Jol Healthcare
A hospice in Kyle, Texas 78640
1300 Dacy Lane, Suite 150, Kyle, Texas 78640. (512) 786-4198.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency 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?
1 deficiency cited in the last three years
The middle of the 47 hospices serving ZIP code 78640 had 5.
The last inspection on record was on Jul 17, 2025: a recertification 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
1 deficiency in 1 month of the last 36. Last cited Jul 2025. 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.
Jul 17, 2025: recertification inspection by the state1 deficiency
-
Content (42 CFR 418.104(a)(1))
The inspectors’ words, 536 words
“Based on record review and interview the agency failed to ensure home health aide visits or missed visit notes were documented in each patient record as applicable for 3 of 19 sampled patients (Patient #9, #11 and #13). Failure to document all patient visits or missed visits had the potential to cause harm in that valuable patient information would not be available to interdisciplinary team members and patient needs may not have been met. Findings include: Review of the clinical record for Patient #9 revealed a start of care date of 05/08/2025 with a diagnosis of Multiple Myeloma. Multiple Myeloma is a form of cancer of the blood. Review of the plan of care for the period 05/08/2025-07/04/2025 revealed orders: HHA services 3 times per week for 12 weeks, then 1 time per week for 1 week. Review of the clinical record for the week of 06/15/2025-06/21/2025 revealed documentation that HHA services were provided 1 time on 06/18/2025. Review of visit notes revealed no documentation of additional HHA visits or missed visits during that week. Review of the clinical record for Patient #11 revealed a start of care date of 08/23/2023 with a diagnosis of Multiple Sclerosis. This disease causes severe muscle weakness. Review of the plan of care for the period 04/14/2025-6/12/2025 revealed orders: HHA services 2 times per week for 8 weeks, then 1 time per week for 1 week. Review of the clinical record for the week of 05/04/2025-05/10/2025 revealed HHA services were provided 1 time 05/06/2025. During the week of 06/01/2025-06/07/2025 revealed HHA services were provided 1 time on 06/03/2025. Review of visit notes revealed no documentation of additional HHA visits or missed visits during those weeks. Review of the clinical record for Patient #13 revealed a start of care date of 03/28/2025 with a diagnosis of colon cancer. Review of the plan of care for the period 03/28/2025-05/24/2025 revealed orders: HHA services 2 times per week for 12 weeks, then 1 time per week for 1 week. HHA services were discontinued on 05/06/2025. During the period 04/13/2025-05/06/2025 no HHA visits were documented. Documentation of one HHA missed visit on 04/17/2025 was noted. An Interview was conducted on 07/16/2025 at 2:35 PM with A/ASN and AA/SN. The clinical records for Patients #9, #11 and #13 were reviewed and documentation of additional visits or missed visits were requested for review. AA/SN stated there were some glitches in the electronic medical records software that may have caused issues with documentation. A/ASN stated the agency would contact the customer support department to address the issues. Both administrators acknowledged the lack of documentation of visits or missed visits. Surveyor asked if it was known if HHA services were provided as ordered. A/ASN and AA/SN advised they would review the visit records and provide additional information if any was uncovered. No additional information was available by the time of exit.Review of the agency’s policy and procedure manual revealed a policy titled “Medical Record Content, IM.30, Last Reviewed:090124” which read, “The content of the medical record will include, at a minimum, Clinical notes documenting functional and activity limitations, all actions, interventions, and procedures provided by the hospice, including medication administration, treatments, and services, and the responses to interventions.””
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 17, 2025 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Jul 20, 2006.
- 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): 14.6 nurse care minutes per routine home care day, 6.1% of skilled nursing minutes at weekends and a visit near death for 92.7% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 73% at home, 13% in assisted living, 8% in a nursing facility, 6% 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 | 14.6 min |
| Skilled nursing minutes at weekends | 6.1% |
| Visits near death | 92.7% of patients who died |
Who owns it?
- Jol Healthcare, Inc. owns 100% directly since Aug 1, 2019.
- Jol Healthcare, Inc. runs it.
- 5 owners or officers are people: Sarah E Files (owns 5% or more directly, 100%); Sarah E Files (corporate officer, 100%); Sarah E Files (corporate director, 100%); Sarah E Files (managing employee (on the payroll), 100%); Sarah E Files (runs it (operational or managerial control), 100%).
- 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 |
|---|---|---|---|
| Jol Healthcare, Inc. | Owns 5% or more directly | 100% | Aug 1, 2019 |
| Jol Healthcare, Inc. | Owns 5% or more through other companies | 100% | Aug 1, 2019 |
| Jol Healthcare, Inc. | Runs it (operational or managerial control) | 0% | Aug 1, 2019 |
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): 81% rated it 9 or 10 out of 10, and 91% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 88.68% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 57.8% 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 | 9 of 10 |
How does it compare nearby?
- Of the 47 hospices CMS’s data show serving patients in ZIP code 78640, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 1.
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 |
|---|---|
| Jol Healthcare This hospice | 1 |
| Hospice Austin | 2 |
| Hope Hospice | 5 |
| Christus Hospice - Central Texas | 0 |
| Vitas Healthcare of Texas LP | 3 |
| Gentiva | 7 |
| Three Oaks Hospice | 9 |
| Heart to Heart Hospice of Austin Ltd | 5 |
| Bluebonnet Health Services | 0 |
| Accentcare Hospice & Palliative Care - Austin | 6 |
| Hospice Compassus | 3 |
| Beacon Hospice of Austin | 21 |
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
-
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.