Hearth Record

Carestar Hospice

A hospice in Mansfield, Texas 76063

1380 Highway 287 N Ste 103, Mansfield, Texas 76063. (817) 592-5800.

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 2 deficiencies in 1 month of the last 36. Last cited Jan 2025. 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?

2 deficiencies cited in the last three years

The middle of the 90 hospices serving ZIP code 76063 had 3.

The last inspection on record was on Jan 24, 2025: 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

2 deficiencies in 1 month of the last 36. Last cited Jan 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.

2 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

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.

Jan 24, 2025: initial inspection by the Community Health Accreditation Partner2 deficiencies

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

    The inspectors’ words, 371 words

    “It is required that each patient’s individualized written plan of care identifies planned interventions based on problems identified in the initial and updated comprehensive assessments. In 3 of 13 (23%) records reviewed revealed the agency did not ensure that the individualized written plan of care identified planned interventions based on problems identified in the initial and updated comprehensive assessments. CLINICAL RECORD 1: This patient elected the hospice benefit on 01/11/2025 with a terminal diagnosis of cirrhosis of the liver. The comprehensive assessment dated 01/11/2025 included documentation that the patient rated pain at 6 with a pain goal of 2 and that the patient had a foley size 16fr. The patient received hydrocodone/Tylenol 5/325mg every 8 hours as needed for pain. The review of the plan of care beginning 01/11/2025 did not include interventions for pain and did not include interventions for foley care CLINICAL RECORD 2: This patient elected the hospice benefit on 10/24/2024 with a terminal diagnosis of senile degeneration of the brain. The comprehensive assessment dated 10/24/2024 documented that the patient was administered acetaminophen or ibuprofen for pain when required. The drug administration record included acetaminophen 500 mg every 6 hours as needed for pain and ibuprofen 200 mg every 4 hours as needed. Both medications were started on 05/24/2024. The comprehensive assessment on 10/24/2024 also documented that patient experienced shortness of breath with crackles and rales throughout the lung fields and utilized an inhaler and nebulizer with oxygen at 2-4 liters per nasal cannula. There were no interventions included in the plan of care dated 10/24/2024-01/23/2025 for pain or interventions for dyspnea. CLINICAL RECORD 11: The comprehensive assessment dated 01/15/2025 documented the patient had wounds on right upper abdomen and sacral area. Amoxicillin 875 mg potassium clavulanate 125 mg 1 tablet every 12 hours by mouth for 14 days were initiated for infection of the wound. The plan of care was reviewed for the dates of 01/15/2025-01/23/2025 There were no interventions noted in the plan of care for the wound infection. In an interview conducted on 01/23/2025, the QAPI Coordinator confirmed that the agency did not ensure that the individualized written plan of care identified planned interventions based on problems identified in the initial and updated comprehensive assessments.”

    Rule L0545. Standard-level.

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

    The inspectors’ words, 226 words

    “It is required that a hospice aide provides services included in the plan of care. This standard was not met as evidenced by clinical record review, document review, and interview. In 1of 13 (8%) clinical records reviewed with hospice aide services revealed the agency did not ensure that hospice aide services were provided as per the plan of care. DOCUMENT 1: Agency policy “Hospice Aide Services” stated, in part: F. A hospice aide provides services that are: 1. Ordered by the physician. The physician’s order must indicate the frequency of the home health aide services required by the beneficiary. 2. The plan of care will be established before providing care and services and the services will be consistent with the plan of care. CLINICAL RECORD 2: This patient was admitted 10/24/2024 with a terminal diagnosis of senile degeneration of the brain. The hospice aide care plan written on 10/24/2024 ordered hospice aide visits 5 times a week. For the week of 12/08/2024-12/14/2024, 4 hospice aide visits were documented. There was no documentation for a hospice aide visit on 12/12/2024. There was no documentation of a missed visit communication. During an interview with the Clinical Manager/Director of Nursing and the QAPI Coordinator on 01/23/2025, it was confirmed that the agency did not ensure that the hospice aide visits were documented as per the hospice aide care plan.”

    Rule L0626. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Jan 24, 2025Initial inspection by the Community Health Accreditation Partner2 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Feb 14, 2025.
  • 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?

  • 13 owners or officers are people: Matthew Darnall (owns 5% or more directly, 28.25%); Matthew Darnall (corporate director, 28.25%); Drew Osborne (owns 5% or more directly, 26.25%); Drew Osborne (corporate director, 26.25%); John L Lytte (owns 5% or more directly, 26.25%); John L Lytte (corporate director, 26.25%); Bambie Bedford (runs it (operational or managerial control), 25%); Drew Osborne (managing employee (under contract), 25%); Matthew Darnall (managing employee (under contract), 25%); Cinthia Marie Shreve (runs it (operational or managerial control), 25%); Deandre Brown (managing employee (on the payroll), 25%); Daniel James (owns 5% or more directly, 19.25%); Daniel James (corporate director, 19.25%).
  • 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 90 hospices CMS’s data show serving patients in ZIP code 76063, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; this one had 2.
Source:

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

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

The 90 hospices CMS lists serving ZIP code 76063
PlaceDeficiencies, 3 years
Cardinal Hospice2
Greenleaf Hospice LLC8
Alevcare Hospice5
Texas Life Hospice - Fort Worth3
A Brightstart Services, Inc.0
Carestar Hospice This hospice2
Community Healthcare of Texas2
Vitas Healthcare of Texas LP15
VNA1
Gentiva13
Vitas Healthcare of Texas, L.P.3
Custom Care Hospice4

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 Nov 5, 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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