen (owns 5% or more directly, 79%); Rene R Acuna (owns 5% or more directly, 7%); Robert R Low (owns 5% or more directly, 7%); Edwin S Haun (owns 5% or more directly, 7%); Jerome Aston Lee Sang (managing employee (under contract), 0%); Rene R Acuna (general partner); Sabina Diebel (managing employee (on the payroll), 0%); Karen Carter (managing employee (on the payroll), 0%); Robert R Low (general partner); Edwin S Haun (general partner); Qamar U Arfeen (general partner).
- 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.
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 84% rated it 9 or 10 out of 10, and 87% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 85.91% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 43.9% 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 | 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 31 hospices CMS’s data show serving patients in ZIP code 78382, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 9.
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 Gulf Coast LP This hospice | 9 |
| Christus Hospice and Palliative Care Spohn | 0 |
| Hospice of South Texas Inc. | 4 |
| Baylor Scott & White Hospice - Temple | 8 |
| Nurses on Wheels Home Health and Hospice | 0 |
| Choice Health at Home | 4 |
| Legacy Home Health Agency Inc. | Not given |
| Gentiva | 6 |
| New Century Hospice of South Texas | 23 |
| Angel Bright Hospice Inc. | 16 |
| Altus Hospice | 6 |
| Greater Valley Hospice Alliance, LP | 15 |
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.