At Home Hospice
A hospice in Houston, Texas 77058
1100 Nasa Pkwy Ste 200, Houston, Texas 77058. (281) 339-7079.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency cited in the last three years
- 3of 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?
1 deficiency cited in the last three years
The middle of the 43 hospices serving ZIP code 77058 had 5.
The last inspection on record was on Sep 10, 2026: 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 Sep 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.
Sep 10, 2026: recertification inspection by the state1 deficiency
-
Level of activity (42 CFR 418.78(e))
The inspectors’ words, 612 words
“Based on record review and interview the agency failed to ensure that Volunteers provided day to day administrative and /or direct patient care services in an amount at a minimum equals 5 percent of the total patient care hours of all paid hospice employees and contract staff for years 2 of 2 years reviewed (2024 and 2025) and currently for 2026. This failure placed patients at risk of not getting their volunteer needs met. RR of QAPI for ADS #2 and ADS #3 Action Plan revealed “... 1st quarter OAPI review was conducted on 5/23/24. Volunteer hours were 1.3% of patientcare hours, not meeting the 5% requirement.... 2nd quarter OAPI review was conducted on 10/7 /24. Volunteer hours were 1.6% of patientcare hours, not meeting the 5% requirement...3rd quarter 2024 OAPI review was conducted on 2/9/25. Volunteer hours were 1.7% ofpatient care hours, not meeting the 5% requirement...4th quarter 2024 OAPI review was conducted on 8/9/25. Volunteer hours were 1.4% ofpatient care hours, not meeting the 5% requirement...” RR Volunteer tool documentation completed by the Volunteer Coordinator dated 9-2-26 revealed between January 2025 and December 2025 the agency had a total of 26,276.25 total visit hours and a total of 111.12 Volunteer visit time with a total Volunteer percentage of 0.88%.RR form titled “ Hospice Volunteer Requirement Report” for year 2026 revealed the May 2026 total Volunteer time was 1.06%, June 2026 Volunteer time was 0.82%, July 2026 Volunteer time was 1.5%, and August 2026 Volunteer time was 1.35%.During an interview on 9-8-26 at 9:43 am the Administrator/Supervising Nurse stated that the agency has been trying to recruit but they have not been successful especially at the ADSs.During a telephone interview on 9-9-26 at 10 :00 am the family member of Patient #4 stated that he was told by agency staff approximately a week ago that the agency was having problems with getting volunteers. The family member further stated that they believed that Patient #4 would benefit from having a volunteer come by and talk with him because Patient #4 loves to talk to people.During an interview on 9-9-26 at 10:52 am the Volunteer Coordinator stated she had been in the position of Volunteer Coordinator for 3 years. The Volunteer Coordinator then stated she prior to the Agency being acquired in May 2026 by a new company she had been responsible for tracking the Volunteer hours for the Parent agency and the ADS with the help of the Office manager and Supervising Nurse. The Volunteer Coordinator then stated since being acquired the agency has been given much more resources to try and obtain volunteers. The Volunteer Coordinator then stated prior to the new company she would talk with the agency Consultant who would ask her questions about the volunteers and run the numbers to get the percentages and then the agency would do a Performance Improvement project on Volunteers. The Volunteer Coordinator stated that the agency grew faster than the number of volunteers they could get. The Volunteer Coordinator then stated when she noticed that the agency was not meeting the 5% threshold for volunteers she talked to the owners and leaders at the agency and sometime in 2025 the agency added a section to the letter that was sent to agency families to see if they would like to volunteer. She further stated, after getting some inquiries of interested people they never panned out due to other life obligations.RR Policy revised on 11-1-22 titled “Volunteer Roles and Responsibilities” revealed “The hospice maintains a volunteer staff sufficient to provide day to day administrative ordirect patient care to a minimum of 5% of total patient care hours for paid hospice employeesor contract staff.””
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 10, 2026 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Nov 17, 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): 24.2 nurse care minutes per routine home care day, 1.9% of skilled nursing minutes at weekends and a visit near death for 97.8% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 100% at home.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 24.2 min |
| Skilled nursing minutes at weekends | 1.9% |
| Visits near death | 97.8% of patients who died |
Who owns it?
- Divinity Holdings LLC owns 100% directly since Jan 1, 2020.
- 7 owners or officers are people: Jay Campbell (owns 5% or more through other companies, 45%); Michael Pena (owns 5% or more through other companies, 40%); Jason Campbell (owns 5% or more through other companies, 15%); Jason Campbell (corporate officer); Jason Campbell (managing employee (on the payroll)); Taso Mougouris (managing employee (under contract)); Jay Campbell (corporate officer).
- 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 |
|---|---|---|---|
| Divinity Holdings LLC | Owns 5% or more directly | 100% | Jan 1, 2020 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 84% rated it 9 or 10 out of 10, and 83% would definitely recommend it.
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 97.63% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 70% 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 | 3 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 43 hospices CMS’s data show serving patients in ZIP code 77058, 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 |
|---|---|
| Traditions Hospice | 0 |
| Nova Hospice | Not given |
| Harbor Hospice of Houston, LP | 11 |
| At Home Hospice This hospice | 1 |
| Magnolia Hospice Care, LLC | 5 |
| New Age Hospice Palliative LLC | 3 |
| Heritage Hospice | 0 |
| Unity Hospice | 8 |
| Amici Hospice LLC | 54 |
| Houston Hospice | 4 |
| Vitas Healthcare of Texas L P | 4 |
| Accentcare Hospice & Palliative Care of Houston - South, LLC | 9 |
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.