Harbor Hospice of Richmond, LP
A hospice in Sugar Land, Texas 77478
12808 West Airport Blvd. Suite 235, Sugar Land, Texas 77478. (281) 762-0444.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 10 deficiencies cited in the last three years
- 1of 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?
10 deficiencies cited in the last three years
The middle of the 87 hospices serving ZIP code 77478 had 5.
The last inspection on record was on Sep 12, 2025: 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
10 deficiencies in 1 month of the last 36. Last cited Sep 2025. 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.
Sep 12, 2025: reaccreditation inspection by The Joint Commission10 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
“Observed in Record Review. In 5 of 14 patient records reviewed, The chaplain and social worker failed to complete their initial assessments within five days after the election of hospice. The surveyor observed on 2/14 that the social worker and chaplain stated in a communication note that no needs were verbalized by patient/family, but no assessment had been completed virtual or in person. This issue was discussed and confirmed with organization leadership.”
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Content of comprehensive assessment (42 CFR 418.54(c)(5))
“Observed in Tracer Activities. In 6 of 14 patient records reviewed, The surveyor observed that wounds had not been measured weekly as required by HCO policy . This issue was discussed and confirmed with organization leadership.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. In 2 of 14 patient records reviewed, the surveyor observed that the initial bereavement assessments had not completed timely. This issue was discussed and confirmed with organization leadership.”
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Update of comprehensive assessment (42 CFR 418.54(d))
“Observed in Record Review. In 9 of 14 patient records reviewed, The surveyor had not observed that the Comprehensive assessment had included progress towards desired outcomes. Further the surveyor noted in 8/14 records that the social worker and chaplain had not documented progress toward goals and also had not documented any goals for problems. This issue was discussed and confirmed with organization leaders.”
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Coordination of services (42 CFR 418.56(e)(2))
“Observed in Record Review. In 2 of 14 patient records reviewed, the surveyor observed that the organization had not provided care according to the plan of care for example the CHHA had visits ordered 3 times per week, but had not made visits at all for over 3 weeks. The CHHA had documented the patient refused care, but no staff member documented this information. The issue was discussed and confirmed with organization leadership.”
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Prevention (42 CFR 418.60(a))
“Observed in Patient Home. In 2 of 5 home visits conducted, the surveyor observed that in one home the nurse had not followed the organization’s bag technique policy by returning uncleaned assessment equipment back to back without cleaning equipment or hands prior to returning uncleaned equipment to bag. In a second home visit the surveyor observed that the nurse after completing complex wound care washed and then dried hands on patients personal cloth multiuse towel. This issue was discussed and confirmed with organization leadership.”
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Competency evaluation (42 CFR 418.76(c)(1))
“Observed in HR File Review. In 1 of 2 HR files reviewed, for Certified home health aide (CHHA) the surveyor observed that the organization had not completed an initial competency by an RN prior to the CHHA providing care to patients in the home. This issue was discussed and confirmed with organization leadership.”
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Training (42 CFR 418.100(g)(2))
“Observed in HR File Review. The surveyor observed that there was no documented orientation for an LPN hired within last 4 months and was providing care in the patient homes. The LPN had been hired by systems inpatient hospice unit, but no orientation had been completed as yet for home hospice. Further the inpatient unit could not provided the documented orientation for inpatient. The issue was discussed and confirmed with organization leadership.”
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Training (42 CFR 418.100(g)(3))
“Observed in HR File Review. The surveyor observed that the Hospice spiritual counselor and 1 LVN providing care in home did not have initial clinical competencies evaluated and documented. The issue was discussed and confirmed with organization leadership.”
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Discharge or transfer of care (42 CFR 418.104(e)(3)(i))
“Observed in Record Review. In 2 of 3 patient records reviewed, with requirement of discharge summary the surveyor noted that on one record there had been no discharge summary and on a second that the discharge summary had not contained all required elements to include , but not limited to symptom management and treatments. The issue was discussed and confirmed with organization leadership.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 12, 2025 | Reaccreditation inspection by The Joint Commission | 10 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 23, 2013.
- 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): 7.8 nurse care minutes per routine home care day, 8.9% of skilled nursing minutes at weekends and a visit near death for 89.8% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 71% at home, 4% in assisted living, 11% in a nursing facility, 1% in a hospital, 13% 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 | 7.8 min |
| Skilled nursing minutes at weekends | 8.9% |
| Visits near death | 89.8% of patients who died |
Who owns it?
- Arfeen Properties, L.P. owns 99% directly since Jul 26, 2012.
- 7 owners or officers are people: Qamar U Arfeen (owns 5% or more through other companies, 50%); Kelley L Arfeen (owns 5% or more through other companies, 50%); Karen Carter (managing employee (on the payroll), 0%); Bryan Gaspard (corporate officer, 0%); Bryan Gaspard (managing employee (on the payroll), 0%); Theresa Cousins (managing employee (on the payroll), 0%); Emmanuel Chiwueze Opara (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% | Jul 26, 2012 |
| Hhcs Managers LLC | General partner | 1% | Jul 26, 2012 |
What do families say?
- Family caregivers rate it 1 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 58% rated it 9 or 10 out of 10, and 58% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 83.72% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 26.2% 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 | 1 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 87 hospices CMS’s data show serving patients in ZIP code 77478, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 10.
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 |
|---|---|
| Altus Hospice | 10 |
| Harbor Hospice of Richmond, LP This hospice | 10 |
| Vitalcaring Group | 0 |
| Acura Hospice Care LLC | Not given |
| White Orchid Hospice | 14 |
| Trucare Hospice and Palliative Services | 7 |
| Heart to Heart Hospice of Sugar Land | 6 |
| Allied Hospice | 18 |
| Pax Et Vita Hospice Agency, LLC | 1 |
| Citizens Palliative Care LLC | 25 |
| City Hospice & Palliative Care, LLC | 4 |
| Saint Daniel Palliative Care Inc. | 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.