Legacy Hospice of the East, LLC
A hospice in Demopolis, Alabama 36732
1111 South Cedar Suite D, Demopolis, Alabama 36732. (334) 218-1826.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 13 deficiencies cited in the last three years
- Not rated 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
- 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.
- Condition-level deficiency
- 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.
What did inspectors find?
13 deficiencies cited in the last three years
The middle of the 5 hospices serving ZIP code 36732 had 13.
The last inspection on record was on Jun 25, 2026: a follow-up inspection by the Accreditation Commission for Health Care.
3 deficiencies at condition level, the more serious of CMS’s two levels
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
13 deficiencies in 1 month of the last 36. Last cited May 2026. Most serious: Condition-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.
May 14, 2026: reaccreditation inspection by the Accreditation Commission for Health Care13 deficiencies
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Phys, occupnl therapy & speech-lang pathology (42 CFR 418.72)
“Upon observation, there was no evidence the hospice ensures that non-core services are provided to hospice patients and their families according to applicable laws and regulations. Non-core services include Physical Therapy, Occupational Therapy and Speech-Language Pathology. There is no evidence of a fully executed therapy contract; therefore, the hospice is unable to provide PT, OT and SLP services.”
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Personnel qualification (42 CFR 418.114)
“Condition of Participation: Personnel Qualifications.”
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N/a (42 CFR 418.100)
“Condition of Participation: Organization and Administration of Services.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 110 words
“Upon patient record review, 3 of 19 (Patient #3,#10,#11) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient 3: The medication Hydrocodone was duplicated on the medication profile. Patient 10: The medication profile contained duplicate entries for Flonase. Patient 11: The medication profile contained Miralax, however there was no instructions for dilutant when preparing this medication.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 149 words
“Upon patient record review, 5 of 19 (Patient #7,#11,#12,#13,#14) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient 7,12,13: Patient identified on admission as being on anticoagulant therapy; however, there was no problems, interventions, and goals for risk for bleeding. Patient 11,12: Patient was admitted with primary diagnosis of neurocognitive decline; however, however there was no evidence of problems, goals and interventions related to the diagnosis. Patient 14: Admission documentation identified patient as having risk of aspiration; however, there was no evidence of problems, interventions and goals related to the risk.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 3 of 19 (Patient #3,#10,#11) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient 3: The medical record contained duplicate physician orders for Hydrocodone dated 05/06/2026 and 05/12/2026. Patient 10: The medical record contained duplicate physician orders for Flonase, both dated 04/27/2026. Patient 11: The medical record contained an order for Miralax, however there was no instructions for dilutant when preparing this medication.”
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Content of plan of care (42 CFR 418.56(c)(5))
The inspectors’ words, 165 words
“Upon patient record review, 5 of 19 (Patient #2,#3,#4,#7,#8) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs. Patient 2: During home visit, patient identified as having an overbed table, shower chair, and bed rails. There was no evidence of orders for the DME included in the plan of care. Patient 3: Patient identified as having a bedside commode, shower bench, walker, and cane; however, there was no evidence of orders for the DME included in the plan of care. Patient 4: During visit to home, patient identified as having a nebulizer, overbed table, and bedside commode. There was no evidence of orders for the DME included in the plan of care. Patient 7,8: It was verified that patient has a nebulizer, as medication profile contains nebulizer medication. However, there was no evidence of orders for the DME included in the plan of care.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 316 words
“Upon patient record review, 9 of 19 (Patient #2,#5,#7,#9,#10,#11,#12,#13,#14) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient 2: Patient identified as having a shower chair and bed rails; however, there was no evidence of tasks or instructions on the aide care plan for the DME. Patient 5,7,12: Patient on anticoagulant therapy; however, there was no evidence of bleeding precautions on the aide care plan. Patient 9: The aide care plan did not contain instructions for aide to report any patient changes to RN. Patient 10: Aide care plan contained tasks for transfers from bed to chair and chair to bed with non-specific frequency of every visit PRN. Aide care plan also contained task for shaving with non-specific frequency of every week and as needed. There was no evidence of oxygen, bleeding, or fall precautions documented on the aide care plan. Additionally, there was no evidence of instructions for the aide to report changes in patient condition to the RN. Patient 11,13: The aide care plan did not contain fall precautions or provide instructions for aide to report any patient changes to RN. Patient 14: There was no evidence of oxygen, aspiration or fall precautions, and instructions to report any changes to RN on the aide care plan.”
