Heart to Heart Hospice of Houston
A hospice in Conroe, Texas 77301
100 Interstate 45 N, Suite 152-A, Conroe, Texas 77301. (832) 300-0134.
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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
- 8of 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 72 hospices serving ZIP code 77301 had 5.
The last inspection on record was on Mar 23, 2026: a complaint inspection by the Community Health Accreditation Partner.
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 Jun 2025. 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.
Jun 18, 2025: reaccreditation inspection by the Community Health Accreditation Partner1 deficiency
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N/a (42 CFR 418.110(i)(2))
The inspectors’ words, 220 words
“It is required that each patient in the hospice inpatient facility always has an adequate supply of hot water and has plumbing fixtures with control valves that automatically regulate the temperature of the hot water used by patients. This standard was not met as evidenced by interview and observation. The agency did not ensure that the inpatient unit plumbing fixtures with control valves automatically regulated the temperature of the hot water used by patients. During a tour of the inpatient unit (IPU) on 6/17/2025, the water temperature tested in room 218 was noted at 129°F. During an interview on 06/17/2025, the Vice President of Operations (VPO) for the IPU agreed with the observed temperature and asked the facilities staff, who were present for the tour and interview, to turn down the water heater temperature, which was immediately done. During an interview on 06/17/2025, the Vice President of Operations (VPO) for the IPU agreed with the observed temperature. Observation: During tour of IPU on 6/17/2025, the agency failed to ensure regulation of hot water in the IPU. Water temperature tested in room 218 was noted at 129’. Interview with VP of Operations over IPUs on 6/17/2025 where she agreed with the observed temperature; she asked facilities staff who were present to turn down the water heater temperature which was immediately done.”
All 3 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 23, 2026 | Complaint inspection by the Community Health Accreditation Partner | No deficiencies cited |
| Jan 15, 2026 | Complaint inspection by the state | No deficiencies cited |
| Jun 18, 2025 | Reaccreditation inspection by the Community Health Accreditation Partner | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Sep 16, 2010.
- 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, 9.7% of skilled nursing minutes at weekends and a visit near death for 94.6% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 50% at home, 26% in assisted living, 12% in a nursing facility, 1% in a skilled nursing facility, 1% in a hospital, 7% in an inpatient hospice, 4% 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 | 9.7% |
| Visits near death | 94.6% of patients who died |
Who owns it?
- East Texas Medical Couriers and Express Delivery Services, LLC owns 100% directly since Dec 28, 2012.
- 6 owners or officers are people: Kelly Mitchell (owns 5% or more through other companies, 65.87%); Kelly Mitchell (other role (CMS gives no detail), 65.87%); Kelly Mitchell (corporate director, 65.86%); Milton Guerrero (managing employee (under contract)); Vivian Jones (managing employee (on the payroll), 0%); Kelly Mitchell (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 |
|---|---|---|---|
| Heart to Heart Hospice Holdings LLC | Owns 5% or more through other companies | 100% | Dec 28, 2012 |
| East Texas Medical Couriers and Express Delivery Services, LLC | Owns 5% or more directly | 100% | Dec 28, 2012 |
| H to H Founders, LLC | Owns 5% or more through other companies | 59.8% | Jun 25, 2015 |
| Htohh Preferred LLC | Owns 5% or more through other companies | 39.92% | Dec 28, 2012 |
| Htohh Preferred LLC | Other role (CMS gives no detail) | 0.24% | Dec 28, 2012 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 81% rated it 9 or 10 out of 10, and 81% would definitely recommend it.
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.61% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 50.7% 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 | 8 of 10 |
How does it compare nearby?
- Of the 72 hospices CMS’s data show serving patients in ZIP code 77301, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 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 |
|---|---|
| Heart to Heart Hospice of Houston This hospice | 1 |
| Choice Hospice | 4 |
| Choice Hospice | 7 |
| Oasis Hospice | Not given |
| Alamo Hospice of Conroe | 13 |
| Amedisys Hospice | 9 |
| Elara Caring | Not given |
| St Joseph Hospice of Conroe Texas | 12 |
| Harbor Hospice 28, L.P. | 8 |
| Home Care Select Hospice | Not given |
| Hospice 365 LLC | 5 |
| Houston Hospice | 4 |
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.