Harbor Hospice 27 LP
A hospice in Tyler, Texas 75702
727 E Front Street Suite 100, Tyler, Texas 75702. (903) 534-3701.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 6 deficiencies cited in the last three years
- Not rated family caregiver rating
- 9of 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?
6 deficiencies cited in the last three years
The middle of the 21 hospices serving ZIP code 75702 had 2.
The last inspection on record was on Aug 28, 2026: a complaint inspection by the state.
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
6 deficiencies in 1 month of the last 36. Last cited May 2026. 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.
May 8, 2026: reaccreditation inspection by The Joint Commission6 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6)(i))
“Observed in Patient Home. In 1 of 3 Hospice home visits observed and confirmed by the Administrator. Medications had not been reconciled to include all medications the patient had been taking. Example: During observation of HOSrrhv#1 the patient had several prescribed eye drops to include Dorzolamide 2 x day and Brimonidine 3x day on his side table that he had been utilizing for his glaucoma for a several years. The medications had not been documented within the medication profile at the start of care or during subsequent visits.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 96 words
“Observed in Record Review. In 5 of 14 patient records reviewed, Confirmed by the Administrator. It had been identified that the Hospice plan of care goals had not been measurable. Example: During review of HOSrrhv#1, HOSrrhv#2 , HOSrrhv#3 and HOSrrnhv#4 , all goals were to be achieved by the end of the certification to include all had documenting that the patient/caregiver will achieve a tolerable pain level in 3 months. During review of HOSrrnhv #5 The spiritual plan of care goal had documented that patient/family will identify plan for time of death by end of certification”
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Content of plan of care (42 CFR 418.56(c)(1))
“Observed in Record Review. In 1 of 14 Hospice patient record reviews and confirmed by the Administrator . The plan of care had not documented care or treatment related to the assessed needs. Example: During review of HOSrrnhv#2 and confirmed by the Director. Nursing assessment had documented that the patient with a brain tumor had suffered seizures and had medication to control. The patient had an elbow wound with wound care provided . Neither assessed needs had been documented on the plan of care with interventions to be provided.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Observed in Patient Home. In 1 of 3 Hospice home visits observed and confirmed by the Administrator. Medications had not been reconciled to include all medications the patient had been taking. Example: During observation of HOSrrhv#1 the patient had several prescribed eye drops to include Dorzolamide 2 x day and Brimonidine 3x day on his side table that he had been utilizing for his glaucoma for a several years. The medications had not been documented within the plan of care at the start of care or during subsequent visits.”
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Competency evaluation (42 CFR 418.76(c)(1))
“Observed in HR File Review. In 1 of 1 Hospice Aide personnel file reviewed and confirmed by the Administrator . The competence evaluation had not documented direct observation of the aides performance to include safe techniques in personal hygiene and grooming for a bed, sponge, or shower per organization policy and law and regulation.”
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Training (42 CFR 418.100(g)(3))
“Observed in HR File Review. In 4 of 6 HR files reviewed, Confirmed by the Administrator. Hospice had not documented direct observation or demonstration per organization policy and procedure. Policy had stated that staff clinical skills were to be demonstrated and documented as demonstrated. Example: The clinical skills for the RN, LVN, MSW, Chaplain had documented that skills had been assessed and documented verbally.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 28, 2026 | Complaint inspection by the state | No deficiencies cited |
| May 8, 2026 | Reaccreditation inspection by The Joint Commission | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 1, 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): 9.7 nurse care minutes per routine home care day, 5.3% of skilled nursing minutes at weekends and a visit near death for 77.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 67% at home, 12% in assisted living, 21% 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 | 9.7 min |
| Skilled nursing minutes at weekends | 5.3% |
| Visits near death | 77.2% of patients who died |
Who owns it?
- Arfeen Properties, L.P. owns 99% directly since Oct 1, 2012.
- 4 owners or officers are people: Kelley L Arfeen (owns 5% or more through other companies, 99%); Qamar U Arfeen (owns 5% or more through other companies, 50%); Karen Carter (managing employee (on the payroll), 0%); Bryan Gaspard (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% | Oct 1, 2012 |
| Hhcs Managers LLC | General partner | 1% | Oct 1, 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: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 83.65% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 37.3% 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 | 9 of 10 |
How does it compare nearby?
- Of the 21 hospices CMS’s data show serving patients in ZIP code 75702, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2; this one had 6.
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 27 LP This hospice | 6 |
| Hospice of East Texas | 1 |
| Choice Hospice | 13 |
| Heart to Heart Hospice of Tyler Ltd | 2 |
| Heritage Hospice of East Texas | 5 |
| Angel Hands Hospice of East Texas | 0 |
| Harbor Hospice of Texarkana LP | 0 |
| Enhabit Hospice | 0 |
| Solaris Hospice Inc. | 5 |
| Hospice Plus | 18 |
| Dierksen Hospice | 11 |
| Accentcare Hospice & Palliative Care of Texas | 1 |
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.