A Vista Care Hospice Inc.
A hospice in Conroe, Texas 77384
4714 FM 1488 Rd Suite 402, Conroe, Texas 77384. (281) 968-2790.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 3 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?
3 deficiencies cited in the last three years
The middle of the 68 hospices serving ZIP code 77384 had 5.
The last inspection on record was on Nov 14, 2024: an initial inspection by the Community Health Accreditation Partner.
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 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
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.
Nov 14, 2024: initial inspection by the Community Health Accreditation Partner3 deficiencies
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Nursing services (42 CFR 418.64(b)(1))
The inspectors’ words, 149 words
“It is required that nursing care and services are provided by or under the supervision of a registered nurse and per the patient plan of care. Nursing services ensure that the nursing needs of the patient are met as identified in the patient’s initial assessment, comprehensive assessment, and any updated 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 nursing needs of the patient were identified in the comprehensive assessment. Clinical Record 2: The patient elected the hospice benefit on 10/29/2024 with diagnoses of coronary artery disease, colostomy, and a skin tear. The comprehensive assessment dated 10/29/2024, did not include documentation that the patient had a colostomy. During an interview on 11/13/2024, the Registered Nurse stated she was not sure why the colostomy was not included in the initial assessment.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 226 words
“It is required that Hospice Aides are assigned to a specific patient by a Registered Nurse (RN) who is a member of the Interdisciplinary Group. Written patient care instructions for a Hospice Aide are prepared by a RN who is responsible for the supervision of the Hospice Aide. This standard was not met as evidenced by clinical record review, observation, and interview. In 1 of 5 (20%) clinical records reviewed with hospice aide services provided, the agency did not the Registered Nurse provided patient specific care instructions for the hospice aide. Clinical Record 2/Home Visit 1: The patient elected the hospice benefit on 10/29/2024. During the home visit observation on 11/12/2024 with the Hospice Aide (HA) (Personnel Record 6), the patient was observed to have a colostomy to the left upper quadrant of the abdomen. The aide plan of care assignment did not include notification and instructions to the aide related to the patient’s colostomy. The aide stated during an interview that she empties the bag when it is full and stated she had been an aide for over 10 years and knew what to do. During an interview on 11/13/2024, the Registered Nurse stated that she did not know why the colostomy care was not added to the aide plan of care but said she would update the plan of care to include colostomy instructions.”
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
The inspectors’ words, 235 words
“It is required that Hospice Aides are supervised by a Registered Nurse who makes an on-site visit to the patient’s home no less frequently than every 14 days to: Assess the quality of care and services provided by the hospice aide; Ensure that services ordered by the hospice Interdisciplinary Group (IDG) meet the patient’s need. The hospice aide does not need to be present. This standard was not met as evidenced by document review, clinical record review, and interview. In 1 of 2 (50%) clinical records reviewed with Hospice Aide services provided, the agency did not ensure the Hospice Aide was supervised by a Registered Nurse no less frequently than every 14 days. Agency policy No. 2-041 Program/Service Operations, no date, required in part, “Aide supervisory visits are performed and documented every 14 days.” Clinical Record 3: The patient elected the hospice benefit on 10/28/2024. The plan of care dated 10/28/2024 to 01/26/2025 included an order for home health aide services 2 times per week. The Hospice Aide provided the first aide visit on 10/29/2024. The first aide supervisory visit was completed on 11/13/2024, a total of 15 days after the first aide visit and one day outstanding. During an interview on 11/14/2024, the Registered Nurse stated that she did not realize it had been two weeks already but that she included it in yesterday’s visit and would monitor it more closely in the future.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Nov 14, 2024 | Initial inspection by the Community Health Accreditation Partner | 3 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 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?
- 8 owners or officers are people: Ofonasaha Eyo (owns 5% or more directly, 60%); Ofonasaha Eyo (corporate officer, 60%); Ofonasaha Eyo (corporate director, 60%); Ofonasaha Eyo (managing employee (on the payroll), 60%); Joseph Okafor (owns 5% or more directly, 40%); Joseph Okafor (corporate officer, 40%); Joseph Okafor (corporate director, 40%); Clyde Mcmorris (managing employee (under contract)).
- 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 68 hospices CMS’s data show serving patients in ZIP code 77384, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 3.
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 |
|---|---|
| A Vista Care Hospice Inc. This hospice | 3 |
| Oasis Hospice | Not given |
| Alamo Hospice of Conroe | 13 |
| Amedisys Hospice | 9 |
| Heart to Heart Hospice of Houston | 1 |
| Elara Caring | Not given |
| St Joseph Hospice of Conroe Texas | 12 |
| Harbor Hospice 28, L.P. | 8 |
| Choice Hospice | 4 |
| Home Care Select Hospice | Not given |
| Hospice 365 LLC | 5 |
| Houston Hospice | 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 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.