Compassus-Gadsden
A hospice in Southside, Alabama 35907
1735 Highway 77, Southside, Alabama 35907. (256) 782-3560.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 2 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 10of 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?
2 deficiencies cited in the last three years
The middle of the 10 hospices serving ZIP code 35907 had 3.
The last inspection on record was on Jun 13, 2024: a reaccreditation 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
2 deficiencies in 1 month of the last 36. Last cited Jun 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.
Jun 13, 2024: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies
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Counseling services (42 CFR 418.64(d)(1)(iv))
The inspectors’ words, 265 words
“It is required that the bereavement services reflect the needs of the bereaved per a bereavement plan of care that includes: the types of bereavement services to be offered; [and] the frequency of service delivery. This standard was not met as evidenced by clinical record review, document review, and interview. Agency policy #C19 “Bereavement Services” stated in part, “Bereavement services are documented according to the bereavement plan of care.” In 1 of 4 (25%) clinical records reviewed with bereavement services, the agency did not ensure that bereavement services were provided according to the bereavement plan of care. Clinical Record 18: The patient elected hospice care on 11/13/2023 and died on 12/07/2023. The bereavement plan of care was reviewed for 11/13/2023 through 06/13/2024. The bereavement assessment on 11/14/2023 identified the bereaved as a low risk. The plan of care dated 11/14/2023 revealed the services and frequency to be provided to the bereaved including support mailings and education materials at one (1), three (3), and six (6) months. There was no documented evidence that the one (1), three (3), and six (6) months mailings were sent to the bereaved. There was no documented evidence the bereaved declined bereavement services. During an interview on 06/13/2024, the Bereavement Coordinator stated, “If you don’t see anything, that probably means they didn’t want bereavement.” During a joint review of the record and interview on 06/13/2024, the Director of Clinical Services stated, “I only see the two-week letter sent.” The Director of Clinical Services agreed there was no documented evidence that bereavement services were provided according to the bereavement plan of care.”
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Level of activity (42 CFR 418.78(e))
The inspectors’ words, 226 words
“It is required that hospice volunteers provide day-to-day administrative or direct patient care services in an amount that, at a minimum, equals five percent (5%) of the total patient care hours of all paid hospice employees and contract staff. This standard was not met as evidenced by document review and interview. Agency policy #C20 “Volunteer Services” stated in part, “Volunteers, under the supervision of the volunteer coordinator, provide both patient support and administrative support in a manner and amount consistent with the program’s identified needs while ensuring a minimum cost savings of 5%.” A review of the Hospice Volunteer Requirement Report revealed the agency did not ensure that hospice volunteers provided administrative or direct patient care services in an amount that, at a minimum, equals five percent (5%) of the total patient care hours of all paid hospice employees and contract staff. The Hospice Volunteer Requirement Report reviewed for January through June 13, 2024, revealed a volunteer cost savings of 3.42% for the parent and alternate delivery site combined. During a joint review of the Hospice Volunteer Requirement Report and interview on 06/13/2024, the Director of Clinical Services agreed the hospice agency did not meet the minimum five percent cost savings requirement.. During a joint review of the Hospice Volunteer Requirement Report and interview on 06/13/2024, the Area Executive of Clinical Operations agreed with the finding.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 13, 2024 | Reaccreditation inspection by the Community Health Accreditation Partner | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Feb 16, 2001.
- Ownership: for-profit.
- 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): 10.8 nurse care minutes per routine home care day, 6.6% of skilled nursing minutes at weekends and a visit near death for 96.7% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 82% at home, 15% in a nursing facility, 2% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 10.8 min |
| Skilled nursing minutes at weekends | 6.6% |
| Visits near death | 96.7% of patients who died |
Who owns it?
- National Hospice Holdings of Alabama, LLC owns 100% directly since Jul 31, 2013.
- 8 owners or officers are people: Russell D Peterson (managing employee (under contract)); Russell G Adkins (corporate officer); Russell G Adkins (runs it (operational or managerial control)); Russell G Adkins (other role (CMS gives no detail)); Crysta C Robertson (managing employee (on the payroll)); David F Grams (corporate officer); David F Grams (runs it (operational or managerial control)); Laura A Templeton (corporate officer).
- 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 |
|---|---|---|---|
| Compassus Parent, Inc. | Owns 5% or more through other companies | 100% | Dec 31, 2019 |
| Fc Compassus LLC | Owns 5% or more through other companies | 100% | Dec 22, 2014 |
| National Hospice Holdings of Alabama, LLC | Owns 5% or more directly | 100% | Jul 31, 2013 |
| Compassus Holdings LP | Owns 5% or more through other companies | 100% | Dec 31, 2019 |
| Fc Compassus Sub LLC | Owns 5% or more through other companies | 100% | Dec 22, 2014 |
| Compassus Intermediate, Inc. | Owns 5% or more through other companies | 100% | Dec 31, 2019 |
| Ti V Asc Compassus Investment Aggregator LP | Owns 5% or more through other companies | 99% | Dec 31, 2019 |
| Ascension Towerbrook Healthcare Opportunities LP | Owns 5% or more through other companies | 49.5% | Dec 31, 2019 |
| Ti V Compassus Investment Aggregator, L.P. | Owns 5% or more through other companies | 49.5% | Dec 31, 2019 |
| Ascension Capital LLC | Owns 5% or more through other companies | 49.48% | Dec 31, 2019 |
| Ascension Health Alliance | Owns 5% or more through other companies | 49.48% | Dec 31, 2019 |
| Towerbrook Investors V (Onshore) LP | Owns 5% or more through other companies | 29.75% | Dec 31, 2019 |
| Towerbrook Investors V 892 LP | Owns 5% or more through other companies | 14.14% | Dec 31, 2019 |
| Washington State Investment Board | Owns 5% or more through other companies | 5.24% | Dec 31, 2019 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 82% rated it 9 or 10 out of 10, and 86% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 81.5% 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 | 10 of 10 |
How does it compare nearby?
- Of the 10 hospices CMS’s data show serving patients in ZIP code 35907, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; this one had 2.
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 |
|---|---|
| Compassus-Gadsden This hospice | 2 |
| Southerncare New Beacon - Anniston | Not given |
| Amedisys Hospice of Birmingham | 3 |
| Acg Hospice-Gardendale | 9 |
| Hospice of Alabama | 9 |
| Aveanna Hospice of Cullman | 0 |
| Aveanna Hospice of Gadsden | 0 |
| Enhabit Hospice Rainbow City | 0 |
| Gentiva Huntsville | 21 |
| Prohealth Hospice-Gadsden | 8 |
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.