Houston Senior AdvisorThe Four Group Homecare LLC is a Medicare-certified home health agency based at 4635 Southwest Freeway Suite 360 in Houston, TX 77027. Medicare first certified it in 2003, 23 years ago. Medicare rates its quality of patient care at 1.5 out of 5 stars, below the Texas average of 3. Its strongest result against the Texas average is falls with major injury; its weakest is breathing improved.
What is The Four Group Homecare LLC's Medicare record?
| Agency | The Four Group Homecare LLC |
|---|---|
| Address | 4635 Southwest Freeway Suite 360, Houston, TX 77027 |
| Phone | (713) 840-1811 |
| Medicare provider number (CCN) | 679363 |
| Ownership | Proprietary |
| Medicare-certified since | 09/26/2003 |
How does The Four Group Homecare LLC score on Medicare's quality measures?
Medicare publishes 11 patient-outcome and process measures for The Four Group Homecare LLC. It is better than the Texas average on 1 and worse on 8.
| Measure | The Four Group Homecare LLC | Texas average | U.S. average | vs. Texas |
|---|---|---|---|---|
| Started care on time | 98.3% | 96.9% | 96.6% | About the same |
| Got better at walking or moving around | 32% | 86.5% | 88.6% | Worse |
| Got better at getting in and out of bed | 20.3% | 86.7% | 89.8% | Worse |
| Got better at bathing | 23.5% | 88.8% | 90.7% | Worse |
| Breathing improved | 11.8% | 87.4% | 91.5% | Worse |
| Got better at taking medicines correctly | 31.7% | 86.5% | 88.3% | Worse |
| Medication issues addressed on time | 60.5% | 94.9% | 94.4% | Worse |
| Flu shot status checked | 14.1% | 63.8% | 63.3% | Worse |
| Met expected function at discharge | 6.7% | 64.5% | 71.7% | Worse |
| Falls with major injury (lower is better) | 0% | 1.1% | 0.9% | Better |
| New or worsened pressure ulcers (lower is better) | 0% | 0.2% | 0.2% | About the same |
Where it stands out: falls with major injury.
Where it trails: breathing improved, got better at getting in and out of bed and got better at bathing.
What do patients say about The Four Group Homecare LLC?
Medicare has not published patient survey results for The Four Group Homecare LLC. The survey is only reported once an agency has enough completed responses, so smaller and newer agencies often have none. That is a gap in the record, not a mark against it.
Do The Four Group Homecare LLC's patients end up back in the hospital?
On the hospital-use measures Medicare can calculate for The Four Group Homecare LLC, it performs the same as the national rate.
| Measure | Medicare's category | Risk-adjusted rate |
|---|---|---|
| Patients who went home and stayed home after care ended | Same As National Rate | 77.4% |
| Preventable hospital stays during care | Same As National Rate | 9.4% |
Which home health services does The Four Group Homecare LLC provide, and which does it not?
The Four Group Homecare LLC reports offering skilled nursing, physical therapy, occupational therapy, speech therapy and medical social work. It does not report offering home health aide.
| Service | Offered by The Four Group Homecare LLC? |
|---|---|
| Skilled nursing | Yes |
| Physical therapy | Yes |
| Occupational therapy | Yes |
| Speech therapy | Yes |
| Medical social work | Yes |
| Home health aide | No |
| Round-the-clock or shift care | No. Home health is visits, not shifts. |
| Housekeeping, meals and errands on their own | No. Medicare does not cover them unless tied to skilled care. |
| Long-term help with bathing and dressing | No. That is non-medical home care, which families usually arrange and pay for separately. |
Which Houston-area ZIP codes does The Four Group Homecare LLC serve?
The Four Group Homecare LLC tells Medicare it serves 52 ZIP codes in Houston and Harris, Fort Bend, Montgomery and Brazoria counties, out of 55 in total.
- 77004
- 77009
- 77014
- 77016
- 77020
- 77021
- 77022
- 77023
- 77025
- 77026
- 77027
- 77028
- 77030
- 77031
- 77032
- 77033
- 77036
- 77039
- 77042
- 77044
- 77045
- 77047
- 77048
- 77051
- 77054
- 77060
- 77065
- 77066
- 77067
- 77069
- 77071
- 77072
- 77074
- 77075
- 77076
- 77078
- 77082
- 77086
- 77087
- 77088
- 77091
- 77096
- 77099
- 77338
- 77373
- 77375
- 77379
- 77407
- 77429
- 77449
- 77477
- 77489
A ZIP on this list means the agency accepts referrals there. It does not promise a nurse is available this week, so confirm your address when you call.
What should you ask The Four Group Homecare LLC before starting care?
Ask about breathing and oxygen management
11.8% of patients had less shortness of breath by the end of care (Texas average 87.4%). If the diagnosis is COPD or heart failure, ask how the nurse monitors breathing between visits.
Ask about transfer training
20.3% of patients improved at getting in and out of bed (Texas average 86.7%). Ask whether the therapist will train the family member who does the lifting, not only the patient.
Ask who helps with bathing, and how often
23.5% of patients improved at bathing (Texas average 88.8%). Ask whether a home health aide is part of the plan or whether bathing help is left to the family.
Ask who answers after hours
Problems rarely wait for office hours. Ask whether the night and weekend line reaches one of their own nurses or an answering service, and how long a call-back usually takes.
Which other home health agencies serve Houston, TX?
These Medicare-certified agencies are also based in or near Houston.
- M & M Advanced Healthcare Inc — 4.5 of 5 stars
- Home Health Professionals — 4 of 5 stars
- Tti Home Health Care — 2.5 of 5 stars
- All About Home Care, Inc. — 5 of 5 stars
- Providian Health Care Inc — 5 of 5 stars
- St Clare Home Care, Inc. — 5 of 5 stars
Last verified: November 2026, against the Medicare provider data release dated 2026-09-21.
Common questions
Is The Four Group Homecare LLC Medicare-certified?
Yes. The Four Group Homecare LLC is certified by Medicare under provider number 679363 and has been since 2003. Original Medicare pays certified agencies directly for covered home health care.
What is The Four Group Homecare LLC's Medicare star rating?
1.5 out of 5 for quality of patient care. The Texas average is 3.
Does The Four Group Homecare LLC provide physical therapy at home?
Yes, it reports offering physical therapy to Medicare. It also reports skilled nursing, occupational therapy, speech therapy and medical social work.
