Hearth Record

Harbor House

A hospice in Houston, Texas 77045

11990 Kirby Drive, Houston, Texas 77045. (713) 413-5200.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 6 deficiencies in 1 month of the last 36. Last cited Dec 2025. Most serious: Standard-level. Every month

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?

6 deficiencies cited in the last three years

The middle of the 88 hospices serving ZIP code 77045 had 6.

The last inspection on record was on Dec 11, 2025: a reaccreditation inspection by The Joint Commission.

Source:

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

6 deficiencies in 1 month of the last 36. Last cited Dec 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.

6 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Dec 11, 2025: reaccreditation inspection by The Joint Commission6 deficiencies
  • Hospice aide assignments and duties (42 CFR 418.76(g)(1))

    “Observed in Record Review. In 3 of 3 patient records with hospice aide services, , it was noted the organization failed to provide written patient care instructions for a hospice aide to follow. For example, in review of records HOSRRHV#3, HOSRRDC#8 and HOSRRDC#9, THE Aide care plan did not include the frequency for each task assigned to the hospice aide. This finding was discussed and validated by the Hospice administrator.”

    Rule L0625. Standard-level.

  • Supervision of hospice aides (42 CFR 418.76(h)(1)(i))

    The inspectors’ words, 110 words

    “Observed in Record Review. In 2 of 3 active patient record with hospice aide services, it was noted the organization failed to ensure that hospice aide supervision was conducted at the patient’s home no less than every 14 days as required. During review of record HOSRRNHV#3, the documentation showed a gap of 15 days between the 3rd week and 5th week of October, and between last week of October and 2nd week of November, no aide supervision had been documented. On record of HOSRRDC#4, there was no evidence documented of hospice aide supervision during the month of June and July. This finding was discussed and validated by the Hospice Administrator.”

    Rule L0629. Standard-level.

  • Retrieval of clinical records (42 CFR 418.104(f))

    The inspectors’ words, 133 words

    “Observed in Record Review. In 4 of 14 patient records reviewed, it was noted the organization failed to ensure a clinical record containing past and present findings is maintained for each hospice patient. For example in review of record HOSRRDC#10, the skilled nursing visit documentation was not entered in the record 10 days post discharge as opposed to be within 5 days as required by policy. (Policies no 5-006.1 Entries into the Clinical Record paragraph 6nAll documentation will be turned in or completed using the company’s contracted EMR provider within 5 days.) Additionally, on records of HOSRRDC#7, HOSRRDC#8, and HOSRRDC#9, it revealed that the following sections, i.e., discharge condition, discharge instruction, care summary and medication profile, of the DC summary was left blank. This finding was discussed and validated by the Hospice Administrator.”

    Rule L0685. Standard-level.

  • Label dispose storage drugs (42 CFR 418.106(e)(3)(ii))

    “Observed in Medication Management Tracer. During the inpatient hospice visit, the clinical nurse described the process for counting controlled substances, which involves both incoming and outgoing staff verifying the count and signing the paper narcotic count documentation log. However, a review of the documentation revealed multiple instances in October and November where clinician signatures missing. There was no documentation provided to explain the absence of these signatures. This was discussed and validated by the Hospice Administrator and 2 (RN) Clinical Managers.”

    Rule L0700. Standard-level.

  • N/a (42 CFR 418.110(d)(1)(i))

    “Observed in Document Review. There was no documentation of fire door inspection in 2024. This was verified by the facility manager. Observed in Building Tour. Rusty or dirty sprinkler heads were observed on the loading dock area and in the hot water heater room. This finding was observed during survey activity, but corrected onsite prior to the surveyor’s departure. The corrective action taken needs to be included in the organization’s Evidence of Standards Compliance submission.”

    Rule L0827. Standard-level.

  • N/a (42 CFR 418.110(e))

    “Observed in Document Review. During the document review it was observed that the Supervisory Signal Devices were not tested in quarter one and two of 2025. This was verified by the facility manager. Observed in Document Review. It was observed that the NFPA was not referenced on the fire alarm or sprinkler documents date 9/3/2025. This was verified by the facility manager.”

    Rule L0828. Standard-level.

All 2 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Dec 11, 2025Reaccreditation inspection by The Joint Commission6 deficiencies cited
Nov 7, 2025Complaint inspection by the stateNo deficiencies cited

Is it certified?

  • Medicare-certified hospice since Jul 26, 2013.
  • Ownership: for-profit.
  • No deficiency or on record in the last three years.
Source:

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.
Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Who does the caring?

  • CMS hasn’t published nursing time from Medicare claims for this hospice.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 100% at home.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Who owns it?

  • Arfeen Properties, L.P. owns 99% directly since Sep 12, 2012.
  • 5 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%); Shery Cherian (managing employee (under contract), 0%); Georgia Alley (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.
Source:

CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
Arfeen Properties, L.P.Owns 5% or more directly99%Sep 12, 2012
Hhcs Managers LLCGeneral partner1%Sep 12, 2012

What do families say?

  • CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
  • CMS gives no Hospice Care Index for this hospice.
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

How does it compare nearby?

  • Of the 88 hospices CMS’s data show serving patients in ZIP code 77045, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 6.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

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

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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