Amen Hospice
A hospice in Spring, Texas 77386
415 Woodline Drive Suite 1a, Spring, Texas 77386. (832) 415-1605.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 6 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?
6 deficiencies cited in the last three years
The middle of the 78 hospices serving ZIP code 77386 had 5.5.
The last inspection on record was on Jun 3, 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
6 deficiencies in 1 month of the last 36. Last cited Jun 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.
Jun 3, 2026: reaccreditation inspection by the Accreditation Commission for Health Care6 deficiencies
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Arrangement with Other Facilities (42 CFR 418.113(b)(5))
“Upon observation, there was no evidence of contracts/agreements with other facilities/agencies/hospices to receive patients in the event the hospice cannot provide care to their patients during an emergency. There was no evidence of an agreement with another agency to receive patients in the event the hospice cannot provide care during an emergency.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 200 words
“Upon patient record review, 5 of 14 (Patient #1,#2,#4,#5,#9) 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 #1: The medication profile listed Nystatin was to be applied to “affected area” without evidence of a specific route. Patient #2: The medication profile listed MiraLAX, but without evidence of instructions for a diluent. Patient #4: Doxycycline was ordered on May 24, 2026 for 5 days, but remained active on the med profile with no evidence of a discontinuation date. Patient #5: Lasix was ordered for 2 weeks on March 16, 2026, but remained active on the medication profile with no evidence of a discontinuation date. Preparation H was ordered as needed, but there was no evidence of a reason listed on the medication list. Patient #9: During home visit, Buspirone was on the hospice medication profile and Zyprexa was on the facility medication profile which is inconsistent.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 1 of 14 (Patient #2) 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 #2: The order for MiraLAX did not have evidence of instructions for a diluent. Haldol was ordered for as needed, but there was no reason evidence of a reason listed on the order.”
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Review of the plan of care (42 CFR 418.56(d))
“Upon client record review, 1 of 14 (Patient #1) did not have evidence that the IDG in collaboration with the attending physician reviewed, revised and documents the individualized plan as frequently as the patient’s condition requires but no less frequently then every 15 calendar days. Patient #1: The initial plan of care was created on 02/03/26, but there was no evidence the individualized plan of care, including the nursing input, was updated until 02/25/25 which is greater than 15 days.”
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Prevention (42 CFR 418.60(a))
“Upon home visit observation during 1 of 3 visits, there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. Patient #9: There was no evidence of the LVN using a bag to transport equipment and supplies per policy and procedure for bag technique.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 181 words
“Upon patient record review, 5 of 14 (Patient #1,#5,#8,#10,#13) did not have evidence in the patient record that hospice aide assignments and duties are: • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient #1: The aide plan of care dated 2/3/26 and 2/11/26 indicated back rub, skin care, tidy are ordered “as needed” which is not specific. Patient #5: At admission, the aide care plan indicated shower, peri-care, and hair care were ordered “as tolerated” which is not specific. Patient #8: The aide care plan dated 5/11/26 indicated peri-care, and skin care were ordered “as tolerated” which is not specific. Patient #10: The aide care plan dated 1/22/26 showed shower and bed bath both were assigned which is not specific. Patient #13:The aide care plan dated 10/21/25 indicated both shower and bed bath were assigned which is not specific.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 3, 2026 | Reaccreditation inspection by the Accreditation Commission for Health Care | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 19, 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): 11.2 nurse care minutes per routine home care day, 4.7% of skilled nursing minutes at weekends and a visit near death for 84.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 42% at home, 55% in assisted living, 1% in a nursing facility, 2% 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 | 11.2 min |
| Skilled nursing minutes at weekends | 4.7% |
| Visits near death | 84.3% of patients who died |
Who owns it?
- 9 owners or officers are people: Saira Inayatali (owns 5% or more directly, 34%); Saira Inayatali (corporate officer, 34%); Saira Inayatali (managing employee (on the payroll), 34%); Dennis Ratemo (owns 5% or more directly, 33%); Dennis Ratemo (corporate officer, 33%); Dennis Ratemo (managing employee (on the payroll), 33%); Abbas H Jafri (owns 5% or more directly, 33%); Abbas H Jafri (corporate officer, 33%); Abbas H Jafri (managing employee (under contract)).
- 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).
- 90.24% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 37.8% 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 78 hospices CMS’s data show serving patients in ZIP code 77386, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5.5; this one had 6.
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 |
|---|---|
| Silver-Spring Healthcare Services Inc. | Not given |
| Bayou City Hospice | 0 |
| Amen Hospice This hospice | 6 |
| Amen Hospice Huntsville | 7 |
| Amen Hospice Cypress | Not given |
| Millennium Hospice Agency LLC | 2 |
| Hospice Care Team Inc. | 0 |
| Houston Hospice | 4 |
| Vitas Healthcare of Texas L P | 4 |
| Accentcare Hospice & Palliative Care of Houston - Central, LLC | 0 |
| Benchmark Hospice, LLC | Not given |
| Choice Health at Home | 0 |
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.