Graben Palliative Hospice Care LLC
A hospice in Richmond, Texas 77407
3414 Willow Fin Way, Richmond, Texas 77407. (240) 821-3373.
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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
- 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?
6 deficiencies cited in the last three years
The middle of the 88 hospices serving ZIP code 77407 had 5.
The last inspection on record was on Mar 20, 2024: an initial 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 Mar 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.
Mar 20, 2024: initial inspection by the Accreditation Commission for Health Care6 deficiencies
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 104 words
“Upon patient record review, 1 of 5 (Patient #4) did not contain evidence that the Hospice had 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 #4: The POC included an order for Peg Tube/feeding tube. The order did not delineate ‘who or how’ this tube would be cared for/by. The patient resided in a residential group home.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 221 words
“Upon patient record review, 5 of 5 (Patients #1, 2, 3, 4, and 5) did not contain evidence that the Plan of Care included all services necessary for the palliation and management of the terminal illness and related conditions, including the following: A detailed statement of both the scope and frequency of all services necessary to meet the specific patient and family needs: Patient #1: The IDG POC dated 03/05/24 included, “SC 1x month and prn within cert period”, without a quantity for such prn visits. Patient #2: The IDG POC included, “SW 1x month and prn for counseling”,without a quantity for such prn visits. It also included, “SC 1x month and prn within cert period”, without a quantity for such prn visits. Patient #3: The IDG POC included, “SW 1x month and prn”, without a quantity for such prn visits. It also included, “SC 1x month and prn within cert period”, without a quantity for such prn visits. Patient #4: The IDG POC dated 08/15/23 included, “SC 1x month and prn within cert period”, without a quantity for such prn visits. Patient #5: The IDG POC included, “SC 1x month and prn within cert period”, without a quantity for such prn visits. It also included, “SW 1x month and prn within cert period”, without a quantity for such prn visits.”
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Content of plan of care (42 CFR 418.56(c)(5))
The inspectors’ words, 100 words
“Upon patient record review, 2 of 5 (Patients #1 and 3) did not contain evidence that the Plan of Care included all services necessary for the palliation and management of the terminal illness and related conditions, specifically equipment and supply needs: Patient #1: During Surveyor-attended home visit 03/19/24, it was noted that the patient had the following DME: 1) Overbed table; and 2) Shower Chair. These DME were not included on the POC. Patient #3: During Surveyor-attended home visit 03/19/24, it was noted that the patient had the following DME: Wheel chair. This DME was not included on the POC.”
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Review of the plan of care (42 CFR 418.56(d))
“Upon patient record review, 1 of 5 (Patient #2) did not contain evidence that a revised Plan of Care included information from the patient’s updated comprehensive assessment and must note the patient’s progress towards outcome/goals from the plan of care: Patient #2: The initial 01/22/24 POC included, “Clean wound to sacrum with Normal Saline, apply Medi-Honey, and cover with 4x4, daily by Hospice Nurse or in-home caregiver.” The IDG POC dated 03/05/24 had not been updated with the details of this ongoing, ordered wound care.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
“Upon patient record review, 1 of 5 (Patient #2) did not contain evidence that Hospice Aide assignments and duties are: Assigned to a specific patient by a Registered Nurse that is a member of the Interdisciplinary Group, to include any pertinent information needed by the Aide while providing patient care/services: Patient #2: The Hospice POC reflected that the patient was a DNR. This pertinent information was not included on the Aide POC.”
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Authentication (42 CFR 418.104(b))
The inspectors’ words, 140 words
“Upon patient record review, 1 of 5 (Patient #2) did not contain evidence that all entries were legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice: Patient #2: The initial 01/22/24 POC included, “Clean wound to sacrum with Normal Saline, apply Medi-Honey, and cover with 4x4, daily by Hospice Nurse or in-home caregiver.” The SN visit dated 02/15/24 documented, “Wound care to sacral area done”, without the details of such wound care provided, nor was the wound itself described. The SN visit dated 02/22/24 documented, “Wound care to sacrum done”, without the details of such wound care provided, nor was the wound itself described. The SN visit dated 02/29/24 documented, “Wound care done”, without the details of such wound care provided, nor was the wound itself described.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 20, 2024 | Initial inspection by the Accreditation Commission for Health Care | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Apr 16, 2024.
- 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?
- 5 owners or officers are people: Benedict Tabi (owns 5% or more directly, 100%); Benedict Tabi (managing employee (on the payroll), 0%); Grace Tabi (corporate officer, 0%); Grace Tabi (managing employee (on the payroll), 0%); Sophie Mbua (managing employee (on the payroll), 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.
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 88 hospices CMS’s data show serving patients in ZIP code 77407, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 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 |
|---|---|
| St Agnes Memorial Hospice | Not given |
| Society Hospice & Palliative Care, Inc. | 15 |
| Rainbow Hospice LLC | 18 |
| Golden Hospice & Healthcare Services, LLC. | 65 |
| Fountain of Hope Hospice, LLC | Not given |
| Lighthouse Hospice Care LLC | 1 |
| Shekina Glory Legacy Hospice & Palliative Services | Not given |
| Advance Care Plus Hospice LLC | 1 |
| Graben Palliative Hospice Care LLC This hospice | 6 |
| Sweet Memories Palliative Hospice Care Inc. | 2 |
| Fairmont Hospice | 12 |
| United Palliative & Hospice Care, Inc. | Not given |
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.