Arcy Hospice
A hospice in Flower Mound, Texas 75028
700 Parker Square Suite 105, Flower Mound, Texas 75028. (469) 293-1515.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency 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?
1 deficiency cited in the last three years
The middle of the 71 hospices serving ZIP code 75028 had 3.5.
The last inspection on record was on Apr 19, 2024: a recertification 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
1 deficiency in 1 month of the last 36. Last cited Apr 2024. 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.
Apr 19, 2024: recertification inspection by the state1 deficiency
-
Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 663 words
“Based on record review and interviews, the agency failed to include in the plan of care a detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs for 8 (#2, #3, #4, #5, #7, #9, #11, & #13) of 14 active patients reviewed. The failure placed patients and family members at risk of not receiving necessary services to meet specific needs. Findings: Record review of patient #2s record revealed an informed consent signed 10/11/2022. Physician orders dated 10/12/2022 state to admit the patient to hospice. The initial admission orders do not contain visit scope and frequencies. Record review of patient #3s record revealed an informed consent signed 10/19/2023. Physician orders dated 10/19/2023 state to admit the patient to hospice. The initial admission orders do not contain visit scope and frequencies. Record review of patient #4s record revealed an informed consent signed 2/2/2024. Physician orders dated 2/2/2024 state to admit the patient to hospice. The initial admission orders do not contain visit scope and frequencies. Record review of patient #5s record revealed an informed consents signed 11/29/2023. Physician orders dated 11/29/2023 state to readmit the patient to hospice. The initial admission orders do not contain visit scope and frequencies. Record review of patient #7s record revealed an informed consents signed 12/21/2023. Physician orders dated 12/21/2023 state to admit the patient to hospice. The initial admission orders do not contain visit scope and frequencies. Record review of patient #9s record revealed an informed consents signed 12/28/2023 to begin hospice 1/5/2024. Physician orders dated 1/5/2024 state to admit the patient to hospice. The initial admission orders do not contain visit scope and frequencies. Record review of patient #11s record revealed physician orders dated 2/4/2024 to readmit the patient to hospice. The initial admission orders do not contain visit scope and frequencies. Record review of patient #13s record revealed physician orders dated 4/5/2024 to admit the patient to hospice. The initial admission orders do not contain visit scope and frequencies. An interview 4/18/2024 at 3:19 p.m. with the Administrator, AADM, and the Alternate Supervising Nurse was started to review record findings. The AADM stated, “;the way the system [EMR] is set up everything is put in under different windows and I think everyone considers it part of the initial order (POC), but its not seen on the order (POC).” In an interview 4/19/2024 at 12:50 p.m. with the AADM and ASN the AADM stated, “;we use the doctor order for the IPOC. [EMR] has popup windows that address the different aspects like frequencies. However, the different screens dont populate on the actual order, but it would if we printed the POC. So, no at this time, not all actual visual physician initial orders contain all needed elements.” The agency had a policy (PC.30) titled, “;Plan of Care Process” dated 1/26/2024. The policy read in parts; “;...Purpose: To ensure that the care provided is in accordance with the written Plan of Care (POC), appropriately planned, and delivered in a timely manner to meet the patients and familys specific needs. Policy: ...II. The Hospice will develop an individualized written POC for each patient. ...The POC will include all services necessary for the palliation and management of the terminal illness and related conditions. Procedure: I. Information will be gathered from the initial assessment and be used by the Hospice to develop the Initial Plan of Care (IPOC)/ Physicians Orders and to provide care and services to treat a patients and patients familys immediate care and support needs. ...II. The IPOC will be developed and established by the Hospice RN, the Hospice Physician or the Hospice Medical Director, the patient, the patients caregiver, and the patients chosen attending physician (if any) after the initial assessment and prior to delivering care. ...VI. The POC includes, but is not limited to: ...B. A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs, including level of care...””
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 19, 2024 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Jul 9, 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): 10.7 nurse care minutes per routine home care day, 5.5% of skilled nursing minutes at weekends and a visit near death for 98.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 30% at home, 46% in assisted living, 7% in a nursing facility, 3% in a skilled nursing facility, 13% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 10.7 min |
| Skilled nursing minutes at weekends | 5.5% |
| Visits near death | 98.2% of patients who died |
Who owns it?
- Stapleton Family Investments Ltd owns 100% directly since May 21, 2007.
- 3 owners or officers are people: Krystal M Alvarado (managing employee (on the payroll), 0%); Jimmie M Stapleton (corporate director); Karrie Hill (managing employee (on the payroll), 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 |
|---|---|---|---|
| Stapleton Family Investments Ltd | Owns 5% or more directly | 100% | May 21, 2007 |
| Stapleton Family Management LLC | General partner | 0% | May 5, 2011 |
| Mary Ellen Soignier Stapleton Family Trust | Limited partner | 0% | May 5, 2011 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 80% rated it 9 or 10 out of 10, and 85% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 93.69% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 61.9% 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 71 hospices CMS’s data show serving patients in ZIP code 75028, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3.5; this one had 1.
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 |
|---|---|
| Mercy Hospice, Ltd | 0 |
| Arcy Hospice This hospice | 1 |
| Community Healthcare of Texas | 2 |
| Vitas Healthcare of Texas LP | 15 |
| VNA | 1 |
| Gentiva | 13 |
| Vitas Healthcare of Texas, L.P. | 3 |
| Solaris Hospice Inc. | 5 |
| Amedisys Hospice | 8 |
| Choice Hospice | 13 |
| Heart to Heart Hospice of Texas Ltd | 4 |
| Bristol Hospice - North Central Texas | 11 |
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.