Heart to Heart Hospice of Permian Basin
A hospice in Midland, Texas 79703
4214 Andrews Highway, Suite 307, Midland, Texas 79703. (432) 999-3009.
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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 9 hospices serving ZIP code 79703 had 2.
The last inspection on record was on Mar 5, 2026: a reaccreditation 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
2 deficiencies in 1 month of the last 36. Last cited Mar 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.
Mar 5, 2026: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies
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Level of activity (42 CFR 418.78(e))
The inspectors’ words, 279 words
“It is required that hospice volunteers provide day-to-day administrative or direct patient care services in an amount that, at a minimum, equals five percent (5%) of the total patient care hours of all paid hospice employees and contract staff. The hospice documents the cost savings achieved through volunteers. This standard was not met as evidenced by document review and interview. A joint review of the agency report titled “Hospice Volunteer Requirement Report” with the Volunteer Coordinator on 03/02/2026 revealed that volunteer utilization for the agency was below the 5% required by regulation. The annual volunteer report for calendar year 01/01/2024 through 12/31/024 volunteer utilization was 1.78%; and for calendar year 01/01/2025 through 12/31/2025 volunteer utilization was 1.57%. Agency policy HR.95, titled “Volunteers”, states in part , “Volunteers will provide day-to-day administrative and/or direct patient amount that, at a minimum, equals five percent of the total patient hours of paid Hospice employees and contract staff.” During an interview and document review, the Volunteer Coordinator confirmed the findings. No further information was provided. A joint review of the agency report titled “ Hospice Volunteer Requirement Report” with the Volunteer Coordinator on 03/02/2026 revealed that volunteer utilization for the agency was below 5% per regulation. The annual volunteer report for report for calender year 01/01/2023, through 12/31/2023 revealed volunteer utilization was 0.71%, 01/01/2024, through 12/31/024 revealed volunteer utilization was 1.78%. The annual volunteer report for calendar year 01/01/2025, through 12/31/2025, revealed volunteer utilization of 1.57%. Agency policy HR.95 titled “ Volunteers” states in part “Volunteers will provide day-tiday administrative and/or direct patient amount that, at a minimum, equals five percent of the total patient hours of paid Hospice employees and contract staff.””
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Discharge or transfer of care (42 CFR 418.104(e)(1)(i))
The inspectors’ words, 271 words
“It is required that if the care of a hospice patient is transferred to a Medicare/Medicaid certified facility, the hospice forwards to the receiving facility a copy of: 1. The hospice discharge summary described in HCDT 40.I; and 2. The patient’s record, if requested. This standard was not met as evidenced by clinical record review and interview. In 1 of 2 (50%) clinical records reviewed of patients with care transferred to another Medicare facility, the agency did not ensure that a discharge summary was forwarded to the receiving facility. Agency policy PE .15, titled “Patient Transfer” states in part, “If the care of a patient is transferred to another Medicare/Medicaid-Certified Facility, the hospice forwards copies of the Hospice discharge summary, a summary of the patient’s care and the patient’s plan of care.” CLINICAL RECORD 16: The patient elected the hospice benefit on 05/09/2025. The Registered Nurse (RN) documented that the patient was admitted to a hospital on 05/22/2025 to seek aggressive treatment. A discharge summary was completed but there was no evidence in the record that a hospice discharge summary and/or any clinical records were sent to the receiving Medicare/Medicaid Facility. During an interview with the RN Patient Care Manager on 03/05/2026, it was confirmed that the agency did not send a discharge summary or the patient’s records to the receiving hospital. No further information was provided. Agency policy PE .15 titled “ Patient Transfer” states in part, “If the care of a patient is transferred to another Medicare/Medicaid-Certified Facility, the hospice forwards ciopies of the Hospice discharge Summary, a summary of the patient’s care and the patient’s plan of care.””
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 5, 2026 | Reaccreditation inspection by the Community Health Accreditation Partner | 2 deficiencies cited |
| Jun 25, 2024 | Complaint inspection by the state | No deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 6, 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): 10.2 nurse care minutes per routine home care day, 6.7% of skilled nursing minutes at weekends and a visit near death for 90.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 29% at home, 22% in assisted living, 49% in a nursing facility, 1% in a hospital.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 10.2 min |
| Skilled nursing minutes at weekends | 6.7% |
| Visits near death | 90.4% of patients who died |
Who owns it?
- West Texas Medical Couriers and Express Delivery Services, LLC owns 100% directly since Oct 27, 2020.
- 5 owners or officers are people: Valerie Odom (managing employee (on the payroll), 0%); John D Clark (managing employee (under contract), 0%); Jennifer Swendsen (managing employee (on the payroll), 0%); Stefanie Bullard (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% | Oct 27, 2020 |
| West Texas Medical Couriers and Express Delivery Services, LLC | Owns 5% or more directly | 100% | Oct 27, 2020 |
| H to H Founders, LLC | Owns 5% or more through other companies | 59.83% | Dec 17, 2018 |
| Htohh Preferred LLC | Owns 5% or more through other companies | 39.92% | Oct 27, 2020 |
| Hthh Atlas, LLC | Other role (CMS gives no detail) | 0.25% | Oct 27, 2020 |
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): 81% rated it 9 or 10 out of 10, and 86% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.3% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 59.7% 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 | 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 9 hospices CMS’s data show serving patients in ZIP code 79703, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2; 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 |
|---|---|
| Heart to Heart Hospice of Permian Basin This hospice | 2 |
| Hospice of Midland Inc. | 6 |
| Angels Care Hospice | 0 |
| Gentiva | 4 |
| Home Hospice | 10 |
| Solaris Hospice Inc. | 5 |
| Star Hospice | 0 |
| Hospice Sunset | 1 |
| Excelacare Hospice | 0 |
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
-
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.