Grand Hospice, Inc.
A hospice in Houston, Texas 77004
2922 Rosedale St Ste 1350, Houston, Texas 77004. (713) 874-1234.
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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
- Not available 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 104 hospices serving ZIP code 77004 had 5.
The last inspection on record was on Sep 8, 2025: 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 Sep 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.
Sep 8, 2025: recertification inspection by the state1 deficiency
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Hospice aide qualifications (42 CFR 418.76(a)(1))
The inspectors’ words, 315 words
“Based on record review and interviews, the agency failed to assure that the Administrator does not perform hospice aide tasks on 1 of 5 active patients, without direct supervision from an RN until he received additional training to meet hospice aide qualifications. This failure could place the agency’s clients at risk of receiving inadequate care from agency personnel which are not qualified. The findings included: During an interview on 9/4/2025 at 9:30 a.m., with the FM of Patient #5, the FM stated that the Administrator assisted in personal care for Patient #5 by dressing and assisting in transfer of Patient #5. The FM stated that Patient #5 was not harmed while the Administrator was assisting with personal care. Record review of the Administrator’s personnel documentation revealed a date of hire of 4/1/2025. There was no documented evidence in the personnel record that the Administrator was certified as a hospice aide or had the qualifications and training of a hospice aide. During an interview on 9/5/2025 at 1:30 p.m., with the Administrator, the Administrator acknowledged responsibility in performing dressing and assisting in transfer of Patient #5 during “a couple of home visits “and was not qualified as a hospice aide. The Administrator also stated the importance of being certified as a hospice aide in the State to perform tasks of personal care on hospice patients. The Administrator also revealed, “sometimes it’s difficult to say no, and his caregiver was elderly so I thought I could assist.” Record review of an agency policy titled, “Reporting Changes,” dated 4/14/2023, read in part, “…agency employs individuals who are qualified by education, training, and experience to carry out all duties assigned to them and have valid credentials as required by Federal, State, and local regulations…Employees act only within the scope of his or her state license, or State certification, or registration. All personnel qualifications are kept current at all times…””
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 8, 2025 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Aug 10, 2022.
- CMS doesn’t list its type of ownership.
- 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?
- CMS hasn’t published nursing time from Medicare claims for this hospice.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
Who owns it?
- Grand Hospice Holdco, LLC owns 49% directly since Apr 1, 2025.
- 10 owners or officers are people: Jennifer Roy (owns 5% or more directly, 51%); Marcos Soto (owns 5% or more through other companies, 10%); Mariela Heffel (owns 5% or more through other companies, 10%); Tyler S Hunsaker (owns 5% or more through other companies, 8%); Richelle Upshaw (managing employee (under contract)); Jennifer Roy (corporate officer); Marcos Soto (managing employee (on the payroll)); Jennifer Birdsong (managing employee (on the payroll)); Jason P Bliss (corporate officer); Jason P Bliss (other role (CMS gives no detail), 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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Grand Hospice Holdco, LLC | Owns 5% or more directly | 49% | Apr 1, 2025 |
| Encore Bliss Holdings, LLC | Owns 5% or more through other companies | 33.81% | Apr 1, 2025 |
| Bliss Family Trust | Owns 5% or more through other companies | 15.21% | Apr 1, 2025 |
| Encore Capital Holdings, LLC | Owns 5% or more through other companies | 13.52% | Apr 1, 2025 |
| Ecbh Holdings, LLC | Owns 5% or more through other companies | 13.52% | Apr 1, 2025 |
| Eb Management Group I, LLC | Owns 5% or more through other companies | 5.17% | Sep 1, 2025 |
| Eb Management Group II, LLC | Owns 5% or more through other companies | 5.17% | Sep 1, 2025 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- CMS gives no Hospice Care Index for this hospice.
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
How does it compare nearby?
- Of the 104 hospices CMS’s data show serving patients in ZIP code 77004, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; 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 |
|---|---|
| Midtown Hospice, Inc. | Not given |
| Residential Hospice, Inc. | Not given |
| Celestial Hospice, Inc. | Not given |
| Eternal Light Hospice Inc. | Not given |
| Peaceful Bridge Hospice | Not given |
| Grand Hospice, Inc. This hospice | 1 |
| Loving Touch Hospice Inc. | 0 |
| Four Pillars Hospice | 0 |
| Exalting Hospice and Palliative Care LLC | 3 |
| Peaceful Bridge Hospice 3, Inc. | Not given |
| Houston Hospice | 4 |
| Vitas Healthcare of Texas L P | 4 |
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.