Hearth Record

Hospice Compassus - Sedona/ Flagstaff

A hospice in Sedona, Arizona 86351

7000 State Route 179, Suite D100, Sedona, Arizona 86351. (928) 284-0180.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited Mar 2026. Most serious: Standard-level. Every month

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?

1 deficiency cited in the last three years

The middle of the 11 hospices serving ZIP code 86351 had 1.

The last inspection on record was on Mar 26, 2026: a reaccreditation inspection by the Community Health Accreditation Partner.

Source:

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

1 deficiency in 1 month of the last 36. Last cited Mar 2026. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

1 deficiency by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Mar 26, 2026: reaccreditation inspection by the Community Health Accreditation Partner1 deficiency

  • Prevention (42 CFR 418.60(a))

    The inspectors’ words, 480 words

    “It is required that the hospice follows accepted standards of practice to prevent the transmission of infections and communicable diseases, including the use of standard precautions, such as hand hygiene. This standard was not met as evidenced by document review, interview, and observation. Agency policy #IPC.11_A2 “Infection Control: Bag Technique and Standard Precautions” (last reviewed 09/19/2025) stated in part, “Hand hygiene is divided into two (2) aspects: a. Hand washing using soap and water; b. Use of alcohol-based hand gel (sanitizer) when soap and water are not available or feasible for use. When to wash hands with soap and water:... after using gloves. When to use hand gel (sanitizer): before direct patient contact and after direct patient contact; before donning gloves and after removing gloves;... moving between clean and contaminated body surfaces/sites...When washing hands with soap and water. Wet your hands with clean running water (warm or cold), turn off the tap, and apply soap. Lather your hands by rubbing them together with the soap. Lather the backs of your hands, between your fingers, and under your nails for at least 20 seconds....Rinse your hands well under clean, running water. Dry your hands using a clean paper towel or air-dry them. Faucet to be turned off with paper towel used to dry hands. If the air-dry method is used, turn the faucet off with elbows, hands up, no contact to face or hair. Repeat process 1-5, before and after patient contact, before and after entering your bag, before and after donning and doffing gloves, before and after any patient procedure, or after contact with inanimate objects in the patient environment.” In 1 of 4 (25%) home visits observed, the organization did not ensure that hand hygiene was performed correctly when indicated per the agency’s hand hygiene policy. HOME VISIT 3: During the home visit (Clinical Record 8) on 03/25/2026 with the Hospice Aide (HA) [Personnel Record 11], the HA removed their gloves after washing the patient’s legs and donned a new pair of gloves. The HA cleaned the patient’s peri area of stool and applied lotion to the back. The HA then finished changing the patient’s brief and chux pad and removed their gloves. The HA washed their hands with soap and water, turned off the faucet with their wet hands, and dried their hands with paper towels. The HA selected a shirt for the patient, donned a new pair of gloves, and applied lotion before putting the shirt on. The HA did not perform hand hygiene between glove changes or when moving from a contaminated area to a clean area. Additionally, the HA did not use a paper towel or air-dry their hands, and did not turn off the water with a paper towel or the elbow. During an interview on 03/25/2026, the Area Executive of Clinical Operations agreed that the staff did not follow the hand hygiene policy.”

    Rule L0579. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Mar 26, 2026Reaccreditation inspection by the Community Health Accreditation Partner1 deficiency cited

Is it certified?

  • Medicare-certified hospice since Jun 15, 2005.
  • Ownership: for-profit.
  • No deficiency or on record in the last three years.
Source:

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.
Source:

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): 17 nurse care minutes per routine home care day, 8.3% of skilled nursing minutes at weekends and a visit near death for 95.1% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 55% at home, 27% in assisted living, 17% in a nursing facility, 1% in an inpatient hospice.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day17.0 min
Skilled nursing minutes at weekends8.3%
Visits near death95.1% of patients who died

Who owns it?

  • CMS’s ownership file has no owners listed for this hospice.
Source:

CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

What do families say?

  • Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 85% rated it 9 or 10 out of 10, and 87% would definitely recommend it.
  • CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 99.52% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 72.3% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 54 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 threshold10 of 10

How does it compare nearby?

  • Of the 11 hospices CMS’s data show serving patients in ZIP code 86351, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 1; this one had 1.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

The 11 hospices CMS lists serving ZIP code 86351
PlaceDeficiencies, 3 years
Hospice Compassus - Sedona/ Flagstaff This hospice1
Accord Hospice of Sedona Valley, LLC6
Hospice of the Valley - CentralNot given
Northern Arizona HospiceNot given
The Pines Hospice0
Aviant Hospice Yavapai0
Accord Hospice of the White Mountains, LLC3
Maggie’s Hospice, LLC0
Arizona Life Hospice - Yavapai0
Angels Care Hospice9
Legacy Hospice5

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

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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