Marshall Homecare and Hospice
A hospice in Marshall, Texas 75670
111 E Burleson, Marshall, Texas 75670. (903) 923-8154.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 6 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 10of 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?
6 deficiencies cited in the last three years
The middle of the 19 hospices serving ZIP code 75670 had 1.5.
The last inspection on record was on Jul 24, 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 Jul 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.
Jul 24, 2026: reaccreditation inspection by The Joint Commission6 deficiencies
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Initial & comprehensive assessment of patient (42 CFR 418.54)
“Observed in Record Review. In 7 of 14 patient records reviewed, the patient was not assessed or reassessed. For example: RRHV#2, RRHV#3, RRNHV#1, RRNHV#2, RRNHV#3, RRNHV#4, RRNHV#8 the skilled nurse comprehensive assessment(s) did not include an endocrine assessment and the patient(s) had a secondary diagnosis of diabetes and orders for oral or injectable antidiabetic medications. This was discussed with the Director of Nursing.”
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Update of comprehensive assessment (42 CFR 418.54(d))
The inspectors’ words, 100 words
“Observed in Record Review. In 1 of 5 patient records reviewed, the organization did not update the comprehensive assessment based upon treatment changes. For example RRNHV#1 had updated treatment orders during certification period #1 that included: facility staff or caregiver to check FSBS via glucometer three times daily and prn for s/sx of hypo/hyperglycemia. Report to hospice if <60 or >500. SN notes / IDG meeting notes did not assess or reassess patients endocrine status; monitor for finger stick blood sugar results and/or compliance with orders throughout certification period #2 and #3. This was reported to the Director of Nursing.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 119 words
“Observed in Record Review. In 3 of 14 patient records reviewed, the patient goal(s) were not measurable. For example: RRNHV#2 cardiovascular goal Patient’s symptoms will be consistent with stage of disease process and problems managed as well as disease process will allow and Patient/caregiver demonstrate necessary behaviors to maintain good safety awareness and minimize the risk of falls and/or injury. RRNHV#3 Optimal activity level achieved and maintained within baseline respiratory and energy parameters. RRNHV#8: Patient’s symptoms will be consistent with stage of disease process and problems managed as well as disease process will allow, Patient/caregiver demonstrate necessary behaviors to maintain good safety awareness and minimize the risk of falls and/or injury. This was discussed with the Director of Nursing.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 156 words
“Observed in Record Review. In 9 of 14 patient records reviewed, the organization failed to plan the patient’s care. In 7 of 14 patient records reviewed, the plan of care did not contain all of the needed elements. For example: RRHV#1 the patient orders included 1) acetaminophen 325 mg oral tablet; take 2 tabs orally every 6 hours as needed for mild pain, and 2) Morphine Sulfate 20mg/ml concentrate; administer 0.5 milliliter(s) sublingually every 2 hours as needed for SOB/Pain. In RRHV#2, RRHV#3, RRNHV#1, RRNHV#2, RRNHV#3 and RRHNV#4, RRNHV#8 the patient had a secondary diagnosis of Type 2 Diabetes with orders for antidiabetic medications but no interventions or goals related to the diabetic management, evaluation or teaching. RRHV#4, the physician order did not include the size of the catheter to be utilized. For example:: SN may insert in and out catheter as needed for urinary retention. This was discussed and reviewed with the Director of Nursing.”
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Level of activity (42 CFR 418.78(e))
“Observed in Tracer Activities. In 1 of 1 volunteer program review, the organization did not provide at least 5% of the total patient care hours of all paid hospice employees and contract staff. This was discussed with the Director of Nursing.”
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Hospice plan of care (42 CFR 418.112(d))
“Observed in Patient Home. In 1 of 4 home visits conducted, the plan of care orders/treatments were not followed on the patient living in a nursing facility. For example RRHV#2 the plan of care orders included oxygen to be delivered at 3LPM continuous via nasal cannula, aide may remove oxygen for bathing/grooming and replace, start date 6/11/2026. It was noted by the surveyor when conducting a home visit with the Home Health Aide the patient was on continuous oxygen being delivered at 2LPM via nasal cannula.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 24, 2026 | Reaccreditation inspection by The Joint Commission | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 10, 2008.
- 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): 10.3 nurse care minutes per routine home care day, 6.4% of skilled nursing minutes at weekends and a visit near death for 96.6% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 33% at home, 27% in assisted living, 40% 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 | 10.3 min |
| Skilled nursing minutes at weekends | 6.4% |
| Visits near death | 96.6% of patients who died |
Who owns it?
- 5 owners or officers are people: Wes L White (owns 5% or more directly, 47.5%); Wes L White (corporate officer, 47.5%); Linda K Benson (owns 5% or more directly, 5%); Brandon White (corporate officer); Brandon White (runs it (operational or managerial control)).
- 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 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 83% rated it 9 or 10 out of 10, and 80% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 80.4% 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 | 4 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 | 10 of 10 |
How does it compare nearby?
- Of the 19 hospices CMS’s data show serving patients in ZIP code 75670, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 1.5; 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 |
|---|---|
| Marshall Homecare and Hospice This hospice | 6 |
| Hospice of East Texas | 1 |
| Heartsway Hospice of Northeast Texas | 0 |
| Lifecare Health Services | Not given |
| Hospice Plus | 18 |
| Enhabit Hospice | 0 |
| Accentcare Hospice & Palliative Care of Texas | 1 |
| Heart to Heart Hospice of East Texas LLC | 3 |
| Heritage Hospice of Texarkana LLC | 10 |
| Traditions Hospice | 2 |
| Heritage Hospice of East Texas | 5 |
| Angel Hands Hospice of East Texas | 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.