Divinity Healthcare
A hospice in Fort Worth, Texas 76112
5601 Bridge Street, Suite 504, Fort Worth, Texas 76112. (817) 438-7463.
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.
- 7 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?
7 deficiencies cited in the last three years
The middle of the 69 hospices serving ZIP code 76112 had 3.
The last inspection on record was on Apr 23, 2026: a reaccreditation inspection by the Accreditation Commission for Health Care.
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
7 deficiencies in 1 month of the last 36. Last cited Apr 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
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 23, 2026: reaccreditation inspection by the Accreditation Commission for Health Care7 deficiencies
-
Timeframe for completion of assessment (42 CFR 418.54(b))
“Upon patient record review 1 of 14 (Patient #2) did not have evidence in the patient record that the hospice interdisciplinary group, in consultation with the individual’s attending physician (if any), completed the comprehensive assessment no later than 5 calendar days after the election of hospice care. Patient #2 - The patient medical record showed an admission date of 01/03/26. The psychosocial assessment was not completed until 01/11/26.”
-
Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 96 words
“Upon patient record review, 1 of 14 (Patient #7) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient #7 - The medication profile contained Miralax 17 gm daily for constipation. There was no evidence that a diluent was added to the instructions.”
-
Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 353 words
“Upon patient record review, 8 of 14 (Patient #1,2,3,4,5,6,8,9) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient #1 - The medication profile contained Narcan 4mg/0.1ml 1 spray via nostril for increased agitation from opioid. There was no evidence of problems, goals, or interventions listed. Patient #2 - The medication profile contained aspirin 81 mg daily for clot prevention. There was no evidence of problems, goals, or interventions related to the bleeding risk of that medication. Patient #3 - The medical record contained an order for a pureed diet. There was no evidence of problems, goals, or interventions related to dysphagia. Patient #4 - The medication profile contained Narcan 4mg/0.1ml 1 spray via nostril for increased agitation from opioid. There was no evidence of problems, goals, or interventions listed. The medication profile also included aspirin 81 mg daily for clot preventions. There was no evidence of problems, goals, or interventions related to the bleeding risk of that medication. Patient #5 - The medication profile contained aspirin 81 mg daily for clot prevention. There was no evidence of problems, goals, or interventions related to the bleeding risk of that medication. All nursing assessment list patient diet as pureed. There was no evidence of problems, goals, or interventions related dysphagia. Patient #6 - The medication profile contained Narcan 4mg/0.1ml 1 spray via nostril for increased agitation from opioid. There was no evidence of problems, goals, or interventions listed. Patient #8 - The medication profile contained aspirin 81 mg daily for clot prevention. There was no evidence of problems, goals, or interventions related to the bleeding risk of that medication. Patient #9 - The medication profile contained Narcan 4mg/0.1ml 1 spray via nostril for increased agitation from opioid. There was no evidence of problems, goals, or interventions listed.”
-
Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 1 of 14 (Patient #7) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient #7 - The medical record contained an order for MiraLAX 17 gm daily for constipation. The order did not contain a diluent.”
-
Content of plan of care (42 CFR 418.56(c)(5))
The inspectors’ words, 251 words
“Upon patient record review, 7 of 14 (Patient #3,4,5,6,8,9,10) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs. Patient #3 - The RN comprehensive assessment noted patient was incontinent of bowel and bladder. There was no evidence of incontinent supplies listed on patient’s plan of care. Patient #4 - The RN recertification visit dated 03/02/26 and subsequent visits contained documentation that patient was incontinent of bowel and bladder. There was no evidence that incontinent supplies were added to the patient’s plan of care. Patient #5 - The registered nurse assessments document patient is incontinent of bowel and bladder. There was no evidence that incontinent supplies were added to the patient’s plan of care. Patient #6 - The nurse recertification visit dated 02/07/26 indicated patient had a stage 1 pressure ulcer to the sacrum area and was being treated with a collagen sheet and NA gel and to cover with a gauze. There was no evidence that these wound care supplies were listed on the patient’s plan of care. Patient #8 - The recertification nurse visit and subsequent visits documented that patient was incontinent of bowel and bladder. There was no evidence of incontinent supplies listed on the patient’s plan of care. Patient #9, 10 - The nursing notes indicated patient is incontinent of bowel and bladder. There was no evidence of incontinent supplies listed on the patient’s plan of care.”
-
Coordination of services (42 CFR 418.56(e)(2))
“Upon client record review, 1 of 14 (Patient #6) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #6 - The RN recertification visit dated 02/07/26, included documentation of wound care to the stage 1 sacrum area. The documentation included the need to add a collagen sheet with NA gel and cover with gauze. The medical record did not include an order for this wound care.”
-
Hospice plan of care (42 CFR 418.112(d))
“Upon client record review, 1 of 14 (Patient #5) did not have evidence that a written hospice plan of care is established and maintained in consultation with SNF/NF or ICF/IID representatives. All hospice care provided is in accordance with this hospice plan of care. Patient #5 - While completing the home visit with the aide, noted the facility nurse came to suction patient multiple times during care. The hospice medical record did not contain an order to complete that task.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 23, 2026 | Reaccreditation inspection by the Accreditation Commission for Health Care | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since May 13, 2020.
- 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): 11.5 nurse care minutes per routine home care day, 12.1% of skilled nursing minutes at weekends and a visit near death for 89.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 49% at home, 11% in assisted living, 40% 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 | 11.5 min |
| Skilled nursing minutes at weekends | 12.1% |
| Visits near death | 89.3% of patients who died |
Who owns it?
- 14 owners or officers are people: Keith D Rigsby (owns 5% or more directly, 33.34%); Keith D Rigsby (corporate officer, 33.34%); Keith D Rigsby (managing employee (on the payroll), 33.34%); Keith D Rigsby (runs it (operational or managerial control), 33.34%); Brenda Harvey (owns 5% or more directly, 33.33%); Brenda Harvey (corporate officer, 33.33%); Brenda Harvey (corporate director, 33.33%); Brenda Harvey (managing employee (on the payroll), 33.33%); Brenda Harvey (runs it (operational or managerial control), 33.33%); Kathryn Elwess (owns 5% or more directly, 33.33%); Kathryn Elwess (corporate officer, 33.33%); Kathryn Elwess (corporate director, 33.33%); Kathryn Elwess (managing employee (on the payroll), 33.33%); Kathryn Elwess (runs it (operational or managerial control), 33.33%).
- 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).
- 92.86% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 60.5% 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 69 hospices CMS’s data show serving patients in ZIP code 76112, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; this one had 7.
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 |
|---|---|
| Vitas Healthcare of Texas, L.P. | 3 |
| Universal Health Services | 0 |
| Divinity Healthcare This hospice | 7 |
| Community Healthcare of Texas | 2 |
| Amedisys Hospice | 8 |
| Heart to Heart Hospice of Fort Worth, LLC | 6 |
| Alpha Omega Hospice | 14 |
| Legend Hospice and Palliative Care | 6 |
| Enhabit Hospice | 1 |
| St. Gabriel’s Hospice and Palliative Care | 4 |
| Halo Hospice | 0 |
| Valor 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
-
Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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.