Alliance United Hospice Care LLC
A hospice in Richardson, Texas 75081
1951 N Jupiter Rd, Richardson, Texas 75081. (972) 200-3222.
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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 80 hospices serving ZIP code 75081 had 3.
The last inspection on record was on Jul 19, 2024: 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 Jul 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.
Jul 19, 2024: recertification inspection by the state1 deficiency
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Timeframe for completion of assessment (42 CFR 418.54(b))
The inspectors’ words, 446 words
“Based on record review and interviews, the agency failed to ensure the comprehensive assessment was completed no later than 5 days after the election of benefits for 4 (1, 3, 6, 9) of 10 active patients reviewed. This failure placed the patients at risk of having an inadequate plan of care and receiving inappropriate or inadequate care. Findings: Record review of patient 1s medical record revealed informed consents signed 5/16/24. The psychosocial assessment was not done until 5/22/24. The spiritual and bereavement assessments were not done until 5/24/24. Record review of patient 3s medical record revealed informed consents signed 5/16/24. The psychosocial assessment was not done until 5/24/24. Record review of patient 6s medical record revealed informed consents signed 3/20/24. The psychosocial assessment was not located in the medical record. Record review of patient 9s medical record revealed informed consents signed 7/14/23. The psychosocial assessment was not done until 7/22/23. In an interview 7/18/24 at 2:30 p.m., the surveyor asked why the SW and Chaplain hadnt completed the initial assessments in the 5-day period. The Administrator stated, “;they [SW/ Chaplain] are assigned the visits in the EMR and notified via text. They [SW/ Chaplain] are supposed to make the visits.” The Administrator then instructed the office manager to remove the scheduling ability from the SW and chaplain EMR status. In an interview 7/19/24 at 11:50 a.m., surveyor spoke with Chaplain B regarding the spiritual and bereavement assessments. Chaplain B stated, “;Im assigned a visit.” When asked if he was able to reschedule the visit in the EMR Chaplain B stated, “;I have to let the office know. I will document if I am unable to make a visit in 5 days.” In an interview 7/19/24 at 12:40 p.m., the surveyor spoke with SW A regarding the psychosocial assessment. SW A stated, “;Im assigned a visit. [I] try to go within 5 days usually the next day. If were unable to meet the client [were] supposed to do a communication note. I dont know why a comprehensive assessment wouldnt be done in 5 days.” The agency had a policy (PE.5) titled, “;Patient Assessments” dated 1/31/24. The policy read in parts: “;...Purpose: To provide regulatory guidelines for the initial assessment, comprehensive assessment, and updates to the comprehensive assessment of the patient. Policy: ...II. The Hospice will conduct and document in writing a patient-specific comprehensive assessment that identifies the patients need for hospice care and services, and the patients need for physical, psychosocial, emotional, and spiritual care. A. The Interdisciplinary Group (IDG/IDT) in consultation with the patients attending physician (if any), will complete the comprehensive assessment no later than 5 calendar days after the election of the hospice benefit...””
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 19, 2024 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Jul 6, 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): 10.9 nurse care minutes per routine home care day, 6.9% of skilled nursing minutes at weekends and a visit near death for 90% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 96% at home, 3% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 10.9 min |
| Skilled nursing minutes at weekends | 6.9% |
| Visits near death | 90.0% of patients who died |
Who owns it?
- 3 owners or officers are people: Roy Arkinethy Koshy (owns 5% or more directly, 100%); Vaishali V Patel (corporate officer, 0%); Vaishali V Patel (runs it (operational or managerial control), 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.
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).
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 80 hospices CMS’s data show serving patients in ZIP code 75081, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; 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 |
|---|---|
| New Century Hospice of Dallas | 17 |
| Angel Care Hospice | 0 |
| Acg Hospice | 0 |
| Rejoice Hospice Inc. | 17 |
| Alliance United Hospice Care LLC This hospice | 1 |
| Axel Hospice Care LLC | 0 |
| Sterling Hospice | 12 |
| Completetx Hospice | 1 |
| Solace Palliative and Hospice Care Inc. | 0 |
| Adira Hospice LLC | 0 |
| Sunlight Hospice Care, LLC | 0 |
| Three Oaks Hospice | 3 |
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.