Embrace Hospice
A hospice in Temple, Texas 76502
5100 Midway Dr Ste 300, Temple, Texas 76502. (254) 284-0045.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 2 deficiencies cited in the last three years
- Not rated family caregiver rating
- 9of 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?
2 deficiencies cited in the last three years
The middle of the 29 hospices serving ZIP code 76502 had 4.
The last inspection on record was on Nov 20, 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
2 deficiencies in 1 month of the last 36. Last cited Nov 2024. 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.
Nov 20, 2024: recertification inspection by the state2 deficiencies
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 351 words
“Based on observation, record review and interview, the Agency failed to enforce written policies that detailed a review of 1 of 10 active patients (Patient #2), whose records were reviewed which included a tracheostomy cleaning treatment order which was not written on the plan of care. This failure could place Agency clients who has a tracheostomy at risk of inaccurate and inadequate care by Agencys staff. Findings included: Record review of the Agencys policy titled, “;Verification of Physician Orders-Texas,” revised 5/11/2020, revealed in part, “;Orders will be obtained from a licensed physician...for care and services to be provided to hospice patients. The receiving licensed hospice profession must record and sign the order immediately...A qualified individual will review each order...before care is provided....” During an observation of a home visit on 11/19/2024 at 1:00 p.m., with Patient #2 and LVN A, Patient #2 was observed to have a tracheostomy (a tube inserted in the front of the neck to maintain an airway to the lungs). Further observation revealed LVN A cleaning Patient #2s tracheostomy cannula (the tube inserted into the neck). Record review of Patient #2s clinical records reveal a start of care date of 10/25/2024 with a diagnosis of Chronic obstructive pulmonary disease (a lung disease that causes breathing problems) and tracheostomy status. Further review of the plan of care of Patient #2 revealed that Patient #2 was receiving skilled nursing twice weekly with 5 additional as needed visits, hospice aide services twice weekly, medical social worker once monthly and three as needed visits. Further review of Patient #2s clinical records revealed no documentation in the Plan of Care for cleaning orders for Patient #2s tracheostomy. During a joint interview with the Alternate Administrator and Compliance se Nurse on 11/20/2024 at 4:00 p.m., the Alternate Administrator and Compliance Nurse stated that normally orders are were placed on the plan of care without any issues and that the medical director is was aware of the cleaning orders. The Alternate Administrator also stated that the tracheostomy cleaning orders not in the Plan of Care was an oversight, and that the noncompliance was understood.”
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Level of activity (42 CFR 418.78(e))
The inspectors’ words, 261 words
“Based on record review and interview, the agency failed to provide volunteer services in an amount that equaled 5 percent of the total patient care hours of all paid hospice employees for 2022 and 2023. This failure could place Agency clients at risk of inadequate care by not ensuring that Agencys volunteers were being adequately staffed for hospice patients. Findings included: Record review of the Agencys volunteer report titled, “;Hospice Volunteer Requirement Report,” dated 11/18/2024, revealed the year 2022 total patient care hours provided by paid employees as 1202, with volunteer hours totaling 2.25 (0.19%). Further record review revealed the year 2023 total patient care hours provided by paid employees as 8477, with volunteer hours totaling 46.02 (0.54%). In an interview with the Alternate Administrator on 11/18/2024 at 12:00 noon, the Alternate Administrator stated that the agency had a new volunteer coordinator who was hired in September 2024 and had made a lot of progress with recruiting. Prior to September 2024, the Alternate Administrator stated she herself was the Volunteer Coordinator. The Alternate Administrator also stated that the volunteer cost share was below 5% since 2022 because the agency was not able to maintain the 5% cost share due to time constraints. The current volunteer coordinator was out on bereavement leave. Record review of the Agencys policy titled, “;Volunteer Services” dated 5/11/2020, revealed in part, “;3. The Volunteer Coordinator will track the use of volunteers, the cost saving achieved, and that the hours of volunteer services will exceed 5% of the total patient care hours of paid and contracted hospice personnel.””
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Nov 20, 2024 | Recertification inspection by the state | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Apr 26, 2011.
- 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): 17.5 nurse care minutes per routine home care day, 11.1% of skilled nursing minutes at weekends and a visit near death for 95.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 91% at home, 2% in assisted living, 7% in a nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 17.5 min |
| Skilled nursing minutes at weekends | 11.1% |
| Visits near death | 95.3% of patients who died |
Who owns it?
- Nurses in Touch, Inc. owns 100% directly since Aug 24, 2020.
- 10 owners or officers are people: Jay Koeper (corporate officer, 0%); Jay Koeper (corporate director, 0%); Jennifer Phipps (corporate officer); Jennifer Phipps (corporate director); Allison Brown (corporate officer, 0%); Allison Brown (corporate director, 0%); Margaret Sherry Pemberton (corporate officer); Margaret Sherry Pemberton (corporate director); Lisa Michelle Brown (managing employee (on the payroll)); Janelle K House (managing employee (under contract), 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 |
|---|---|---|---|
| Silverton Abode Holding Corporation | Owns 5% or more through other companies | 100% | Aug 24, 2020 |
| Brightspring Health Holdings Corp | Owns 5% or more through other companies | 100% | Apr 16, 2021 |
| Silverton Intermediate Holdings, Inc. | Owns 5% or more through other companies | 100% | Aug 24, 2020 |
| Phoenix Guarantor Inc. | Owns 5% or more through other companies | 100% | Apr 16, 2021 |
| Res-Care Inc. | Owns 5% or more through other companies | 100% | Apr 16, 2021 |
| Silverton Holdings, Inc. | Owns 5% or more through other companies | 100% | Aug 24, 2020 |
| Phoenix Intermediate Holdings Inc. | Owns 5% or more through other companies | 100% | Apr 16, 2021 |
| Abode Healthcare Texas, LLC | Owns 5% or more through other companies | 100% | Aug 24, 2020 |
| Abode Healthcare, Inc. | Owns 5% or more through other companies | 100% | Aug 24, 2020 |
| Brightspring Health Services Inc. | Owns 5% or more through other companies | 100% | Apr 16, 2021 |
| Nurses in Touch, Inc. | Owns 5% or more directly | 100% | Aug 24, 2020 |
| Silverton Abode, LLC | Owns 5% or more through other companies | 100% | Aug 24, 2020 |
| Kkr Phoenix Aggregator L.P. | Owns 5% or more through other companies | 48% | Apr 16, 2021 |
| Kkr Americas Fund Xii LP | Owns 5% or more through other companies | 19.16% | Apr 16, 2021 |
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): 83% rated it 9 or 10 out of 10, and 83% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 97.75% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 52.1% 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 | 9 of 10 |
How does it compare nearby?
- Of the 29 hospices CMS’s data show serving patients in ZIP code 76502, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; this one had 2.
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 |
|---|---|
| Baylor Scott & White Hospice - Temple | 8 |
| Embrace Hospice This hospice | 2 |
| True Heart Hospice LLC | 5 |
| True Heart Hospice and Palliative Care of Texas LLC | 1 |
| Enhabit Hospice | 0 |
| Gentiva | 8 |
| Care and Grace Home Health and Hospice | 2 |
| Hospice of South Texas Inc. | 4 |
| Embrace Hospice | 1 |
| Solaris Hospice Inc. | 5 |
| Providence Hospice | 26 |
| Amedisys Hospice of San Antonio | 14 |
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.