Embrace Hospice
A hospice in New Braunfels, Texas 78130
642 Comal Ave, New Braunfels, Texas 78130. (469) 995-2456.
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The short answer
Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.
- 10 deficiencies 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?
10 deficiencies cited in the last three years
The middle of the 96 hospices serving ZIP code 78130 had 4.
The last inspection on record was on Jan 15, 2025: a reaccreditation 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
10 deficiencies in 1 month of the last 36. Last cited Jan 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.
Jan 15, 2025: reaccreditation inspection by The Joint Commission10 deficiencies
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EP Testing Requirements (42 CFR 418.113(d)(2)(i))
“Observed in Emergency Management Session. The Surveyor noted the organization did not conduct a drill in 2024. The last drill in 2023 was a table top exercise. This was confirmed with the Quality Accreditation Coordinator.”
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Initial & comprehensive assessment of patient (42 CFR 418.54)
“Observed in Record Review. In 1 of 10 patient records reviewed, the hospice did not provide a patient-specific comprehensive assessment.

In HOSNHVRR #6, the Surveyor noted the patient resided in a facility and wound care was performed by facility staff; however, the wound was not assessed as part of the comprehensive assessment every 15 days. This was confirmed with the Patient Care Manager.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 201 words
“Observed in Record Review. In 10 of 10 patient records reviewed, the plan of care did not include goals based on problems identified in the comprehensive assessment. In all records reviewed, the plan of care goals did not include time frames for achievement. In HOSHVRR#2, the Surveyor noted the comprehensive assessment indicated the patient had a wound on the heel; however, the plan of care goal skin integrity was not measurable. In addition, the goal for anxiety will be decreased was not measurable. This was confirmed with the Director of Clinical Operations /Alternate Administrator.

In HOSHVRR#3, the Surveyor noted the following plan of care goals were not measurable: Patient/Caregiver will understand the pain scale and pain medications; Maintain optimal cardiac function within constraints of disease. In addition, there were no time frames for goal achievement. This was confirmed with the Director of Clinical Operations /Alternate Administrator.

In HOSNHVRR#1, the Surveyor noted the following plan of care goals were not measurable: patient will verbalize reduction or relief of cardiopulmonary symptoms of SOB/dyspnea while on hospice services. Edema will be optimally managed AEB decreased signs and symptoms of fluid overload while on hospice services. This was confirmed with the Director of Clinical Operations /Alternate Administrator.”
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Content of plan of care (42 CFR 418.56(c)(1))
The inspectors’ words, 205 words
“Observed in Record Review. In 4 of 10 patient records reviewed, the plan of care did not include interventions to manage pain and symptoms. In HOSHVRR#1, the surveyor noted the patient was identified as risk for falls and had edema; however, the plan of care did not include interventions to address these identified needs. This was confirmed with the Director of Clinical Operations /Alternate Administrator.

In HOSHVRR #3, the Surveyor noted the plan of care order for wound care did not specify the location related to the shin. In addition, the patient was diabetic and the comprehensive assessment indicated the patient checked their blood glucose daily; however, blood sugar monitoring frequency was not addressed in the plan of care. This was confirmed with the Director of Clinical Operations /Alternate Administrator.

In HOSNHVRR #4, the Surveyor noted the patient was identified as having dizziness and edema; however, the plan of care did not include interventions to address these identified needs. This was confirmed with the Director of Clinical Operations /Alternate Administrator.

In HOSNHVRR #5, the Surveyor noted the patient was identified as having agitation; however, the plan of care did not include interventions to address this identified need. This was confirmed with the Director of Clinical Operations /Alternate Administrator.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 119 words
“Observed in Record Review. In 2 of 10 patient records reviewed, the plan of care did not include a detailed statement of the scope and frequency of services necessary to meet the patient and family needs. In HOSHVRR #1, the Surveyor noted the plan of care visit frequency included prn visit which did not include an individualized need for prn visits. The prn visit indication was change in condition. This was confirmed with the Director of Clinical Operations /Alternate Administrator.

In HOSHVRR #2, the Surveyor noted the prn indication for the chaplain was spiritual support and the indication for the prn visit for the social worker was emotional support. This was confirmed with the Director of Clinical Operations /Alternate Administrator.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Observed in Record Review. In 1 of 10 patient records reviewed, the plan of care did not include all treatments necessary to meet the needs of the patient.

