Harbor Hospice of Fort Worth LP
A hospice in Fort Worth, Texas 76109
4255 Bryant Irvin Road, Suite 116, Fort Worth, Texas 76109. (817) 237-2255.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 8 deficiencies cited in the last three years
- Not rated family caregiver rating
- 5of 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?
8 deficiencies cited in the last three years
The middle of the 55 hospices serving ZIP code 76109 had 4.
The last inspection on record was on Feb 11, 2026: 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
8 deficiencies in 1 month of the last 36. Last cited Feb 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
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.
Feb 11, 2026: reaccreditation inspection by The Joint Commission8 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 2 discharged records reviewed, it was noted that the patient’s right to revoke hospice services was not fully implemented. For example, a review of the medical record for RRDC#2, revealed that the discharge summary indicated the patient chose to revoke hospice services. The medical record did not include a written revocation statement signed by the patient. This observation was reviewed with the Administrator.”
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Plan of care (42 CFR 418.56(b ))
The inspectors’ words, 197 words
“Observed in Record Review. In 2 of 12 patient records reviewed, it was noted that the organization did not ensure that the plan of care goals included outcome measures for specific care activities. For example, during a review of the medical record for RRHV#1, the following goal statement was noted, “Patient will maintain optimum level of functioning appropriate for stage of disease process”. This goal statement was written to address the care needs related to the patient’s terminal illness diagnosis of Senile degeneration of brain, not elsewhere classified. The goal statement did not include a method to measure the effectiveness of problem interventions. The patient’s initial assessment identified care needs related to the patient’s risk for fall and bowel/bladder incontinence. The plan of care did not include goal statements to evaluate the response to care, treatment, and services related to fall prevention and bowel/bladder incontinence interventions. Example #2: A review of the medical record for RRNHV#3, revealed that the patient’s terminal illness diagnosis was Alzheimer’s disease. The plan of care did not include a goal statement to evaluate the response to care, treatment, and services related to Alzheimer’s disease interventions. This observation was reviewed with the Administrator.”
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Content of plan of care (42 CFR 418.56(c)(1))
The inspectors’ words, 126 words
“Observed in Record Review. In 2 of 12 patient’s records reviewed, it was noted that the plan of care did not include interventions based on the problems identified in the comprehensive assessment. For example, the plan of care for RRHV#1, identified the following problems: Cognitive decline related to the terminal illness diagnosis of Senile Degeneration of brain, not elsewhere classified; Risk of fall; and Bowel/Bladder incontinence. The plan of care did not include interventions to address the delivery of care, treatment, and services for identified care concerns. Example #2: A review of the medical record for RRNHV#3, revealed that the patient’s terminal illness diagnosis was Alzheimer’s disease. The plan of care did not include interventions related to Alzheimer’s disease. This observation was reviewed with the Administrator.”
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Review of the plan of care (42 CFR 418.56(d ))
“Observed in Record Review. In 1 of 12 patient records reviewed, it was noted that the organization did not ensure the plan of care was reviewed and revised every 15 days. For example, during a review of the medical record for RRNHV#3, there was no documented evidence that the interdisciplinary group, in collaboration with the patient’s attending physician reviewed and revised the plan of care during week 3 of services. This observation was reviewed with the Administrator.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
“Observed in Record Review. In 1 of 6 patient records reviewed, for patient’s receiving hospice aide services, it was noted that the organization did not ensure all requirements for planning the care of patient’s were implemented. For example, a review of the medical record for RRHV#1, revealed that the Plan of Care did not include written patient care instructions for the hospice aide prepared by the registered nurse member of the interdisciplinary group. This observation was reviewed with the Administrator.”
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Level of activity (42 CFR 418.78(e))
“Observed in Data Session. During the Volunteer Program review it was noted that the organization did not provide volunteer activity that equals 5% of the total patient care hours of all paid hospice employees and contract staff for the year 2025. This observation was reviewed with the Administrator.”
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Initial certification of terminal illness (42 CFR 418.102(b)(3))
“Observed in Record Review. In 1 of 12 patient records reviewed, the organization did not ensure its policy titled Certification of Terminal Illness was implemented. For example, a review of the Certification of Terminal Illness statement(s) for benefit period #10, for RRNHV#3, revealed that the Certifying Physician Summary did not document clinical information to support the medical prognosis and support for recertification of hospice services. This area of the document was left blank. This observation was reviewed with the Administrator.”
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Retrieval of clinical records (42 CFR 418.104(f))
The inspectors’ words, 91 words
“Observed in Record Review. In 1 of 6 medical records reviewed, for patient’s receiving hospice aide services, it was noted that the organization did not ensure medical record entries were complete, promptly, and accurately documented. For example, during a review of the medical record for RRHV#1, it was noted that hospice aide services were ordered two (2) visits per week. The hospice aide visit notes for a 10 week period did not include documentation of the care, treatment, and services provided during the visit(s). This observation was reviewed with the Administrator.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 11, 2026 | Reaccreditation inspection by The Joint Commission | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 25, 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): 6.3 nurse care minutes per routine home care day, 3.9% of skilled nursing minutes at weekends and a visit near death for 64.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 73% at home, 13% in assisted living, 10% in a nursing facility, 4% 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 | 6.3 min |
| Skilled nursing minutes at weekends | 3.9% |
| Visits near death | 64.3% of patients who died |
Who owns it?
- Arfeen Properties, L.P. owns 99% directly since Jul 26, 2012.
- 6 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%); Paul K Kim (managing employee (under contract), 0%); Karen Carter (managing employee (on the payroll), 0%); Bryan Gaspard (managing employee (on the payroll)); Anaka Allen (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 |
|---|---|---|---|
| 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?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- CMS’s Hospice Care Index: 5 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 70% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 45% 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 | 5 of 10 |
How does it compare nearby?
- Of the 55 hospices CMS’s data show serving patients in ZIP code 76109, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; this one had 8.
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 Fort Worth, LLC | 6 |
| Legend Hospice and Palliative Care | 6 |
| Harbor Hospice of Fort Worth LP This hospice | 8 |
| Frontier Hospice | 1 |
| Community Healthcare of Texas | 2 |
| Vitas Healthcare of Texas, L.P. | 3 |
| Universal Health Services | 0 |
| Amedisys Hospice | 8 |
| Compassus - Fort Worth | 5 |
| Alpha Omega Hospice | 14 |
| Enhabit Hospice | 1 |
| St. Gabriel’s Hospice and Palliative Care | 4 |
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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 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.