Hearth Record

Blue Bonnet Hospice

A hospice in Houston, Texas 77041

6525 W Sam Houston Pkwy N, Ste C, Houston, Texas 77041. (800) 590-5738.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 3 deficiencies in 1 month of the last 36. Last cited Nov 2023. Most serious: Standard-level. Every month

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?

3 deficiencies cited in the last three years

The middle of the 66 hospices serving ZIP code 77041 had 5.

The last inspection on record was on Nov 22, 2023: an initial inspection by the Community Health Accreditation Partner.

Source:

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

3 deficiencies in 1 month of the last 36. Last cited Nov 2023. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

3 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Nov 22, 2023: initial inspection by the Community Health Accreditation Partner3 deficiencies

  • Content of comprehensive assessment (42 CFR 418.54(c)(6)(i))

    The inspectors’ words, 222 words

    “It is required that the documented comprehensive assessment includes a drug profile that contains the patient’s current prescription and over the counter (OTC) drugs, supplements, herbal remedies, and other alternative treatments that could affect drug therapy. The drug profile is updated per the hospice policy and procedure, but, at minimum, at the time of each comprehensive assessment and/or when new medication is added, or changes are made to existing medication. This standard was not met as evidenced by clinical record review, observation, and interview. In 2 of 5 (40%) clinical records reviewed, the agency did not ensure the drug profile contained the patient’s current prescription and over the counter drugs. Clinical Record 2/Home Visit 2: During home visit observation with the social worker (staff 7), the patient was observed taking two extra strength Tylenol for complaints of knee pain. Review of the patient’s medication profile reveled it did not include Tylenol. Clinical Record 5: The Registered Nurse documented on the skilled nurse visit note dated 06/07/2023 the patient had taken “Tylenol 1000mg taken status post patient fall for pain.” Tylenol was not included on the medication profile in the plan of care dated 05/02/2023. During an interview on 11/21/2023, the Director of Patient Care Services reviewed the associated records and stated that the medication profiles were incomplete and had since been corrected.”

    Rule L0530. Standard-level.

  • Content of plan of care (42 CFR 418.56(c))

    The inspectors’ words, 187 words

    “It is required that each patient’s individualized written plan of care reflects patient and family goals and identifies planned interventions based on problems identified in the initial and updated comprehensive assessments. This standard was not met as evidenced by clinical record review and interview. In 1 of 5 (20%) clinical records reviewed, the agency did not ensure the hospice plan of care included interventions and goals based on problems identified in the initial and updated comprehensive assessments. Clinical Record 2: The patient elected the hospice benefit on 10/14/2023. The hospice plan of care dated 10/14/2023 and the updated hospice plans of care dated 10/30/2023 and 11/13/2023 included an aide frequency of three times per week but did not include interventions and goals for aide service provisions based on self-care deficits identified on the 10/14/2023 Registered Nurse start of care comprehensive assessment and the 10/30/2023 and 11/13/2023 updated comprehensive assessments. During an interview on 11/21/2023, the Director of Patient Care Services reviewed the associated record and stated the self-care deficit goals and interventions had inadvertently been omitted from the hospice plans of care and had since been corrected.”

    Rule L0545. Standard-level.

  • Hospice aide assignments and duties (42 CFR 418.76(g)(2)(i))

    The inspectors’ words, 149 words

    “It is required that a hospice aide provides services ordered by the Interdisciplinary Group and included in the plan of care. This standard was not met as evidenced by clinical record review and interview. In 1 of 1 (100%) clinical record reviewed with aide services provided, the agency did not ensure aide services were provided as ordered in the hospice plan of care. Clinical Record 2: The hospice plan of care dated 10/14/2023 included an order for aide visits three times per week. The clinical record contained no documented evidence the aide provided visits the week of 10/14/2023. The clinical record contained no documentation to explanation why aide services were not provided as ordered. During an interview on 11/21/2023, the Director of Patient Care Services reviewed the associated record and stated the incorrect aide frequency had been placed on the hospice plan of care and had since been corrected.”

    Rule L0626. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Nov 22, 2023Initial inspection by the Community Health Accreditation Partner3 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Jan 10, 2024.
  • CMS doesn’t list its type of ownership.
  • No deficiency or on record in the last three years.
Source:

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.
Source:

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.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Who owns it?

  • 6 owners or officers are people: Joel Ada (corporate officer, 100%); Joel Ada (managing employee (on the payroll), 100%); Joel Ada (runs it (operational or managerial control), 100%); Susan Vogel (managing employee (under contract), 100%); Anissha Abhaman Parmar (owns 5% or more directly, 100%); Anissha Abhaman Parmar (corporate officer, 100%).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

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 gives no Hospice Care Index for this hospice.
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

How does it compare nearby?

  • Of the 66 hospices CMS’s data show serving patients in ZIP code 77041, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 3.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

The 66 hospices CMS lists serving ZIP code 77041
PlaceDeficiencies, 3 years
Blue Bonnet Hospice This hospice3
Houston Hospice4
Vitas Healthcare of Texas L P4
Accentcare Hospice & Palliative Care of Houston - Central, LLC0
Silverado Hospice - North Houston8
Hospice Compassus - the Woodlands3
Choice Health at Home6
Three Oaks Hospice11
HCA Houston Hospice & Family Care12
Vantage Hospice6
Nova HospiceNot given
Accentcare Hospice & Palliative Care of Houston - North, LLC13

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

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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