Gentle Transitions Hospice
A hospice in Moody, Texas 76557
510 Avenue E, Moody, Texas 76557. (254) 598-1389.
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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 19 hospices serving ZIP code 76557 had 5.5.
The last inspection on record was on Jul 7, 2026: 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
1 deficiency in 1 month of the last 36. Last cited Apr 2024. 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.
Apr 26, 2024: recertification inspection by the state1 deficiency
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Coordination of services (42 CFR 418.56(e)(4))
The inspectors’ words, 624 words
“Surveyor conducted an entrance conference on 04/23/2024 at 10:02 a.m. with the Administrator, PCM and Office Manager. The agency representatives were informed the purpose of the visit was a Recertification Survey. The census was: Moody (Parent): Hospice- 39 Garland (ADS): Hospice- 5 Surveyor conducted an exit conference on 04/26/2024 at 11:35 a.m. with the Administrator, Office Manager and by telephone with the Quality Operations Specialist. The preliminary findings were discussed. The agency was afforded the opportunity to provide additional information. Written instructions were provided for submitting a plan of correction within 10 days of the receipt of the Statement of Deficiencies.” Abbreviations: ADS- Alternate Delivery Site RN- Registered Nurse SN- skilled nurse visit PCM- Patient Care Manager M.D.- medical doctor FM- family member IDT- Interdisciplinary Team Pt- patient Review of the agencys policies and procedures revealed a policy titled “;Coordination of Care, PC.110, Reviewed: 100121”, which read “;The hospice will provide for and ensure the ongoing sharing of information between disciplines providing care and services in all settings, whether the care and services are provided directly or under arrangement, by the hospice or by other providers.” Review of the clinical record for Patient #11 revealed a start of care date of 11/01/2023 with a terminal diagnosis of Senile Degeneration of the Brain (decreased brain function). Review of an SN visit note documented by RN- A, dated 12/07/2023 read, “;(FM) called to report pt is declining, not responding, pt has not eaten today. Upon assessment pt is lying in bed asleep, is lethargic and not talking. Pt has rhonchi (gurgling) to bilateral breath sounds, heart murmur with weak thready pulses. Pt decline with CHF (congestive heart failure) which is a decline in the efficiency of the heart”. RN- A failed to notify the IDT of the patients change in condition. Review of an SN visit note documented by RN- A dated 12/12/2023 read, “;Upon assessment pt is lying in bed. Pt is disorient(ed). Pt is asleep but does become agitated when RN performs assessment. Pt heart sounds are weak, continues to have a heart murmur. RN educated on sx (symptoms) of end of life.” RN- A failed to notify the IDT of the patients continuing decline. Review of a SN visit note documented by RN- A, dated 12/14/2023 read, “;Pt O2 (oxygen) sats (saturation) not detected. Pt has diminished breath sounds. Pt is mouth breathing. Pt sleeping, does not respond to sternal rub, does not arouse to painful stimulus. Upon assessment pt is lying in bed. Pt is unresponsive to verbal and physical stimulus. RN educated on sx of end of life. Pt is imminent. RN daily visit(s).” RN- A failed to notify the IDT that Patient #11s death was imminent. RN- A notified the M.D. that Patient #11 passed away on 12/15/2023. The surveyor conducted an interview on 04/24/2024 at 2:10 p.m. with the Administrator/Alternate Supervising Nurse. The clinical record for Patient #11 was reviewed. The surveyor asked what the agencys policy is regarding notification of changes in a patients condition. The Administrator stated the nurse is supposed to notify the M.D. as well as the rest of the interdisciplinary team of any changes in condition so that all members are aware, especially of the patients physical decline and imminent death. The surveyor conducted a telephone interview on 04/26/2024 at 10:50 a.m. with RN- A. The surveyor reviewed the documentation in the SN visit notes dated 12/07/2023, 12/12/2023 and 12/14/2023 with RN- A. The surveyor asked if she notified the M.D. or any interdisciplinary team members of the changes in the patients condition. RN- A indicated she did not recall the specific notes from December 2023 and stated, “;I thought I did, but if its not documented then I guess I didnt do it.””
All 3 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 7, 2026 | Complaint inspection by the state | No deficiencies cited |
| Jun 18, 2024 | Complaint inspection by the state | No deficiencies cited |
| Apr 26, 2024 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Jan 28, 2018.
- 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): 8.9 nurse care minutes per routine home care day, 5% of skilled nursing minutes at weekends and a visit near death for 90.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 80% at home, 6% in assisted living, 11% in a nursing facility, 3% 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 | 8.9 min |
| Skilled nursing minutes at weekends | 5% |
| Visits near death | 90.3% of patients who died |
Who owns it?
- 4 owners or officers are people: Evan Hessel (owns 5% or more directly, 50%); Gwenn D. Dalton (owns 5% or more directly, 50%); Gwenn D. Dalton (managing employee (on the payroll), 50%); Evan Hessel (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.
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).
- 93.42% 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 19 hospices CMS’s data show serving patients in ZIP code 76557, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5.5; 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 |
|---|---|
| Gentle Transitions Hospice This hospice | 1 |
| Gentiva | 8 |
| Baylor Scott & White Hospice-Waco | 6 |
| Baylor Scott & White Hospice - Temple | 8 |
| Providence Hospice | 26 |
| Amedisys Hospice of San Antonio | 14 |
| Bristol Hospice - North Central Texas | 11 |
| Compassus - Central Texas | Not given |
| New Century Hospice of Austin | 9 |
| Bluebonnet Health Services | 0 |
| Accentcare Hospice & Palliative Care of Texas | 8 |
| Embrace 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 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.