Three Oaks Hospice
A hospice in Hurst, Texas 76054
500 Grapevine Highway, Suite 225, Hurst, Texas 76054. (817) 328-1628.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 2 deficiencies cited in the last three years
- 2of 5 family caregiver rating
- 8of 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?
2 deficiencies cited in the last three years
The middle of the 44 hospices serving ZIP code 76054 had 3.
The last inspection on record was on Jun 25, 2025: 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
2 deficiencies in 1 month of the last 36. Last cited Sep 2024. 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.
Sep 19, 2024: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6)(ii))
The inspectors’ words, 201 words
“It is required that the documented comprehensive assessment includes a drug profile that contains the patient’s current prescription and over-the-counter (OTC) drugs. The drug profile is updated per the hospice policy and procedure, but, at minimum, at the time of each comprehensive assessment and/or when new medication is added or changes are made to existing medication. This standard was not met as evidenced by clinical record review and interview. In 1 of 23 (4%) clinical records reviewed, the agency did not ensure that medication profiles were updated with all over-the-counter medications. Clinical Record 15: The patient was admitted on 08/03/2024 with a diagnosis of Alzheimer’s disease. The patient resided at home with the daughter as a caregiver. A skilled nursing note dated 09/09/2024 documented, “Pt. reports pain in her left ear. Pt. to try Claritin and, if not effective, Debrox.” Claritin and Debrox were not included in the medication profile. During an interview and a joint record review on 09/18/2024, the Director of Clinical Services, Administrator, and Regional Vice President (VP) of Quality Control. The VP of Quality Control confirmed that Claritin and Debrox were not on the medication profile, and they should have been, even though they are over-the-counter medications.”
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Label dispose storage drugs (42 CFR 418.106(e)(2)(i))
The inspectors’ words, 280 words
“It is required that the hospice has written policies and procedures for the management and disposal of controlled drugs in the patient’s home. The policies and procedures address the circumstances under which controlled drugs are disposed of (e.g., the patient’s death, a change in drug regimen, etc.) and the method to be used in accordance with the state and federal law and regulation. This standard was not met as evidenced by clinical record review, document review, and interview. Agency policy #PC.140 “Disposal of Controlled Substances” (last reviewed 10/01/2021), read in part, “After disposal by the hospice staff and/or assistance with disposal, the hospice staff will document the occurrence in the clinical record. The documentation in the clinical record will include: 1. the type of controlled substance by name; 2. dosage; 3. route of administration; 4. quantity so disposed; and 5. the time, date, and the way the disposal occurred.” In 1 of 3 (33%) clinical records reviewed of deceased patients, the agency did not ensure that policies and procedures were followed related to the disposal of controlled substances. Clinical Record 21: The patient elected hospice care on 07/21/2024 with a diagnosis of end-stage heart failure. The patient’s medication record documented lorazepam 2mg/ml and morphine sulfate concentrate 20 mg/ml solution. The patient’s death was confirmed on 07/22/2024 by the Registered Nurse (RN). The RN’s death note dated 07/22/2024 documented, “Medications disposed of with daughter as witness.” The clinical record did not include the name, amount, or manner of disposal of the controlled substances, lorazepam and morphine sulfate. During an interview and a joint record review on 09/17/2024, the Director of Clinical Services stated, “Yes, she should have documented more than that.””
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 25, 2025 | Complaint inspection by the state | No deficiencies cited |
| Sep 19, 2024 | Reaccreditation inspection by the Community Health Accreditation Partner | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 7, 2017.
- 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): 14.4 nurse care minutes per routine home care day, 6.6% of skilled nursing minutes at weekends and a visit near death for 93.8% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 47% at home, 19% in assisted living, 28% in a nursing facility, 7% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 14.4 min |
| Skilled nursing minutes at weekends | 6.6% |
| Visits near death | 93.8% of patients who died |
Who owns it?
- Three Oaks Hospice, Inc. owns 100% directly since Jul 1, 2019.
- Three Oaks Hospice, Inc. runs it.
- 14 owners or officers are people: David C Gasmire (corporate officer); David C Gasmire (corporate director); Margaret E Ball (managing employee (on the payroll)); Owen Davis (corporate director); Owen Davis (other role (CMS gives no detail)); Kelly A Priegnitz (corporate director); Kelly A Priegnitz (other role (CMS gives no detail)); Phillip Campbell (corporate director); Phillip Campbell (other role (CMS gives no detail)); Lisa M Pekar (managing employee (on the payroll)); Andrea F Bohannon (corporate officer); Andrea F Bohannon (corporate director); Ross J Taylor (corporate officer); Brieanna J Nation-Howard (managing employee (under contract), 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 |
|---|---|---|---|
| Cypress Purchaser, LLC | Owns 5% or more through other companies | 100% | Oct 22, 2024 |
| Cypress Midco, Inc. | Owns 5% or more through other companies | 100% | Oct 22, 2024 |
| Three Oaks Hospice, Inc. | Owns 5% or more directly | 100% | Jul 1, 2019 |
| Three Oaks Hospice, Inc. | Runs it (operational or managerial control) | 100% | Jul 1, 2019 |
| Cypress Parent Holdings, LLC | Owns 5% or more through other companies | 100% | Oct 22, 2024 |
| Martis Partners IV Cypress Aggregator LP | Owns 5% or more through other companies | 80.39% | Oct 22, 2024 |
| Martis Partners IV, LP | Owns 5% or more through other companies | 63.1% | Oct 22, 2024 |
| Martis Partners IV Pv, LP | Owns 5% or more through other companies | 12.93% | Oct 22, 2024 |
| Martis Partners IV Gp, LLC | Other role (CMS gives no detail) | Oct 22, 2024 |
What do families say?
- Family caregivers rate it 2 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 74% rated it 9 or 10 out of 10, and 77% would definitely recommend it.
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 93.28% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 64.8% 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 | 2 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 | 8 of 10 |
How does it compare nearby?
- Of the 44 hospices CMS’s data show serving patients in ZIP code 76054, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; this one had 2.
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 |
|---|---|
| Three Oaks Hospice This hospice | 2 |
| Community Healthcare of Texas | 2 |
| VNA | 1 |
| Vitas Healthcare of Texas, L.P. | 3 |
| Custom Care Hospice | 4 |
| Universal Health Services | 0 |
| Solaris Hospice Inc. | 5 |
| Faith Presbyterian Hospice | 37 |
| Hospice Plus | 18 |
| Compassus - Fort Worth | 5 |
| Heart to Heart Hospice of Fort Worth, LLC | 6 |
| Allstar Hospice | 2 |
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.