Harbor Hospice of North San Antonio LP
A hospice in San Antonio, Texas 78248
15714 Huebner Road, Suite 2b, San Antonio, Texas 78248. (210) 481-0500.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 10 deficiencies cited in the last three years
- Not rated family caregiver rating
- 7of 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?
10 deficiencies cited in the last three years
The middle of the 63 hospices serving ZIP code 78248 had 5.
The last inspection on record was on Dec 5, 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
10 deficiencies in 1 month of the last 36. Last cited Dec 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.
Dec 5, 2024: reaccreditation inspection by The Joint Commission10 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
The inspectors’ words, 187 words
“Observed in Record Review. In 8 of 10 patient records reviewed, the organization failed to complete the comprehensive assessment no later than five calendar days after the election of hospice care. In review of the medical record for RRHV #1 the social worker had not completed the psychosocial assessment until 30 days following the election of the hospice benefit by the patient. For RRHV #2 the psychosocial assessment was completed 7 days following the election of the hospice benefit by the patient and in review of the medical record for RRHV #3 the spiritual assessment was completed 7 days following the election of the hospice benefit. Additionally, this was observed in review of the medical record for RRNHV #1 where the spiritual assessment was conducted 81 days following the election of the hospice benefit, in RRNHV #4 the spiritual assessment was missing, in RRNHV #5 the psychosocial assessment was completed 12 days following the election of the hospice benefit, in RRNHV #6 the psychosocial assessment was missing and in RRNHV #7 both the psychosocial assessment and the spiritual assessment were missing. This was discussed with the Administrator.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6)(i))
“Observed in Patient Home. In 1 of 2 home visits conducted, with nursing staff the organization did not assess potential medication-related problems. For RRHV #2 the hospice nurse failed to conduct a medication assessment in accordance with the organization’s policy no. 3-002.1 which states; during subsequent hospice visits, the medication profile will be used to evaluate the use of the drugs in the home setting. This was discussed with the Administrator.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 197 words
“Observed in Record Review. In 5 of 12 patient records reviewed, the organization had not provided care, treatment and services according to the hospice plan of care. For RRHV #2 there was no evidence of follow up visits as the social worker had planned in the psychosocial evaluation also, the chaplain who conducted a telephone call with the patient on admission had planned to follow up but there was no evidence of follow up until 2 months later and then again in 3 months. Additionally, for RRNHV #1 
there was no evidence that the social worker visited the patient as planned in the months of May, June or October and no evidence of missed visit documentation. For RRNHV #3 there was no evidence that the social worker visited the patient in July as planned and no evidence of missed visit documentation. Finally, in review of BR #1 and BR #1 the bereavement plan of care called for mailings at 3 weeks, 3 months, 9 months and 13 months
 however there was no evidence in the medical record that the 9 month mailing had been sent to the bereaved as planned. This was discussed with the Administrator. 
”
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Control (42 CFR 418.60(b)(2)(ii))
“Observed in HR File Review. In 7 of 9 HR files reviewed, the organization had not assessed compliance with hand hygiene. Although the organization had assessed hand hygiene for the home health aides, there was no evidence that hand hygiene was being assessed for other staff. For example, HR #1 RN, HR #2 RN, HR #3 Social Worker, HR #4 Chaplain, HR #5 Admin/LVN, HR #8 Medical Director and HR #9 Volunteer, there was no evidence that hand hygiene had been assessed. This was discussed with the Administrator.”
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Recruiting and retaining (42 CFR 418.78(c))
“Observed in Document Review. The hospice had not documented its efforts to recruit and retain volunteers. In review of the Volunteer Program there was no evidence or documentation of recruitment and retention efforts prior to June 2024 when the new Volunteer Coordinator was hired or for 2023. This was discussed with the Administrator.”
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Level of activity (42 CFR 418.78(e))
“Observed in Document Review. The organization did not have evidence that volunteers provided at least 5% of the total patient care hours of all paid hospice employees and contract staff prior to June 2024 when the new Volunteer Coordinator was hired or for 2023. This was discussed with the Administrator.”
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Training (42 CFR 418.100(g)(3))
“Observed in HR File Review. In 1 of 9 HR files reviewed, the organization failed to assess staff competencies. In review of the personnel file for HR #3 who was a social worker hired 5 months ago there was no evidence that competencies had been assessed prior to providing patient care. This was confirmed by the Administrator.”
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Content (42 CFR 418.104(a)(3))
The inspectors’ words, 120 words
“Observed in Patient Home. In 1 of 2 home visits conducted, with nursing staff the organization did not compare the medication information the patient was currently taking with the medications ordered for the patient in order to identify and resolve discrepancies. For RRHV #1 who resided in a skilled nursing facility (SNF) there were inconsistencies in the medication list for the hospice and the medication list for the SNF. Finasteride 5mg 1 tab daily was on medication list for SNF but not on the medication list for the hospice.. MiraLAX 17grams/dose daily as needed and Simvastatin 40 mg was on the hospice medication list but not on the medication list for the SNF. This was discussed with the Administrator. 
”
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Retrieval of clinical records (42 CFR 418.104(f))
“Observed in Record Review. In 1 of 10 patient records reviewed, the patient record was not accurately documented. For RRHV #2 the RN completed the home visit without assessing the patients medications in the home however in review of the medical record the RN documented that a review of the medications had been completed. This was discussed with the Administrator.”
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Criminal background checks (42 CFR 418.114(d)(1))
“Observed in Document Review. In 1 of 3 contracts reviewed, the contract did not include a stipulation that the outside agency would complete criminal background checks on contracted employees who provide direct patient care or have access to patient records. In review of the contract the hospice program has for pharmacy services there was no evidence of language regarding criminal background checks. This was validated with the Administrator.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 5, 2024 | Reaccreditation inspection by The Joint Commission | 10 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jan 20, 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): 6.9 nurse care minutes per routine home care day, 11.2% of skilled nursing minutes at weekends and a visit near death for 83.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 79% at home, 4% in assisted living, 16% 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 | 6.9 min |
| Skilled nursing minutes at weekends | 11.2% |
| Visits near death | 83.1% of patients who died |
Who owns it?
- Arfeen Properties, L.P. owns 99% directly since Sep 4, 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), 0%); Bryan Gaspard (managing employee (on the payroll), 0%); Cynthia 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% | Sep 4, 2012 |
| Hhcs Managers LLC | General partner | 1% | Sep 4, 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: 7 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 81.29% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 41.3% 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 | 7 of 10 |
How does it compare nearby?
- Of the 63 hospices CMS’s data show serving patients in ZIP code 78248, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 10.
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 |
|---|---|
| Harbor Hospice of North San Antonio LP This hospice | 10 |
| Harbor Hospice of South San Antonio LP | 1 |
| A & Z Health Care LLC | 13 |
| Sacred Heart Enterprises, P.C. | 2 |
| Harbor Hospice of Central San Antonio LP | 9 |
| Christus VNA Hospice San Antonio | 0 |
| Vitas Healthcare of Texas LP | 3 |
| Gentiva | 10 |
| Amedisys Hospice of San Antonio | 14 |
| Elara Caring | 0 |
| Alamo Hospice | 25 |
| Compassus - San Antonio | 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 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.