Choice Health at Home
A hospice in Houston, Texas 77090
1125 Cypress Station Drive Suite D, Houston, Texas 77090. (713) 522-0160.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 6 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?
6 deficiencies cited in the last three years
The middle of the 74 hospices serving ZIP code 77090 had 6.
The last inspection on record was on May 7, 2026: an initial 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
6 deficiencies in 1 month of the last 36. Last cited May 2026. 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.
May 7, 2026: initial inspection by the Accreditation Commission for Health Care6 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
“Upon home visit review, 2 of 14 (Patient # 1 and 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: Patient 1: There is evidence the Recertification POC on 3/30/26 contains an order for MiraLAX with no diluent instructions. Patient 2: There is no evidence of Senna on the agency medication list and caregiver reports “patient takes Senna PRN for constipation”.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 114 words
“Upon patient record review, 3 of 14 (Patient #1, 2, 5) 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: Patient 1: There is evidence medication list contains an order for MiraLAX with no diluent instructions. Patient 2: There is no evidence of Senna on the agency medication list and caregiver reports “patient takes Senna PRN for constipation”. Patient 5: There is evidence on 04/02/26 that the medication list contains multiple orders for hydrocodone and acetaminophen 650mg every 4 hours without directions for maximum daily limit for acetaminophen.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 91 words
“Upon patient record review, 2 of 14 (Patient # 2, 5) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient 2: There is no evidence of Senna on the agency POC on 05/05/26 and caregiver reports patient takes Senna PRN for constipation during home visit. Patient 5: The POC on 04/02/26 contains multiple orders for hydrocodone and acetaminophen 650mg every 4 hours without directions for maximum daily limit for acetaminophen.”
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Review of the plan of care (42 CFR 418.56(d))
“Upon patient record review, 1 of 14 (Patient #3) did not have evidence that a revised plan of care includes information from the patient’s updated comprehensive assessment and must note the patient’s progress towards outcome/goals from the plan of care. Patient 3: There is no evidence of an order for an indwelling catheter noted on POC at recertification on 04/27/26. The SN documents patient has an indwelling catheter in SN documentation on 04/24/26 and Aide care plan includes task for catheter care.”
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Coordination of services (42 CFR 418.56(e)(2))
“Upon client record review, 1 of 14 (Patient # 3) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 3: The SN performs catheter change without evidence of an order on POC 04/27/26. SN documents on 04/24/26 changing catheter during visit and there is no evidence of an order to change indwelling catheter on POC.”
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Hospice plan of care (42 CFR 418.112(d))
“Upon client record review, 1 of 14 (Patient # 1) 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 1: There is evidence the Recertification POC on 3/30/26 contains an order for MiraLAX with no diluent instructions.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 7, 2026 | Initial inspection by the Accreditation Commission for Health Care | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 7, 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): 12.7 nurse care minutes per routine home care day, 8.5% of skilled nursing minutes at weekends and a visit near death for 92.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 45% at home, 38% in assisted living, 13% in a nursing facility, 3% 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 | 12.7 min |
| Skilled nursing minutes at weekends | 8.5% |
| Visits near death | 92.2% of patients who died |
Who owns it?
- Choice Hospice of Texas LLC owns 100% directly since Dec 29, 2021.
- 7 owners or officers are people: Katrina Lanier (corporate officer, 100%); David Jackson (owns 5% or more through other companies, 100%); David Jackson (corporate officer, 0%); David Jackson (corporate director, 0%); Katie Elizabeth Sandlin (corporate director, 0%); Jose Hinojosa (managing employee (on the payroll)); Pippa Schnee (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 |
|---|---|---|---|
| Choice Health at Home Holdings, LLC | Owns 5% or more through other companies | 100% | Dec 29, 2021 |
| Choice Health at Home, LLC | Owns 5% or more through other companies | 100% | Dec 29, 2021 |
| Choice Hospice of Texas LLC | Owns 5% or more directly | 100% | Dec 29, 2021 |
| Choice Health at Home Intermediate Holdings, LLC | Owns 5% or more through other companies | 100% | Nov 25, 2024 |
| Tcfiii Ch Investor LLC | Owns 5% or more through other companies | 65.43% | Dec 29, 2021 |
| Tcfiii Ch LLC | Owns 5% or more through other companies | 65.43% | Oct 23, 2024 |
| Trive Capital Fund III LP | Owns 5% or more through other companies | 42.11% | Oct 23, 2024 |
| Tcfiii Ch Spv LP | Owns 5% or more through other companies | 23.31% | Oct 23, 2024 |
| Coltala Choice, LLC | Owns 5% or more through other companies | 16.61% | Dec 29, 2021 |
| Choice Rehab Holdings, Inc. | Owns 5% or more through other companies | 8.93% | Dec 29, 2021 |
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): 73% rated it 9 or 10 out of 10, and 67% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 93.94% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 57.3% 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 74 hospices CMS’s data show serving patients in ZIP code 77090, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; 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 |
|---|---|
| Choice Health at Home This hospice | 6 |
| HCA Houston Hospice & Family Care | 12 |
| Good Shepherd Hospice of Houston LLC | Not given |
| Adom Hospice Company, LLC | 3 |
| Houston Hospice | 4 |
| Vitas Healthcare of Texas L P | 4 |
| Silverado Hospice - North Houston | 8 |
| Hospice Compassus - the Woodlands | 3 |
| Vantage Hospice | 6 |
| Harbor Hospice of Central Houston, L.P. | 26 |
| Accentcare Hospice & Palliative Care of Houston - North, LLC | 13 |
| Omegalife Hospice of Texas 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 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.