Baptist Hospice
A hospice in Montgomery, Alabama 36116
2105 East South Blvd., Montgomery, Alabama 36116. (334) 395-5000.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 3 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 9of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- 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 13 hospices serving ZIP code 36116 had 4.
The last inspection on record was on Nov 21, 2024: a reaccreditation inspection by The Joint Commission.
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 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.
Nov 21, 2024: reaccreditation inspection by The Joint Commission3 deficiencies
-
Content of comprehensive assessment (42 CFR 418.54(c)(5))
“Observed in Record Review. In 1 of 16 patient records reviewed, the organization failed to assess and reassess its patient’s. During record review for RRHV#2, the Hospice Nurse Surveyor observed the wound documentation did not include staging for the sacral pressure ulcer as required by organizational policy. 

This was discussed and reviewed with the Hospice Team.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 262 words
“Observed in Record Review. In 6 of 16 patient records reviewed, the organization failed to plan the patient’s care. During record review for RRHV#1, RRHV#2, RRNHV#1, RRNHV#3, RRNHV#5, RRNHV#10 ..... the Hospice Nurse Surveyor observed the plan of care did not contain all needed elements. For example in RRHV#1, the patient had a goal of the patient will receive socialization during visits with her SW at capitol hill to help promote mental and social stimulation. This goal was not measurable. In RRHV#2 had a goal of verbalizes meaningful relationship to chaplain by providing spiritual support through scripture reading and prayer. This goal was not measurable. In RRNHV#1 the patient had a goal of PT/ CG will cope with the end of life issues and dying process as evidence by expressing their feelings and emotions appropriately during SW visits which was not measurable and the target date was set for 4 months in the future. In RRNHV#3, the patient had a goal of Pt/ CG will verbalize feelings of adequate emotional support during visits and or phone calls and chaplain to provide pastoral relationships as evidenced by playing spiritual songs and prayer. These goals were not measurable. In RRNHV#5 the patient had a goal of verbalize and demonstrate proper wound care. The wound care had been discontinued and the wound healed 14 days prior to survey but the goal was not resolved. In RRNHV#1- the patient had a goal of expressing thoughts and emotions appropriately to SW visits which had no measurable outcomes. 


This was discussed and reviewed with the Hospice Leadership Team.”
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Content of plan of care (42 CFR 418.56(c)(3))
The inspectors’ words, 95 words
“Observed in Record Review. In 1 of 16 patient records reviewed, the organization failed to plan the patient’s care. During record review for RRNHV#10, the Hospice Nurse Surveyor observed the plan of care did not contain all needed elements. During record review for RRNHV#10, the patient primary diagnosis was abnormal weight loss. The patient was on hospice for approximately a month, and had lost 80 pounds in the last 6 months. There was nothing to address nutrition and weight loss on the plan of care. 

This was discussed and reviewed with the Hospice Leadership Team.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Nov 21, 2024 | Reaccreditation inspection by The Joint Commission | 3 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Mar 23, 1984.
- Ownership: other.
- 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?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 16.3 nurse care minutes per routine home care day, 8.4% of skilled nursing minutes at weekends and a visit near death for 97.6% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 72% at home, 5% in assisted living, 17% in a skilled nursing facility, 6% in a hospital.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 16.3 min |
| Skilled nursing minutes at weekends | 8.4% |
| Visits near death | 97.6% of patients who died |
Who owns it?
- Health Care Authority for Baptist Health, An Affiliate of Uabhs owns 100% directly since Jul 1, 2005.
- 5 owners or officers are people: Walter Tyner (corporate officer, 0%); Christine E Bruton (corporate officer, 0%); Robert A Avery (managing employee (under contract)); John Selman (corporate officer); John Selman (managing employee (on the payroll)).
- 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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Health Care Authority for Baptist Health, An Affiliate of Uabhs | Owns 5% or more directly | 100% | Jul 1, 2005 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 83% rated it 9 or 10 out of 10, and 88% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 98.77% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 77.6% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | 4 of 5 |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 9 of 10 |
How does it compare nearby?
- Of the 13 hospices CMS’s data show serving patients in ZIP code 36116, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; 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 |
|---|---|
| Baptist Hospice This hospice | 3 |
| Enhabit Hospice Prattville | 2 |
| Amedisys Hospice of Montgomery | 6 |
| Aveanna Hospice of Montgomery | 1 |
| Southerncare New Beacon N Birmingham | 11 |
| Southerncare New Beacon - Jasper | 13 |
| Enhabit Hospice Birmingham | 6 |
| Ivy Creek Hospice | 3 |
| Affinity Hospice | 4 |
| Adoration Hospice | 5 |
| Southeast Hospice Network | 3 |
| Gentiva Birmingham | 20 |
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.