Harbor Hospice of Waco, LP
A hospice in Waco, Texas 76710
510 North Valley Mills Drive #306, Waco, Texas 76710. (254) 218-4290.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 23, 2026.
- 5 deficiencies cited in the last three years
- Not rated family caregiver rating
- 10of 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?
5 deficiencies cited in the last three years
The middle of the 19 hospices serving ZIP code 76710 had 6.
The last inspection on record was on Jun 12, 2026: an initial 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 Jun 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.
Jun 12, 2026: initial inspection by The Joint Commission5 deficiencies
-
Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 117 words
“Observed in Record Review. In 14 of 14 patient records reviewed, for all active records, the nurse surveyor noted that the goals were not measurable or individualized. For example, Goals not Individualized and Measurable: for example, Patient/Caregiver maintain necessary measures to reduce risk and avoid wound infection, “Patient. Caregiver can describe measures to alleviate respiratory distress,” and Patient will be maintained in safe environment and oriented as appropriate for stage of disease process.” Additionally, time frames for completion for all goals for all patients were set for the certification cycle and goals for patients who were recertified were not consistently updated. Findings were discussed with the Administrator/ DON, the Office Manager and the Regional Director of Operations.”
-
Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 259 words
“Observed in Record Review. In 3 of 12 patient records reviewed, for active patients with a hospice aide, it was noted by the nurse surveyor that the hospice aide care plan did not contain all the necessary information included for the hospice aide to care for the patient. For HOSRRHV#1, the hospice aide care plan had not been updated to reflect changes in the patient’s mobility status, and limitations for ambulation. Additionally, it did not include when to notify the nurse such as for change in patient’s condition. For HOSRRNHV#1, the patient had an order for PRN oxygen, however, the hospice aide care plan did not have any information regarding what the hospice aide was supposed to do with the oxygen during the patient’s bath should she have her oxygen on. There were no instructions as to when to notify the nurse such as if there is a change in skin condition or overall change in condition. Additionally, the patient had pressure ulcer with a dressing and there were no instructions to the aide regarding her responsibility regarding the dressing. For HOSRRNHV#2, the patient had an order for continuous oxygen, however, the hospice aide care plan did not have any information regarding what the hospice aide was supposed to do with the oxygen during the patient’s bath Additionally, there were no instructions as to when to notify the nurse such as if there is a change in skin condition or overall change in condition. Findings were discussed with the Administrator/DON, the Office Manager and the Regional Director of Operations.”
-
Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
“Observed in Record Review. In 1 of 12 patient records reviewed, for active patients with the Hospice Aide, it was noted by the nurse surveyor that hospice aide supervisory visits were not documented no less frequently than every fourteen days. For HOSRRHV#1, hospice aide supervisory visits were thirty-five days late (thirty-five days) between documented hospice supervisory visits for the last forty days. Findings were verified with the Director of Nurses.”
-
Level of activity (42 CFR 418.78(e))
“Observed in Tracer Activities. It was noted by the nurse surveyor that volunteers did not provide at least 5% of the total patient care hours of all paid hospice employees and contract staff for year to date 2026. Percent of volunteer hours worked were 2.56% for 2026 year to date. Finding was verified by the Administrator/DON, Volunteer Coordinator, and the Office Coordinator.”
-
Criminal background checks (42 CFR 418.114(d)(1))
“Observed in Tracer Activities. In 1 of 7 contracts reviewed, review of the Physical Therapy Contract by the nurse surveyor determined that the contract failed to require criminal background checks. Finding was discussed with the Administrator/DON, and the Office Coordinator.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 12, 2026 | Initial inspection by The Joint Commission | 5 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 20, 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): 9.8 nurse care minutes per routine home care day, 6.9% of skilled nursing minutes at weekends and a visit near death for 94.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 47% at home, 30% in assisted living, 23% 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 | 9.8 min |
| Skilled nursing minutes at weekends | 6.9% |
| Visits near death | 94.2% of patients who died |
Who owns it?
- Arfeen Properties, L.P. owns an unstated share directly since Feb 1, 2014.
- 5 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%); Karen Carter (managing employee (on the payroll), 0%); Bryan Gaspard (managing employee (on the payroll)); Theresa Cousins (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 |
|---|---|---|---|
| Hhcs Managers LLC | General partner | 1% | Feb 1, 2014 |
| Arfeen Properties, L.P. | Owns 5% or more directly | Feb 1, 2014 |
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): 79% rated it 9 or 10 out of 10, and 81% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 90.14% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 65.2% 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 | 10 of 10 |
How does it compare nearby?
- Of the 19 hospices CMS’s data show serving patients in ZIP code 76710, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; 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 |
|---|---|
| Providence Hospice | 26 |
| Compassus - Central Texas | Not given |
| Alamo Hospice of Waco | 11 |
| Gentiva | 8 |
| Magnolia Hospice | 1 |
| Harbor Hospice of Waco, LP This hospice | 5 |
| Halcyon Home | 0 |
| Baylor Scott & White Hospice-Waco | 6 |
| Bluebonnet Health Services | 0 |
| Accentcare Hospice & Palliative Care of Texas | 8 |
| Amedisys Hospice of San Antonio | 14 |
| Reliant at Home | 8 |
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 Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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.