In-Home Care
Spero Healthcare Service, LLC
8330 Lyndon B Johnson FWY, Suite B658 · Dallas, TX 75243 · Lic. #022178 (TX)
License status: Enforcement action pend · Verify with the state (opens in a new tab)
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About Spero Healthcare Service, LLC
Spero Healthcare Service, LLC is an in-home care agency based in Dallas, Texas. The TX licensing record lists its status as "ENFORCEMENT ACTION PEND". Its public inspection record shows 13 citations, the most recent on October 5, 2026. CMS also lists 1 fine or payment denial against it. It is one of 330 in-home care agencies listed in Dallas. Complaints about in-home care agencies in Texas go to the Texas Health and Human Services Commission at 1-800-458-9858. Its public records were last updated in October 2026.
Public record
State licensing agency, updated November 2026
Inspection history (13)
Records from October 2023 to October 2026.
October 5, 2026 · Health Visit
Citation TXV-HLT-20261005-3ee794059eTexas Health and Human Services cited this agency after an inspection completed on October 5, 2026. The state's finding, as published: "The agency failed to maintain documentation at the agency to demonstrate compliance with the rules on administrator or alternate administrator continuing education." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
October 5, 2026 · Health Visit
Citation TXV-HLT-20261005-d030cdf2d5Texas Health and Human Services cited this agency after an inspection completed on October 5, 2026. The state's finding, as published: "The agency failed to review its written emergency preparedness and response plan at least once a year or after an actual emergency response to decide if the plan works and to update it if needed." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
October 5, 2026 · Health Visit
Citation TXV-HLT-20261005-deb9d04c1fTexas Health and Human Services cited this agency after an inspection completed on October 5, 2026. The state's finding, as published: "The agency failed to have and enforce written policies for the annual evaluation of employee and volunteer performance." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
October 5, 2026 · Health Visit
Citation TXV-HLT-20261005-dd8522edc0Texas Health and Human Services cited this agency after an inspection completed on October 5, 2026. The state's finding, as published: "The agency failed, after the initial verification of employability, to search the nurse aide and employee misconduct registries at least every 12 months for an unlicensed employee with face-to-face client contact who was most recently hired on or after September 1, 2009." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
October 5, 2026 · Health Visit
Citation TXV-HLT-20261005-3a9a6e2430Texas Health and Human Services cited this agency after an inspection completed on October 5, 2026. The state's finding, as published: "The agency failed to make sure its quality assessment and performance improvement committee met at least twice a year to address identified problems and concerns in service delivery." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
October 5, 2026 · Health Visit
Citation TXV-HLT-20261005-245a7c3cbaTexas Health and Human Services cited this agency after an inspection completed on October 5, 2026. The state's finding, as published: "The agency failed to test the response phase of its emergency preparedness and response plan by conducting a planned drill consistent with state licensing rules as part of its annual review of the plan." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
October 10, 2023 · Health Visit
Citation TXV-HLT-20231010-0eb06534ebTexas Health and Human Services cited this agency after an inspection completed on October 10, 2023. The state's finding, as published: "The agency failed to comply with requirements to conduct a criminal history check on an unlicensed applicant for employment or an unlicensed employee with duties involving face-to-face contact with a client." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
October 10, 2023 · Health Visit
Citation TXV-HLT-20231010-007838cc8bTexas Health and Human Services cited this agency after an inspection completed on October 10, 2023. The state's finding, as published: "The agency failed to get a client's or the client's family's acknowledgement of receipt of a written agreement for services that contained all items listed in state requirements and to keep the acknowledgement in the client's record." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
October 10, 2023 · Health Visit
Citation TXV-HLT-20231010-af6f73af80Texas Health and Human Services cited this agency after an inspection completed on October 10, 2023. The state's finding, as published: "The agency failed to have a written policy to make sure client care was coordinated among all service providers to promote optimal client outcomes." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
October 10, 2023 · Health Visit
Citation TXV-HLT-20231010-795c8fab1fTexas Health and Human Services cited this agency after an inspection completed on October 10, 2023. The state's finding, as published: "The agency failed to have a written policy on implementing advance directives in compliance with Texas law on advance directives and to include in the written policy a clear and precise statement of any procedure the agency is not willing or not able to provide or withhold in accordance with a client's advance directive." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
October 10, 2023 · Health Visit
Citation TXV-HLT-20231010-3ed3c128c2Texas Health and Human Services cited this agency after an inspection completed on October 10, 2023. The state's finding, as published: "The agency employed an unlicensed person with face-to-face client contact before it searched the nurse aide and employee misconduct registries or employed an unlicensed person who was listed in either registry as unemployable." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
October 10, 2023 · Health Visit
Citation TXV-HLT-20231010-5e96f675adTexas Health and Human Services cited this agency after an inspection completed on October 10, 2023. The state's finding, as published: "The agency failed to have documentation in each client record to acknowledge that a client received the agency's policy related to the reporting of abuse, neglect, or exploitation of clients." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
October 10, 2023 · Health Visit
Citation TXV-HLT-20231010-08543b1f93Texas Health and Human Services cited this agency after an inspection completed on October 10, 2023. The state's finding, as published: "The agency failed to make sure the files of clients receiving personal assistance services included a properly developed individualized service plan that had all the required elements." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
Penalties (1)
November 14, 2023 · Fine
Texas Health and Human Services assessed an administrative penalty of $500 against this agency on November 14, 2023. The state cited 26 Texas Administrative Code 558.283(a). The state's finding, as published: "The agency failed to have a written policy on implementing advance directives in compliance with Texas law on advance directives and to include in the written policy a clear and precise statement of any procedure the agency is not willing or not able to provide or withhold in accordance with a client's advance directive."
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
Nearby alternatives
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