Unity Hospice
A hospice in Houston, Texas 77058
2200 Nasa Road One, Suite 250, Houston, Texas 77058. (866) 899-1564.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 8 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?
8 deficiencies cited in the last three years
The middle of the 43 hospices serving ZIP code 77058 had 5.
The last inspection on record was on Jul 10, 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
8 deficiencies 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 2, 2024: reaccreditation inspection by The Joint Commission8 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6)(iii))
The inspectors’ words, 116 words
“Observed in Patient Home. In 2 of 2 patient visits with nurses, the organization did not ensure that clinicians conducted an effective medication assessment. At visit RRHV#2 the RN did not use the hospice’s current medication list that was in the home folder. Rather, she used a hospital medication list given to the patient at some point in the past. As well, she looked at only three of seven medications in the comfort kit. And at visits RRNHV#2 and RRHV#3 the RN and LPN reviewed the drug name on the label, but not the strength, dosage, frequency, or rationale for prn medications. This RFI was reviewed and discussed with the Administrator and Director of Clinical Services.”
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Update of comprehensive assessment (42 CFR 418.54(d))
“Observed in Record Review. In 14 of 14 active patient records reviewed, the organization did not ensure that interdisciplinary notes documented decline and progress towards goals. Most notes did not address patient decline with metrics or comparative statements. Some included that there was “slow and steady decline” without providing specific examples. Additionally, documentation did not indicate progress towards goals. This RFI was reviewed and discussed with the Administrator and Director of Clinical Services.”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 100 words
“Observed in Patient Home. In 2 of 2 home visits conducted, where equipment was cleaned, the organization did not implement infection prevention activities when cleaning and disinfecting equipment. At visits RRHV#2 and RRHV#3 nurses cleaned equipment with Sani Wipe disinfecting cloths by applying the solution to all surfaces of each item and placing it on a barrier to dry. The manufacturer’s instructions for use require two minutes of dwell time. The equipment did not remain wet for the required amount of time during at either visit. This RFI was reviewed and discussed with the Administrator and Director of Clinical Services.”
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Competency evaluation (42 CFR 418.76(c)(1))
The inspectors’ words, 117 words
“Observed in Competency Session. In 1 of 1 HR files reviewed, the organization did not ensure that competence was assessed at hire in compliance with HR policy and law. In personnel file HR#6 HHA registered nurse did not observe the following areas for a home health aide’s performance of the tasks with a patient or pseudo-patient a part of a simulation: Appropriate and safe techniques in personal hygiene and grooming that include bed, sponge, tub, or shower bath; sink, tub or bed shampoo; nail and skin care; oral hygiene; toileting and elimination; safe transfer techniques and ambulation; normal range of motion and positioning. This RFI was reviewed and discussed with the Administrator and Director of Clinical Services.”
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Training (42 CFR 418.100(g)(3))
“Observed in Competency Session. In 1 of 8 HR files reviewed, the organization did not ensure that competence was assessed at hire in compliance with HR policy and law. In personnel file HR#4 MD there was no documentation of competence assessment for the medical director. This RFI was reviewed and discussed with the Administrator and Director of Clinical Services.”
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Initial certification of terminal illness (42 CFR 418.102(b))
The inspectors’ words, 119 words
“Observed in Record Review. In 14 of 14 active records reviewed, the organization did not ensure that clinicians conducted an effective medication assessment. At visit RRHV#2 the RN did not use the hospice’s current medication list that was in the home folder. Rather, she used a hospital medication list given to the patient at some point in the past. As well, she looked at only three of seven medications in the comfort kit. And at visits RRNHV#2 and RRHV#3 the RN and LPN reviewed the drug name on the label, but not the strength, dosage, frequency, or rationale for prn medications in compliance with policy. This RFI was reviewed and discussed with the Administrator and Director of Clinical Services.”
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Authentication (42 CFR 418.104(b))
“Observed in Record Review. In 14 of 14 active patient records reviewed, the organization did not ensure that all entries in the patient record were legible and appropriately authenticated in compliance with policy IM.9 entitled Authorization and Authentication of Medical Records entries. For example, in record RRNHV#1 Medical Director signatures on Certificates of Illness, and admission documents signed by clinicians were not legible or authenticated with credentials. This RFI was reviewed with the Administrator, Clinical Specialist, and Branch Director.”
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Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))
The inspectors’ words, 111 words
“Observed in Record Review. In 1 of 14 active patient records reviewed, the organization did not ensure that education and training to the patient included basic physical and structural home safety. In record RRNHV#1 a nurse documented that there were no carbon monoxide or smoke detectors, or fire extinguishers in the home of patient using oxygen. The nurse did not document that the patient or family were educated on the need for these safety devices, or that action was taken to assist the family in obtaining them through the local fire department, corporate foundation, or other avenues. This RFI was reviewed and discussed with the Administrator and Director of Clinical Services.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 10, 2026 | Complaint inspection by the state | No deficiencies cited |
| Jul 2, 2024 | Reaccreditation inspection by The Joint Commission | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 27, 2021.
- 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): 15 nurse care minutes per routine home care day, 5.6% of skilled nursing minutes at weekends and a visit near death for 95.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 83% at home, 11% in assisted living, 2% in a nursing facility, 2% in a skilled nursing facility, 2% in a hospital.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 15.0 min |
| Skilled nursing minutes at weekends | 5.6% |
| Visits near death | 95.5% of patients who died |
Who owns it?
- Unity Hospice of Houston Texas LLC owns 100% directly since Dec 9, 2022.
- 12 owners or officers are people: Michael A Klein (owns 5% or more through other companies, 100%); Natalie Leriger (managing employee (on the payroll)); Natalie Leriger (runs it (operational or managerial control)); Barbara Geraci (managing employee (on the payroll)); Barbara Geraci (runs it (operational or managerial control)); Eli Klein (corporate officer); Eli Klein (runs it (operational or managerial control)); Yonah Klein (runs it (operational or managerial control)); Jigar R Patel (managing employee (under contract)); Jigar R Patel (runs it (operational or managerial control)); Benjamin Klein (runs it (operational or managerial control)); Michael A Klein (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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Unity Hospice of Houston Texas LLC | Owns 5% or more directly | 100% | Dec 9, 2022 |
| Unity Hospice Management Inc. | Owns 5% or more through other companies | 100% | Dec 9, 2022 |
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): 68% rated it 9 or 10 out of 10, and 68% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 97.9% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 55% 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 43 hospices CMS’s data show serving patients in ZIP code 77058, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 8.
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 |
|---|---|
| Traditions Hospice | 0 |
| Nova Hospice | Not given |
| Harbor Hospice of Houston, LP | 11 |
| At Home Hospice | 1 |
| Magnolia Hospice Care, LLC | 5 |
| New Age Hospice Palliative LLC | 3 |
| Heritage Hospice | 0 |
| Unity Hospice This hospice | 8 |
| Amici Hospice LLC | 54 |
| Houston Hospice | 4 |
| Vitas Healthcare of Texas L P | 4 |
| Accentcare Hospice & Palliative Care of Houston - South, LLC | 9 |
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.