Harbor Hospice of Southeast Texas
A hospice in Nederland, Texas 77627
2200 Highway 365, Suite 101, Nederland, Texas 77627. (409) 213-7300.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 5 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 9of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- 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?
5 deficiencies cited in the last three years
The middle of the 26 hospices serving ZIP code 77627 had 3.
The last inspection on record was on Mar 13, 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
5 deficiencies in 1 month of the last 36. Last cited Mar 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.
Mar 13, 2026: reaccreditation inspection by The Joint Commission5 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
The inspectors’ words, 98 words
“Observed in Record Review. In 2 of 14 patient records reviewed, it was noted that the initial comprehensive assessment was not completed within five calendar days of the patient electing the hospice benefit. For example in record RRHV#2 the social work assessment was completed on day 8 and there had been no documentation of why the assessment was delayed. In record RRHV#4 there was no social work visit documented in the first month of service with no documentation of why the assessment had not been completed. This was confirmed and discussed with the DPCS and Regional Administrator present.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6)(i))
The inspectors’ words, 123 words
“Observed in Record Review. In 2 of 14 patient records reviewed, it was noted that the hospice nurse conducted a medication assessment but failed to identify all medications. For example in record RRHV#3 three medications were identified at the medication reassessment that the patient stated she had been using for a long time and they had not been identified at the initial medication assessment. For example in record RRHV#1 two eye drop medications were identified at the medication reassessment that the patient stated she had been using for years and her son stated she had been using for 15 years and they had not been identified at the initial medication assessment. This was confirmed and discussed with the DPCS and Regional Administrator present.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 305 words
“Observed in Record Review. In 11 of 14 patient records reviewed, it was noted that the written plan of care was not individualized with patient goals, time frames, and services required to meet those goals. For example in record RNHV#1 the volunteer and spiritual counselor’s goals were not measurable or individualized. Such as, Orders and careplan will continue to be molded to best support pt and cg. and That the pt and family/will feel spiritual supported while being care for on services. This record also included 3 goals for falls that stated in progress however all target dates were in the past. The POC goals for skin integrity only 2 of 3 patient wounds. This patient had a foley catheter and it was changed monthly however there was not goal or intervention related to the foley catheter care. For example in record RRHV#1 the POC goals for Cancer include pain control, but the only interventions were medications, no non-pharmacologic interventions and the patient was actively using non-pharmacologic methods of pain management. Also in the record’s POC 6 nursing goals all stated in progress and their target dates were all in the past. For example in record RRHV#3 the POC goals were not individualized or measurable Ms ---- will feel her spiritual needs are being met as she has defined and maintain a high level of spiritual and emotional contentment Patient will demonstrate understanding of appropriate use of meds for pain management. For example, in record RRNHV#3 6 goals were in progress however the target dates were all in the past. In record RRNHV#7 the POC included goals and interventions for a volunteer, however the volunteer service had stopped. Records RRHV#2 and RRNHV#2, 3, 4, 5, 6, 9, and 10 with similar POC issues. This was confirmed and discussed with the DPCS and Regional Administrator present.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 97 words
“Observed in Record Review. In 1 of 14 patient records reviewed, it was noted that the organization had not followed the plan of care. For example in record RRNHV#1 the frequency of volunteer visits was not followed in 3 of the past 6 months, one month the volunteer completed 3 visits when 2 were ordered on POC, another month the volunteer completed 5 visits when the POC order was 3 and another month the POC was for 2 volunteer visits and 1 visit was completed. This was confirmed and discussed with the DPCS and Regional Director present.”
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Supervision of hospice aides (42 CFR 418.76(h)(3)(i))
“Observed in Patient Home. In 1 of 14 patient records reviewed, it was noted that the nurse had not completed an effective supervision of the aide. For example in record RRNHV#3 the nurse documented aide supervision that stated that all areas were good, however for the last 5 weeks of the hospice care the aide only completed 11 of 13 visits ordered on the POC. The aide had documented missed visits. This was confirmed and discussed with the DPCS and Regional Administrator present.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 13, 2026 | Reaccreditation inspection by The Joint Commission | 5 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Nov 1, 2013.
- Ownership: other.
- 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): 7.6 nurse care minutes per routine home care day, 6.1% of skilled nursing minutes at weekends and a visit near death for 94.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 72% at home, 4% in assisted living, 16% in a nursing facility, 8% in an inpatient hospice.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 7.6 min |
| Skilled nursing minutes at weekends | 6.1% |
| Visits near death | 94.3% of patients who died |
Who owns it?
- Arfeen Properties, L.P. owns 99% directly since Jul 26, 2012.
- 4 owners or officers are people: Qamar U Arfeen (owns 5% or more through other companies, 49.5%); Kelley L Arfeen (owns 5% or more through other companies, 49.5%); Vicki Watford (managing employee (on the payroll), 0%); Karen Carter (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% | Jul 26, 2012 |
| Hhcs Managers LLC | General partner | 1% | Jul 26, 2012 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 82% rated it 9 or 10 out of 10, and 86% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.46% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 34.7% 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 | 4 of 5 |
| 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 | 9 of 10 |
How does it compare nearby?
- Of the 26 hospices CMS’s data show serving patients in ZIP code 77627, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; this one had 5.
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 Southeast Texas This hospice | 5 |
| Hospice Care Team Inc. | 0 |
| The Southeast Texas Hospice | 0 |
| Altus Hospice | 5 |
| Choice Health at Home | 0 |
| Gentiva | 27 |
| Harbor Hospice House | 1 |
| Accentcare Hospice & Palliative Care of Texas | 2 |
| Heart to Heart Hospice of the Gulf Coast | 4 |
| Gentiva | 15 |
| Compassion Hospice | 0 |
| Amedisys Hospice | 9 |
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.