In HOSNHVRR#6, the Surveyor noted the plan of care did not include the size of the foley catheter or the frequency of the catheter change. This was confirmed with the Patient Care Manager.”
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Control (42 CFR 418.60(b)(2)(ii))
“Observed in Data Session. During the data management session, the Surveyor noted the organization was not able to demonstrate improved compliance as the organization did not aggregate and analyzed the hand hygiene compliance data. This was confirmed with the Quality Accreditation Coordinator.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2)(ii))
“Observed in Record Review. In 1 of 9 patient records reviewed, the hospice aide did not provide services according to the aide plan of care. 

In HOSNHVRR#6 the Surveyor noted the aide plan of care did not include catheter and indicated a shower; however, the aide performed catheter care and provided the patient with a bed bath. This was confirmed with the Patient Care Manager.”
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Content (42 CFR 418.104(a)(3))
“Observed in Record Review. In 1 of 10 patient records reviewed, the clinical record did not contain an accurate medication list. In HOSHVRR#2, the Surveyor noted the medication list contained Silvadene; however this was not the current wound care being provided to the patient. This was confirmed with the DON/Alternate Administrator.”
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Discharge or transfer of care (42 CFR 418.104(e)(1)(i))
“Observed in Record Review. In 1 of 2 closed records, In HOSDCRR #2, the Surveyor noted the patient revoked hospice services due to transfer to hospital to receive IV antibiotics; however the organization did not provide the hospital with a copy of the transfer summary. This was discussed with the Patient Care Manager.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 15, 2025 | Reaccreditation inspection by The Joint Commission | 10 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Apr 17, 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): 12.5 nurse care minutes per routine home care day, 7.3% 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): 49% at home, 39% in assisted living, 10% in a nursing facility, 1% in a skilled nursing facility, 2% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.5 min |
| Skilled nursing minutes at weekends | 7.3% |
| Visits near death | 93.8% of patients who died |
Who owns it?
- Adoration Hospice Care LLC owns an unstated share directly since Jul 16, 2018.
- 9 owners or officers are people: Jay Koeper (corporate officer); Jennifer Phipps (corporate officer); Allison Brown (corporate officer); Margaret Sherry Pemberton (corporate officer); Margaret Sherry Pemberton (corporate director); Sahar Avestimehr (managing employee (on the payroll)); Keith Becker (managing employee (on the payroll)); Keith Becker (corporate officer); Keith Becker (corporate director).
- 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 |
|---|---|---|---|
| Adoration Home Health & Hospice Inc. | Owns 5% or more through other companies | 100% | Dec 31, 2018 |
| Brightspring Health Holdings Corp | Owns 5% or more through other companies | 100% | Dec 31, 2018 |
| Res-Care Inc. | Owns 5% or more through other companies | 100% | Dec 31, 2018 |
| Rescare Holdings Inc. | Owns 5% or more through other companies | 100% | Dec 31, 2018 |
| Walgreen Co | Owns 5% or more through other companies | Mar 5, 2019 | |
| Phoenix Guarantor Inc. | Owns 5% or more through other companies | Mar 5, 2019 | |
| Phoenix Intermediate Holdings Inc. | Owns 5% or more through other companies | Mar 5, 2019 | |
| Walgreens Holding Company | Owns 5% or more through other companies | Mar 5, 2019 | |
| Brightspring Health Services Inc. | Owns 5% or more through other companies | Mar 5, 2019 | |
| Kkr Phoenix Aggregator L.P. | Owns 5% or more through other companies | Mar 5, 2019 | |
| Kkr Americas Fund Xii LP | Owns 5% or more through other companies | Mar 5, 2019 | |
| Adoration Hospice Care LLC | Owns 5% or more directly | Jul 16, 2018 |
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): 84% rated it 9 or 10 out of 10, and 86% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 72.2% 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 | 9 of 10 |
How does it compare nearby?
- Of the 96 hospices CMS’s data show serving patients in ZIP code 78130, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; this one had 10.
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 |
|---|---|
| Hope Hospice | 5 |
| Elara Caring | 0 |
| Embrace Hospice This hospice | 10 |
| Edenhospice | 0 |
| New Beginnings Hospice LLC | 0 |
| Christus VNA Hospice San Antonio | 0 |
| Hospice Austin | 2 |
| Guadalupe Regional Hospice | 10 |
| Christus Hospice - Central Texas | 0 |
| Vitas Healthcare of Texas LP | 3 |
| Choice Health at Home | 0 |
| Gentiva | 7 |
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).
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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.