Legacy Hospice, Inc.
A hospice in Osceola, Arkansas 72370
925 West Keiser, Osceola, Arkansas 72370. (870) 563-9995.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 6 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 mean2
- 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?
6 deficiencies cited in the last three years
The middle of the 6 hospices serving ZIP code 72370 had 4.5.
The last inspection on record was on Nov 21, 2024: an initial inspection by the Accreditation Commission for Health Care.
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
6 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: initial inspection by the Accreditation Commission for Health Care6 deficiencies
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 284 words
“Upon patient record review, 4 of 19 (Patient #3, 6, 12, 13) 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 comprehensive nursing assessment, subsequent patient visits, and supply list indicates that the patient utilizes an indwelling catheter; however, the plan of care does not include orders and instructions for ongoing care and maintenance of the catheter. Additionally, the plan of care includes wound care orders for the SN/CG to cleanse wound with wound cleanser, pat dry with gauze, leave open to air; wound to be cleaned PRN. This order fails to indicate the location of the wound and does not contain a specifier for the PRN indication. (corrected onsite) Patient 6:The plan of care includes catheter orders for SN to insert indwelling Foley catheter. This order fails to indicate the size of the catheter or balloon, frequency of changing, need for irrigation or other maintenance/patency, etc. (corrected onsite) Patient 12: The plan of care includes wound care orders to cleanse wound with wound cleanser, pat dry with gauze, apply medihoney and calcium alginate, cover with foam dressing; wound care daily and PRN soilage. This order fails to indicate the location of the wound and does not indicate who will be performing the wound care. (corrected onsite) Patient 13: The plan of care includes wound care orders to cleanse wound with wound cleanser, pat dry with gauze, apply medihoney, cover with foam dressing; wound care daily and PRN soilage. This order fails to indicate the location of the wound and does not indicate who will be performing the wound care. (corrected onsite)”
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Content of plan of care (42 CFR 418.56(c)(5))
“Upon patient record review, 2 of 19 (Patient #3, 13) 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 3, 13: The patient had nebulized medications ordered for use during the ongoing provision of hospice services; however, a nebulizer was not added to the plan of care. (corrected onsite)”
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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. There was evidence of the governing body appointing two Administrators with the agency having one CCN number assigned to the agency. Personnel #6 and #7 had personnel records with job descriptions as Administrators.”
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Hospice multiple locations (42 CFR 418.100(f)(1)(iii))
“Upon observation, there was no evidence that the lines of authority, professional and administrative control must be clearly delineated in the provider’s organizational structure and in practice, and must be traced to the location issued the certification number. There was evidence of two appointed Administrators with the agency having one CCN number assigned to the agency. Personnel #6 and #7 had personnel records with job descriptions as Administrators.”
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Discharge or transfer of care (42 CFR 418.104(e)(3))
“Upon patient record review, 1 of 19 (Patient #16) did not have evidence that the discharge summary includes all required information. Patient 16: There was no evidence of a discharge summary.”
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Professional management (42 CFR 418.112(b))
The inspectors’ words, 455 words
“Upon patient record review, 2 of 19 (Patient #2, 6) did not have evidence that the hospice assumes responsibility for professional management of the resident’s hospice services in accordance with the hospice plan of care. The hospice is responsible for providing all hospice services including: • Ongoing assessment, care planning, monitoring, coordination and provision of care by the Hospice IDG • Assessment, coordination and provision of any needed general inpatient or continuous care • Consultation about the patient’s care with facility staff • Coordination by the hospice RN for the implementation of the plan of care for the patient • Provision of hospice aide services, if these services are determined necessary by the IDG to supplement the nurse aide services provided by the facility • Provision, in a timely manner, of all supplies, medications, and DME needed for the palliation and management of the terminal illness and related conditions • Financial management responsibility for all medical supplies, appliances, medications and biologicals related to the terminal illness and related conditions • Determination of the appropriate level of care to be given to the patient (routine homecare, inpatient, or continuous care) • Arranging any necessary transfers from the facility, in consultation with the facility personnel Patient 2: The patient was admitted for hospice services on 06.01.2024 with a terminal diagnosis of protein calorie malnutrition. Weekly MAC measurements were ordered and obtained by the hospice nurse. On 06.06.2024, labs were ordered, including albumin. In July 2024, the patient’s diet was changed to pleasure feedings and weekly MAC measurements were discontinued. There was no evidence in the hospice charting relating to the ordered labs. It was determined by the hospice nursing director that the SNF had collected and reviewed the lab results, and they were present in the SNF chart. The hospice failed to monitor and coordinate care with the SNF relating to this patient. It is unclear if all relevant information was reviewed by the hospice IDG prior to making changes to the care plan and related interventions, such as changes to the patient’s diet. Patient 6: On 11.02.2024, the patient was noted to have a UTI. This infection did not respond to antibiotics and on 11.13.2024 alternate antibiotics and a KUB Xray were ordered. There was no evidence in the hospice charting relating to the ordered Xray. It was determined by the hospice nursing director that the SNF had performed and reviewed the X-ray, and it was present in the SNF chart. The hospice failed to monitor and coordinate care with the SNF relating to this patient. It is unclear if all relevant information was reviewed by the hospice prior to making changes to the care plan and related interventions, such as changes to the patient’s medication.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Nov 21, 2024 | Initial inspection by the Accreditation Commission for Health Care | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 22, 2004.
- 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): 11.7 nurse care minutes per routine home care day, 11.3% of skilled nursing minutes at weekends and a visit near death for 97% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 68% at home, 1% in assisted living, 30% in a nursing facility, 1% 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 | 11.7 min |
| Skilled nursing minutes at weekends | 11.3% |
| Visits near death | 97.0% of patients who died |
Who owns it?
- Legacy Operating Company LLC owns 100% directly since Dec 3, 2019.
- 9 owners or officers are people: James G Corbin (managing employee (on the payroll)); James G Corbin (runs it (operational or managerial control)); Matthew A Quick (managing employee (under contract)); Carol Ziegler (corporate officer); Carol Ziegler (managing employee (on the payroll)); Carol Ziegler (runs it (operational or managerial control)); Brandi Davis (managing employee (on the payroll)); Andrew P Lofaso (managing employee (on the payroll)); Andrew P Lofaso (runs it (operational or managerial control)).
- 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% | Dec 3, 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% | Dec 3, 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): 81% rated it 9 or 10 out of 10, and 78% 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); 76.5% 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 | 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 6 hospices CMS’s data show serving patients in ZIP code 72370, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4.5; this one had 6.
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 |
|---|---|
| Legacy Hospice, Inc. This hospice | 6 |
| Gentiva | 4 |
| St Bernards Regional Med Ctr H | 5 |
| Elite Hospice | 7 |
| Lester Dierksen Memorial Hospice, LLC | 4 |
| River Valley Hospice | 2 |
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.