Harbor Hospice of Texas LP
A hospice in Tomball, Texas 77377
11601 Spring Cypress Rd, Ste E, Tomball, Texas 77377. (281) 659-0303.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 11 deficiencies cited in the last three years
- Not rated family caregiver rating
- 8of 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?
11 deficiencies cited in the last three years
The middle of the 75 hospices serving ZIP code 77377 had 5.
The last inspection on record was on Jul 22, 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
11 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 22, 2026: reaccreditation inspection by The Joint Commission11 deficiencies
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EP Training Program (42 CFR 418.113(d)(1)(v))
“Observed in HR File Review. In 1 out of 7 HR files reviewed, the pharmacist surveyor observed that emergency management training was not completed as evidenced by the spiritual counselor file was missing documentation for emergency management training attendance. Discussed with Hospice leadership.”
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Timeframe for completion of assessment (42 CFR 418.54(b))
“Observed in Regulatory Review. In 3 of 7 patient records reviewed, The surveyor observed in three record reviews that all the required initial assessments had not been completed within the required 5 days as evidenced by RRNV1 had chaplain initial assessment greater than 15 days after admission. Further two additional records had no initial psychosocial assessment with admission being greater than 3 months ago. The issue was discussed and confirmed with organizations regional director.”
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Content of comprehensive assessment (42 CFR 418.54(c)(5))
“Observed in Record Review. In 3 of 3 patient records reviewed, of patients with wounds, the surveyor observed that the staff had not measured wound every RN assessment as required by HCO policy. The surveyor observed in record review multiply weeks and multiple RN assessments without wound measures as required by organization policy. The issue was discussed and confirmed with administrator.”
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Update of comprehensive assessment (42 CFR 418.54(d))
“Observed in Record Review. In 1 of 14 patient records reviewed, The surveyor observed that RN had not visited the hospice patient every 15 days to conduct an assessment. The surveyor found that the RN had visited last greater than 2.5 weeks ago and no visit to this date. The issue was discussed and confirmed with organization administrator and regional director.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 105 words
“Observed in Patient Home. In 7 of 14 patient records reviewed, the surveyor observed , the organization did not provide detailed and specific interventions to manage pain and symptoms. Identified during the record review for RRHV#1 and RRHV#2 the patients were each prescribed multiple pain medications without indicating a hierarchy of use. For example on RRHV #1 the patient had tramadol, Tylenol and morphine ordered PRN without any indication as to which to take first. Further on RRHV#2 the orders had both Tylenol and morphine PRN without documented instructions as to which would be taken first. The issue was discussed and confirmed with organization administrator.”
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Coordination of services (42 CFR 418.56(e)(2))
“Observed in Record Review. In 3 of 3 patient records reviewed, During bereavement program & records review tracer activity, the pharmacist surveyor observed that the bereavement plan of care was not followed. This was evidenced by mailing dates associated with interval bereavement letters were documented as all the same date. Discussed with bereavement regional supervisor & leadership.”
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Governing body and administrator (42 CFR 418.100(b))
“Observed in Record Review. In 3 of 3 patient records reviewed, During bereavement record review tracer activity, the pharmacist surveyor observed that the leadership did not implement the organization policy as evidenced by post-death risk assessment updates being documented >14 days from death (per policy will be updated prior to next IDT meeting after death--Bereavement Serviced Policy No. 2-010.1, Procedure #4). Discussed with bereavement regional supervisor and hospice leadership.”
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Content (42 CFR 418.104(a)(3))
The inspectors’ words, 94 words
“Observed in Patient Home. The surveyor observed in home visit #2 that the medication profile in the home was incorrect as evidenced by two medications being incorrect on medication profile. The surveyor observed that Lasix on the medication profile was documented to be taken once a day had only been taken every other day for the past two weeks. Further the patient had extra strength Tylenol ordered one tab to be taken twice a day , but was taking 2 tabs once a day. The issue was observed, discussed and confirmed with organization administrator.”
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Discharge or transfer of care (42 CFR 418.104(e)(1)(i))
“Observed in Record Review. In 2 of 2 patient records reviewed, that had been discharged alive the surveyor observed no evidence that the Hospice had provided the summary of care to receiving facility when patient was transferred. The issue was discussed and confirmed with organization regional director.”
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Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))
The inspectors’ words, 131 words
“Observed in Patient Home. In 2 of 4 home visits conducted, The surveyor observed that stored oxygen tanks in the home were unsecured and in one home covered in clothing. The surveyor observed in home visit 1 that oxygen was standing propped against wall with clothes hanging over tanks. Further in home visit 2 that the surveyor observed six tanks with four being propped or standing unsecured. The surveyor found in both home visit 1 & 2 that no education was provided during visit for the unsafe storage of oxygen. In review of both patient records the surveyor found no evidence that the organization had identified or educated on the specific issue , found in the home, of unsafe oxygen tank storage. The issue was discussed and confirmed with organization administrator.”
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Criminal background checks (42 CFR 418.114(d)(1))
“Observed in Tracer Activities. In 1 of 3 contracts reviewed, During contracts review tracer activity, the pharmacist surveyor observed that there was no criminal background check stipulation for contracted employees, as evidenced by language to state the outside agency will complete criminal background checks on contracted employees who provide direct patient care or have access to patient records was missing. Discussed with Hospice leadership.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 22, 2026 | Reaccreditation inspection by The Joint Commission | 11 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 15, 2011.
- Ownership: other.
- 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): 7.4 nurse care minutes per routine home care day, 8.9% of skilled nursing minutes at weekends and a visit near death for 86.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 78% at home, 7% in assisted living, 8% in a nursing facility, 2% in a skilled nursing facility, 1% in a hospital, 5% in an inpatient hospice.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 7.4 min |
| Skilled nursing minutes at weekends | 8.9% |
| Visits near death | 86.5% of patients who died |
Who owns it?
- Arfeen Properties, L.P. owns 99% directly since May 5, 2010; Hhcs Managers LLC owns 1% directly since May 5, 2010.
- 6 owners or officers are people: Qamar U Arfeen (corporate director, 50%); Kelley L Arfeen (owns 5% or more through other companies, 50%); Kelley L Arfeen (general partner, 50%); Karen Carter (managing employee (on the payroll), 0%); Brandy Mosley (managing employee (on the payroll)); Sheriffdeen Olalekan Ilo (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 |
|---|---|---|---|
| Arfeen Properties, L.P. | Owns 5% or more directly | 99% | May 5, 2010 |
| Hhcs Managers LLC | Owns 5% or more directly | 1% | May 5, 2010 |
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): 84% rated it 9 or 10 out of 10, and 82% would definitely recommend it.
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 80.87% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 17.4% 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 | 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 | 8 of 10 |
How does it compare nearby?
- Of the 75 hospices CMS’s data show serving patients in ZIP code 77377, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 11.
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 |
|---|---|
| Vitalcaring Group | Not given |
| Sunset Hospice Inc. | 0 |
| Harbor Hospice of Texas LP This hospice | 11 |
| Choice Hospice | 13 |
| Houston Hospice | 4 |
| Vitas Healthcare of Texas L P | 4 |
| Benchmark Hospice, LLC | Not given |
| Choice Health at Home | 0 |
| Gentiva | 27 |
| Solaris Hospice Inc. | 5 |
| Hospice Compassus Houston | 1 |
| Reliant at Home | 8 |
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.