Concord Hospice LLC
A hospice in Sherman, Texas 75090
719 N Crockett Street, Sherman, Texas 75090. (469) 906-2000.
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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 25 hospices serving ZIP code 75090 had 3.
The last inspection on record was on Aug 28, 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 Aug 2025. 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.
Aug 28, 2025: recertification inspection by the state1 deficiency
-
Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 646 words
“Based on record review and interview, the agency failed to take in required factors that must be incorporated into the plan of care and considered in the bereavement plan of care in that: the agency did not incorporate an initial bereavement assessment that considered the needs of the client’s family and other persons that focuses on the social, spiritual, and cultural factors that may impact their ability to cope with the client’s death in 4 of 4 deceased client’s records reviewed. Citing Client #11, Client #12, Client #13 and Client #14.This failure could mean that the bereaved were not given adequate tools to cope with the death of their loved one. Findings:Review of the medical record of Patient #11 revealed a start of care date of 8/1/2025 and a diagnosis of end stage heart failure. End stage heart failure is the most advanced stage of heart failure, where the heart can no longer pump enough blood to meet the body’s needs. Further review of the medical record revealed a date of death as 8/5/2025. Nowhere in the medical record was there an inital bereavement assessment.Review of the medical record of Patient #12 revealed a start of care date of 7/16/2025 and a diagnosis of senile degeneration of the brain. Senile degeneration of the brain encompasses a range of neurological disorders characterized by a progressive decline in cognitive function, impacting memory, reasoning, and the ability to perform everyday activities. Further review of the medical record revealed a date of death as 8/5/2025. Nowhere in the medical record was there an initial bereavement assessment.Review of the medical record of Patient #13 revealed a start of care date of 5/23/2025 and a diagnosis of cerebral atherosclerosis. Cerebral atherosclerosis occurs when the arteries in the brain become narrowed or blocked due to plaque buildup. Further review of the medical record revealed a date of death as 7/29/2025. Nowhere in the medical record was there an initial bereavement assessment.Review of the medical record of Patient # 14 revealed a start of care date of 8/1/2025 and a diagnosis of cerebral infarction. A cerebral infarction is a when a blood vessel to the brain is blocked leading to a blockage of blood supply and oxygen to the brain tissue. Further review of the medical record revealed a date of death as 8/1/2025. Nowhere in the medical record was there an inital bereavement assessment.Review of the agency’s undated bereavement binder did not contain any bereavement assessments for the above-mentioned patients.An interview was conducted with the agency’s Bereavement Coordinator/Chaplain E on 8/28/2025 at approximately 1:06 p.m. The surveyor inquired as to the bereavement process. Bereavement Coordinator/Chaplain E stated, “…we do the assessment within 5 days of starting care of admission and so I visit with the family and in some cases by phone…we’ve been missing doing the bereavement assessments…” The surveyor inquired as to what was the agency’s policy on bereavement assessments. Bereavement Coordinator/Chaplain E stated, “…a bereavement assessment has to be completed within five days…” The surveyor inquired as to whose responsibility it was to make sure the bereavement assessments are completed. The Bereavement Coordinator/Chaplain E stated, “… that’s mine…I’m the lead chaplain and the bereavement coordinator…” The surveyor inquired as to how this failure could affect the bereaved. The Bereavement Coordinator/Chaplain E stated, “…We would have to make sure they have resources and that they know there is follow up…”Review of the agency’s policy titled, “Bereavement PC.130 page 1 of 3 and page 2 of 3 Last Reviewed 090124” read, in part, “…Procedure I. The Hospice will perform an initial bereavement assessment of the needs of the patient’s family and other care individuals focusing on the social, spiritual and cultural factors that may impact their ability to cope with the patient’s death as part of the Initial Comprehensive Assessment…IV. The bereavement coordinator will review the assessment for potential family and/or caregiver needs…””
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 28, 2025 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Aug 25, 2016.
- 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): 10.5 nurse care minutes per routine home care day, 6.7% of skilled nursing minutes at weekends and a visit near death for 97% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 31% at home, 23% in assisted living, 44% in a nursing facility, 1% in a hospital.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 10.5 min |
| Skilled nursing minutes at weekends | 6.7% |
| Visits near death | 97.0% of patients who died |
Who owns it?
- Carrus Healthcare, LLC owns 55% directly since Apr 1, 2019; Pleasant Hill Healthcare, LLC owns 45% directly since Apr 1, 2019.
- 11 owners or officers are people: Anbarasu Nachimuthu (owns 5% or more through other companies, 41.4%); Keerthana Selvarajan (owns 5% or more through other companies, 22.5%); Alvin Krishnan-Jayasingh (owns 5% or more through other companies, 22.5%); Jon M Rubscha (owns 5% or more through other companies, 11%); Nathan A Watson (managing employee (under contract)); Sheila Ann Holder (managing employee (on the payroll)); Anbarasu Nachimuthu (corporate officer); Anbarasu Nachimuthu (runs it (operational or managerial control)); Alvin Krishnan-Jayasingh (corporate officer); Alvin Krishnan-Jayasingh (managing employee (on the payroll)); Alvin Krishnan-Jayasingh (runs it (operational or managerial control)).
- 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 |
|---|---|---|---|
| Carrus Healthcare, LLC | Owns 5% or more directly | 55% | Apr 1, 2019 |
| Pleasant Hill Healthcare, LLC | Owns 5% or more directly | 45% | Apr 1, 2019 |
| Arcp Health, LP | Owns 5% or more through other companies | 44% | Apr 1, 2019 |
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).
- 82.47% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 45.9% 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 25 hospices CMS’s data show serving patients in ZIP code 75090, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; 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 |
|---|---|
| Home Hospice | 5 |
| Centric Hospice | 0 |
| Guardian Hospice | 1 |
| Heart to Heart Hospice of North Texas LLC | 2 |
| Concord Hospice LLC This hospice | 1 |
| Birdie Hospice | 5 |
| Vitas Healthcare of Texas LP | 15 |
| VNA | 1 |
| Hospice Plus | 18 |
| Angel Hands Hospice | 0 |
| Paloma Hospice and Palliative Care | 0 |
| Elara Caring | 3 |
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.