Gentiva
A hospice in Livingston, Texas 77352
210 West Park Suite 107, Livingston, Texas 77352. (936) 327-5888.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 5 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?
The last inspection on record was on Jan 30, 2026: a reaccreditation inspection by the Accreditation Commission for Health Care.
5 deficiencies cited in the last three years.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
When those deficiencies happened
5 deficiencies in 1 month of the last 36. Last cited Jan 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.
Jan 30, 2026: reaccreditation inspection by the Accreditation Commission for Health Care5 deficiencies
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 126 words
“Upon patient record review, 1 of 19 (Patient #6) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient #6: Upon record review, nurse documents on 12/22/25 and 1/6/26 that blood sugars are being checked 3 times per week and spouse is administering insulin. There is no evidence of problems with goals and interventions related to endocrine on the written plan of care. This has been corrected on site.”
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Review of the plan of care (42 CFR 418.56(d))
The inspectors’ words, 119 words
“Upon client record review, 2 of 19 (Patient #1,#3) did not have evidence that the IDG in collaboration with the attending physician reviewed, revised and documents the individualized plan as frequently as the patient’s condition requires but no less frequently then every 15 calendar days. Patient#1: Upon record review, there is IDG documentation that volunteer services began on 6/12/25 at a frequency of one time per week for tuck in calls. For IDG meetings 8/7/25, 8/19/25, 9/3/25, 9/18/25, 10/2/25 volunteer services is blank. Patient#3: Upon record review, there is documentation for the volunteer on the POC 12/1 that volunteer services to start on 12/11/25 at 2 times a month. IDG note on 12/23/25 and 1/7/26, states no volunteer services.”
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Review of the plan of care (42 CFR 418.56(d))
“Upon patient record review, 1 of 19 (Patient#11) 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#11: The plan of care indicates there are problems goals and interventions assigned to chaplain and social worker, however there are no spiritual or social worker services being provided. This has been corrected on site.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 131 words
“Upon client record review, 3 of 19 (Patient #3,6,12) 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 visit on 11/30/25, the nurse states she spoke with the medical director and instructions given to flush the suprapubic catheter tomorrow with isotonic water. There is no documentation this was completed. Patient#6: Upon record review, there is documentation on 12/23/25 of a volunteer care plan stating tuck in calls to be completed one time per week starting 1/5/26. There is no evidence that volunteer services were provided. Patient#12: Upon record review, there is documentation of labs being obtained on 9/9/25 and 12/16/25 for UA with C&S. There is no evidence of an MD order for these labs.”
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Program activities (42 CFR 418.58(c)(2))
“Upon observation and home visits, 1 of 4 (Patient #15) there was missing evidence the hospice investigates all adverse events, incidents, accidents, variances or unusual occurrences that involve patient care and develops a plan of correction to prevent the same or similar event from occurring again. Patient#15: Upon observation, it was noted that patient revoked hospice services due to complaints regarding aide services. There is no evidence of a complaint report or investigation.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 30, 2026 | Reaccreditation inspection by the Accreditation Commission for Health Care | 5 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 11, 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 nurse care minutes per routine home care day, 7.4% of skilled nursing minutes at weekends and a visit near death for 93.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 50% at home, 2% in assisted living, 46% in a nursing facility, 2% 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 | 10.0 min |
| Skilled nursing minutes at weekends | 7.4% |
| Visits near death | 93.2% of patients who died |
Who owns it?
- Curo Health Services LLC owns 100% directly since Mar 1, 2022.
- Curo Health Services LLC runs it.
- 9 owners or officers are people: Ronald C Lazas (corporate officer, 0%); Ronald C Lazas (corporate director, 0%); David Robinson Arnold (corporate officer, 0%); Jennifer Elizabeth Tyler (corporate officer, 0%); Thomas Joseph Dolan (corporate officer, 0%); Raymond J Luna (managing employee (under contract), 0%); David Allen Causby (corporate officer, 0%); David Allen Causby (corporate director, 0%); Joseph Daniel Crawford (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 |
|---|---|---|---|
| Ch Services Midco Holdings Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Curo Health Services Holdings, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Charlotte Midco, LLC | Owns 5% or more through other companies | 100% | Aug 11, 2022 |
| Falcon Hospice, LP | Owns 5% or more through other companies | 100% | Aug 11, 2022 |
| Charlotte Buyer, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Curo Health Services LLC | Owns 5% or more directly | 100% | Mar 1, 2022 |
| Kah Hospice Company, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Ch Services Group Holdings Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Ch Services Holdings Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Cd&r Falcon Holdings, LP | Owns 5% or more through other companies | 60% | Aug 11, 2022 |
| Kentucky Homecare Parent Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Kentucky Homecare Holdings, Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Humana Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Centerwell Health Services Inc. | Owns 5% or more through other companies | 40% | Dec 22, 2022 |
| Curo Health Services LLC | Runs it (operational or managerial control) | 0% | Mar 1, 2022 |
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): 93% rated it 9 or 10 out of 10, and 96% 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); 72.5% 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 | 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?
- There aren’t enough hospices serving patients in ZIP code 77352 to compare.
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 |
|---|---|
| Gentiva This hospice | 5 |
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.