Harbor Hospice of Mcallen LP
A hospice in McAllen, Texas 78504
801 E Nolana A Ve, Ste 20, McAllen, Texas 78504. (956) 800-4977.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 7 deficiencies cited in the last three years
- Not rated family caregiver rating
- 8of 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?
7 deficiencies cited in the last three years
The middle of the 47 hospices serving ZIP code 78504 had 5.5.
The last inspection on record was on Jun 14, 2024: 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
7 deficiencies in 1 month of the last 36. Last cited Jun 2024. 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.
Jun 14, 2024: reaccreditation inspection by The Joint Commission7 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6)(i))
The inspectors’ words, 152 words
“Observed in Patient Home. In 1 of 2 home visits conducted, with staff nurses, it was noted that the hospice nurse failed to conduct a medication assessment. For example, during RRHV#2 the LVN asked if there had been any changes to the medications, but did not assess for potential medication related problems such as adverse effects, drug reactions, significant side effects, and significant drug interactions, including ineffective drug therapy, duplicate drug therapy, and noncompliance with drug therapy. During discussion the patient stated during that she had been using Trazadone 150 for sleep for a long time and it was not included on the POC or medication list. The organization’s Medication Management policy stated that during hospice visits, the medication profile will be used as a teaching guide to ensure that the patient and family/caregiver, as well as other clinicians, understand the medication regimen. This was confirmed with the RN Administrator present. 
”
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Update of comprehensive assessment (42 CFR 418.54(d))
“Observed in Record Review. In 1 of 2 patient records reviewed, for discharged patients, it was noted that the assessment was not updated. For example, in record RRDC#1 the patient was discharged for extended prognosis however the assessments and IDG documentation did not reflect a lack of declining condition. The RN documented continues with sudden decline in health in the assessment and the IDG documentation did not include discussion of patient discharge for extended prognosis. This was discussed with the Administrator and Regional Director present.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 169 words
“Observed in Record Review. In 9 of 14 patient records reviewed, of active patients, it was noted that the written plan of care was not based on the patient’s goals and the time frames, settings, and services required to meet those goals. For example in record RRHV#1 all the documented goals time frames were 5 months in the past and the assessment included high risk for falls and there was no related goal. In records RRHV#2 5 goals time frames were 1 and 3 months in the past, RRHV#3 7 goals time frames were 6 and 5 months in the past, and RRHV#4 2 goals time frames were 3 months in the past. RRNHV#2 1 goal time frame was 2 months in the past, RRNHV#3 7 goals were 1 and 3 months in the past, RRNHV#8 and #9 both 4 goals were 1 month in the past, and RRNHV#4 6 goals time frames were 5 months in the past. This was discussed with the Administrator and Regional Director present.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Observed in Record Review. In 1 of 4 home visits conducted, it was noted that the plan of care did not include medications and treatment necessary to meet the patient’s needs. For example in RRHV#3 it was noted that Zinc Oxide Ointment was being used for wound care, however it was not included on the POC. This was observed with and discussed with the Administrator present.”
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
The inspectors’ words, 126 words
“Observed in Record Review. In 7 of 11 patient records reviewed, that included aide services, it was noted that the hospice aide supervision was not done every 14 days. For example in record RRHV#1 the RN had not documented any aide supervision for greater than 7 months. In records RRHV#4, RRNHV#2 and RRNHV#10 one time the supervision was completed in 15 days. In record RRHV#2 the supervision was completed twice in 16 days and once in 17 days. In record RRNHV#3 the order stated and the aides documented 2 HHAs required for care at each visit, however each supervision was completed for only 1 aide. In RRNHV#8 HHA services were provided for 2 months with no documented supervision . This was confirmed with the DON present.
”
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Training (42 CFR 418.100(g)(3))
“Observed in HR File Review. In 1 of 1 HR files reviewed, it was noted that staff competency was not initially assessed and documented as part of orientation. For example, in the volunteer’s HR file there was a copy of the volunteer competency form with the volunteer’s name on it and the signature completed, however the document was blank with no areas filled out. This was confirmed with the Volunteer Coordinator who stated that she was not sure who was supposed to fill out the document.”
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Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))
The inspectors’ words, 173 words
“Observed in Patient Home. In 2 of 3 home visits conducted, that included oxygen therapy, it was noted that education and training was not provided during the visit. For example during RRHV#2 the patient had multiple questions related to the oxygen equipment that she had been using in her home for many weeks such as what water to use and how to put it in the container and the amount to turn the dial to. The patient could not verbalize the 2 liter oxygen ordered. The LVN repeatedly stated she would go back the next day to take care of the oxygen, not educating the patient until the leadership stepped in at the end of the visit to ensure the patient had the knowledge needed that day. The patient was using oxygen daily. There was education documented at admission. During RRHV#3 the patient was on 100% oxygen and had many back up tanks in the home, however it was noted that 3 tanks were freestanding. This was confirmed with the RN Administrator present.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 14, 2024 | Reaccreditation inspection by The Joint Commission | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 22, 2014.
- 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): 6.8 nurse care minutes per routine home care day, 9.9% of skilled nursing minutes at weekends and a visit near death for 88.7% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 62% at home, 12% in assisted living, 13% in a nursing facility, 13% 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 | 6.8 min |
| Skilled nursing minutes at weekends | 9.9% |
| Visits near death | 88.7% of patients who died |
Who owns it?
- Arfeen Properties, L.P. owns 99% directly since Dec 13, 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)); Humberto F Nunez Uriburu (managing employee (under contract)); Jessica Aguilar (managing employee (on the payroll)).
- 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% | Dec 13, 2012 |
| Hhcs Managers LLC | General partner | 1% | Dec 13, 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: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 92.68% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 50.8% 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 | 8 of 10 |
How does it compare nearby?
- Of the 47 hospices CMS’s data show serving patients in ZIP code 78504, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5.5; this one had 7.
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 |
|---|---|
| Only Love Hospice | 8 |
| Harbor Hospice of Mcallen LP This hospice | 7 |
| Amavi Hospice and Palliative Care, LLC | 5 |
| St Anthony’s Hospice | Not given |
| Anchor of Love Hospice | 10 |
| Harbor Hospice of South Texas LP | 21 |
| Guardian Home Care LLC | 2 |
| Iph Hospice Care Inc. | 2 |
| Atex Hospice | 2 |
| Life Care Hospice and Palliative Services LLC | 0 |
| Casa Mia Hospice Care, LLC. | 3 |
| Gentiva | 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
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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.