Always Accurate Home Healthcare and Hospice LLC
A hospice in Kaufman, Texas 75142
307 N Washington St, Kaufman, Texas 75142. (469) 376-6763.
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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 40 hospices serving ZIP code 75142 had 3.
The last inspection on record was on Jan 17, 2024: a reaccreditation inspection by the Accreditation Commission for Health Care.
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 Jan 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.
Jan 17, 2024: reaccreditation inspection by the Accreditation Commission for Health Care7 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 193 words
“Upon patient record review, 5 of 14 (Patient #3,#6,#7,#9,#10) did not have evidence in the patient record that a review was completed of all prescription that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug therapy currently associated with laboratory monitoring Patient #3: Per plan of care dated 11/3/23, the patient “required PRN O2 at 2L per NC.” There was no evidence of oxygen administration on the medication profile. Patient #6: Per LPN note dated 1/4/24, the patient was using oxygen “continuous at 2.5 LPM via NC.” There was no evidence of oxygen administration on the medication profile. Patient #7: Per RN assessment on 05/08/23, the patient was continually using O2, 2-4 LPM via NC. There was no evidence of oxygen administration on the medication profile. Patient #9: Per plan of care dated 12/29/23, the patient was O2 dependent at “5L per NC.” There was no evidence of oxygen administration on the medication profile. Patient #10: Per plan of care dated 12/15/23. the patient was using O2 at 2L per NC, but there was no evidence this was documented on the medication profile.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 100 words
“Upon patient record review, 1 of 14 (Patient #11) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient’s family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient’s death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient #11: There was no evidence of documentation of a bereavement assessment by the SW, Chaplain or RN in the patient record.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 91 words
“Upon client record review, 2 of 14 (Patient #3, #6) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #3: The plan of care, dated 11/3/23 indicated SW visits were 1 x month. The SW documented routine visits for the patient on 11/6/23, 11/7/23 and 11/21/23. Patient #6: The plan of care dated 10/19/23 indicated SW visits were 1 x month. There was no evidence of documentation of a SW visit in the month of December 2023.”
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Counseling services (42 CFR 418.64(d)(1))
“Upon patient record review, 2 of 14 (Patient #13, #14) did not have evidence the hospice offers bereavement counseling that includes: • Ensuring that bereavement services reflect the needs of the bereaved • Development of a bereavement plan of care that notes the kind of bereavement services to be offered and the frequency of service delivery Patient #13, #14: During the client bereavement record review, there was no evidence of documentation of the interventions listed and dated in the bereavement plan of care.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 108 words
“Upon patient record review, 1 of 14 (Patient #11) did not have evidence in the patient record that hospice aide assignments and duties are: • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 Patient #11: The written instructions on the aide plan of care dated 11/28/23 indicated that the aide was to “perform wound care dressing change” at each visit. There was not evidence of the specific wound care to be performed by the aide in the aide care plan or IDT care plan.”
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Content (42 CFR 418.104(a)(2))
The inspectors’ words, 109 words
“Upon patient client record review, 2 of 14 (Patient #1,#11,) did not have evidence that each patient record contains: • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 Patient #1: The Hospice Election statement dated 08/11/23 was signed by a family member without evidence of documentation that: 1) the patient was unable to sign and 2) why the patient was unable to sign. Patient #11: The Hospice Election statement dated 11/28/23 was signed by the POA without evidence of documentation that: 1) the patient was unable to sign and 2) why the patient was unable to sign.”
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Authentication (42 CFR 418.104(b))
The inspectors’ words, 93 words
“Upon patient client record review, 1 of 14 (Patient #12) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #12: The RN documentation for 11/13/23 indicated an aide supervisory visit was completed. There was no evidence that an aide was assigned to the patient or that an aide visited until 12/7/23.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 17, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Feb 6, 2015.
- 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): 8.1 nurse care minutes per routine home care day, 6.5% of skilled nursing minutes at weekends and a visit near death for 85.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 54% at home, 34% in assisted living, 12% in a nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 8.1 min |
| Skilled nursing minutes at weekends | 6.5% |
| Visits near death | 85.4% of patients who died |
Who owns it?
- 5 owners or officers are people: Christy Haning (owns 5% or more directly, 100%); Courtny Grarcia (managing employee (on the payroll)); Christy Haning (corporate officer); Christy Haning (corporate director); Mark W Sij (managing employee (under contract)).
- 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.
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): 86% rated it 9 or 10 out of 10, and 85% would definitely recommend it.
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 96.06% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 20.5% 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 40 hospices CMS’s data show serving patients in ZIP code 75142, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; 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 |
|---|---|
| Always Accurate Home Healthcare and Hospice LLC This hospice | 7 |
| Vitas Healthcare of Texas LP | 15 |
| VNA | 1 |
| Cedar Lake Home Health and Hospice | 0 |
| Custom Care Hospice | 4 |
| Solaris Hospice Inc. | 5 |
| Heart to Heart Hospice of Texas Ltd | 4 |
| Bristol Hospice - North Central Texas | 11 |
| Faith Presbyterian Hospice | 37 |
| Hospice Plus | 18 |
| Enhabit Hospice | 0 |
| Good Shepherd Hospice of Dallas LLC | 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.