Medical City Hospice & Family Care
A hospice in Irving, Texas 75038
1255 Corporate Dr Ste 150a, Irving, Texas 75038. (817) 633-9125.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 6 deficiencies cited in the last three years
- Not rated family caregiver rating
- 10of 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?
6 deficiencies cited in the last three years
The middle of the 45 hospices serving ZIP code 75038 had 3.
The last inspection on record was on May 30, 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
6 deficiencies in 1 month of the last 36. Last cited May 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.
May 30, 2025: reaccreditation inspection by The Joint Commission6 deficiencies
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Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))
“Observed in Record Review. In 1 of 1 patient records reviewed, it was noted by the nurse surveyor that for RRDC#1, a discharge for extended prognosis, the Notice of Medicare Non-coverage (NOMNC) was signed by the patient’s representative on the day before discharge, not five days in advance of the discharge as required by Texas regulation. Findings were verified by the Corporate Vice President for Clinical Support/Administrator, the Director of Clinical Operations, and the Director of Clinical Services/Clinical Services Manager.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. In 1 of 10 patient records reviewed, for active patients, it was noted by the nurse surveyor that for RRHV#2, the initial bereavement risk assessment was not completed as part of the comprehensive assessment. Finding was verified by the Corporate Vice President for Clinical Support/Administrator, the Director of Clinical Operations, and the Director of Clinical Services/Clinical Services Manager.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Observed in Record Review. In 3 of 10 patient records reviewed, it was noted by the nurse surveyor that treatment orders were missing. For RRHV#2, RRNHV#1-P, and RRNHV#3-A, the patients all had wounds, that were being cleaned and dressed, however, there were no orders for the specific wound care being provided for any of the patients on the plan of care. Findings were verified by the Corporate Vice President for Clinical Support/Administrator, the Director of Clinical Operations, and the Director of Clinical Services/Clinical Services Manager.”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 169 words
“Observed in Patient Home. In 1 of 3 home visits conducted, it was noted by the nurse surveyor that the staff failed to follow acceptable practice and agency policy when performing patient care. During RRHV#3, the registered nurse placed her nurse bag on a barrier, then laid her clean equipment on the barrier next to the bag. She performed hand hygiene with hand sanitizer before going in and out of her bag at the beginning of the visit. The skilled nurse then took the patients vital signs and performed the patient assessment. After use, she placed her dirty equipment, along with two cell phones on the barrier next to the nursing bag. After assessment was complete, she did not complete hand hygiene, however she immediately began cleaning her equipment placing it right back where it had been on the now dirty barrier to dry, next to the phones and the nurses bag. Findings were verified by the Director of Clinical Services/Clinical Services Manager who was present on the visit.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 125 words
“Observed in Record Review. In 1 of 8 patient records reviewed, with the hospice aide, it was noted by the nurse surveyor that the hospice aide care plan did not contain all the necessary or current information. For RRHV#2, the patient has a suprapubic catheter, there were no instructions on the hospice aide care plan regarding what the hospice aide should do it the catheter leaked or if there were any noted problems related to the site. For RRNHV#1, the patient had wounds with dressings, however there were no specific instructions on the hospice aide care plan related to the dressings. Findings were verified by the Corporate Vice President for Clinical Support/Administrator, the Director of Clinical Operations, and the Director of Clinical Services/Clinical Services Manager.”
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Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))
The inspectors’ words, 105 words
“Observed in Patient Home. In 1 of 3 home visits conducted, it was noted by the nurse surveyor that for RRHV#1the patient’s folder did not contain any educational materials provided to a patient when admitted to hospice and used for ongoing education. The patient had moved from her home to a Board and Care, new materials had not been provided to the new caregivers, nor was there documentation to support specific education provided upon the patient’s move, such as equipment use, infection control, safety measures, or emergency preparedness. Finding was verified by the Director of Clinical Services/Clinical Services Manager who was present on the visit.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 30, 2025 | Reaccreditation inspection by The Joint Commission | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 9, 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): 12.2 nurse care minutes per routine home care day, 10.2% of skilled nursing minutes at weekends and a visit near death for 90% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 52% at home, 29% in assisted living, 14% in a nursing facility, 5% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.2 min |
| Skilled nursing minutes at weekends | 10.2% |
| Visits near death | 90.0% of patients who died |
Who owns it?
- Health at Home-Bhs, LLC owns 100% directly since Jul 1, 2021.
- 6 owners or officers are people: Eric D Smith (runs it (operational or managerial control)); Kara Wimberly (managing employee (on the payroll), 0%); Manuel Tellez (managing employee (under contract), 0%); Jarrod L Watson (corporate officer); Lance A Blackwood (managing employee (on the payroll), 0%); Brad Williams Parrish (corporate officer).
- 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 |
|---|---|---|---|
| HCA Squared LLC | Owns 5% or more through other companies | 100% | Jul 1, 2021 |
| HCA Inc. | Owns 5% or more through other companies | 100% | Jul 1, 2021 |
| H3ot Corp., LLC | Owns 5% or more through other companies | 100% | Jul 1, 2021 |
| HCA Healthcare Inc. | Owns 5% or more through other companies | 100% | Jul 1, 2021 |
| Health at Home-Bhs, LLC | Owns 5% or more directly | 100% | Jul 1, 2021 |
| Healthtrust Inc. - the Hospital Company | Owns 5% or more through other companies | 100% | Jul 1, 2021 |
| Hospital Corp LLC | Owns 5% or more through other companies | 100% | Jul 1, 2021 |
| Hercules Holding II | Owns 5% or more through other companies | 25% | Jul 1, 2021 |
| Frisco Holding II | Owns 5% or more through other companies | 13.25% | Jul 1, 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): 68% rated it 9 or 10 out of 10, and 77% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 98.82% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 48.8% 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 | 10 of 10 |
How does it compare nearby?
- Of the 45 hospices CMS’s data show serving patients in ZIP code 75038, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; this one had 6.
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 |
|---|---|
| Crossbridge Hospice | 3 |
| Medical City Hospice & Family Care This hospice | 6 |
| Hospice Services Inc. | 3 |
| Hospice Plus Care Inc. | 0 |
| Vitas Healthcare of Texas LP | 15 |
| VNA | 1 |
| Gentiva | 13 |
| Vitas Healthcare of Texas, L.P. | 3 |
| Custom Care Hospice | 4 |
| Heart to Heart Hospice of Texas Ltd | 4 |
| Elara Caring | Not given |
| Faith Presbyterian Hospice | 37 |
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.