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Governing body and administrator (42 CFR 418.100(b))
“Upon observation, there was no evidence the hospice is directed by a Board of Directors/governing body which assumes full legal authority and responsibility for the operation of the hospice. The hospice administrator did not maintain compliance with oversight of the non-core services, as evidenced by lack of contracts for these disciplines or personnel files for physical therapy, occupational therapy, and speech therapy. Without personnel documentation or executed contracts, the agency could not demonstrate ability to provide required non-core therapy services to hospice patients.”
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Personnel qualification (42 CFR 418.114(b)(4))
“Upon personnel record review, 1 of 14 (Personnel #14) did not have evidence that all Speech Therapy Services are provided by a qualified licensed Speech-Language Pathologist (SLP) or Audiologist in accordance with the state’s Speech-Language Pathology Practice Act and the hospice’s policies and procedures and/or job descriptions. Personnel 14: No evidence of a Speech Language Pathologist’s personnel file.”
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Personnel qualification (42 CFR 418.114(b)(5))
“Upon personnel record review, 1 of 14 (Personnel #13) did not have evidence all Occupational Therapy Services are provided by a qualified licensed Occupational Therapist (OT) in accordance with the state’s Occupational Therapy Practice Act and the hospice’s policies and procedures and/or job descriptions. Personnel 13: No evidence of a Occupational Therapist’s personnel file.”
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Personnel qualification (42 CFR 418.114(b)(7))
“Upon personnel record review, 1 of 14 (Personnel #12) did not have evidence all Physical Therapy Services are provided by a qualified licensed Physical Therapist (PT) in accordance with the state’s Physical Therapy Practice Act and the hospice’s policies and procedures and/or job descriptions. Personnel 12: No evidence of a Physical Therapist’s personnel file.”
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Criminal background checks (42 CFR 418.114(d)(1))
“Upon personnel record review, 3 of 14 (Personnel #12,13,14) did not have evidence the hospice obtained a criminal background check on all contracted individuals who have direct patient care and access to patient records. Personnel 12,13,14: There is no evidence of a personnel file for PT, OT and SLP; therefore, the hospice is unable to provide criminal background checks for these personnel.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 25, 2026 | Follow-up inspection by the Accreditation Commission for Health Care | No deficiencies cited |
| May 14, 2026 | Reaccreditation inspection by the Accreditation Commission for Health Care | 13 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 28, 2003.
- Ownership: for-profit.
- Cited at 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. in the last three years: it didn’t meet a whole condition of Medicare’s rules.
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): 13.1 nurse care minutes per routine home care day, 4.7% of skilled nursing minutes at weekends and a visit near death for 96% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 76% at home, 2% in assisted living, 18% in a nursing facility, 4% 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 | 13.1 min |
| Skilled nursing minutes at weekends | 4.7% |
| Visits near death | 96.0% of patients who died |
Who owns it?
- Legacy Operating Company LLC owns 100% directly since Nov 1, 2019.
- 10 owners or officers are people: James G Corbin (corporate officer); James G Corbin (managing employee (on the payroll)); James G Corbin (runs it (operational or managerial control)); Carol Ziegler (corporate officer); Carol Ziegler (managing employee (on the payroll)); Carol Ziegler (runs it (operational or managerial control)); Andrew P Lofaso (runs it (operational or managerial control)); Cassandra Landrum (managing employee (on the payroll)); Cassandra Landrum (runs it (operational or managerial control)); James S Donald (managing employee (under contract)).
- A private-equity firm is 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 |
|---|---|---|---|
| Bcdi Legacy Holdings, LP | Owns 5% or more through other companies | 100% | Nov 10, 2025 |
| LH Holding Company LLC | Owns 5% or more through other companies | 100% | Nov 1, 2019 |
| Bcdi Legacy Midco, LLC | Owns 5% or more through other companies | 100% | Nov 10, 2025 |
| Bcdi Legacy Topco, LLC | Owns 5% or more through other companies | 100% | Nov 10, 2025 |
| Legacy Operating Company LLC | Owns 5% or more directly | 100% | Nov 1, 2019 |
| Bcdi Legacy Investor, LP | Owns 5% or more through other companies | 96.71% | Nov 10, 2025 |
| BAIN Capital Double Impact Fund III, L.P. | Owns 5% or more through other companies | 76.82% | Nov 10, 2025 |
| Bcip Double Impact II, LP | Owns 5% or more through other companies | 6.27% | Nov 10, 2025 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 85% 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).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 74% 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 | Not rated |
| 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 5 hospices CMS’s data show serving patients in ZIP code 36732, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 13; this one had 13.
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 |
|---|---|
| Aveanna Hospice of Demopolis | 4 |
| Legacy Hospice of the East, LLC This hospice | 13 |
| Southerncare New Beacon - Jasper | 13 |
| Traditions Health of Selma | 12 |
| Southerncare Greenville | 19 |
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.