Hearth Record

Serenity Hospice

A hospice in Fort Mohave, Arizona 86426

5059 S Lakewood Rd, Fort Mohave, Arizona 86426. (928) 788-0027.

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 8 deficiencies in 1 month of the last 36. Last cited Jan 2024. Most serious: Condition-level. Every month

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?

8 deficiencies cited in the last three years

The middle of the 14 hospices serving ZIP code 86426 had 6.

The last inspection on record was on Mar 5, 2024: a follow-up inspection by The Joint Commission.

2 deficiencies at condition level, the more serious of CMS’s two levels

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

8 deficiencies in 1 month of the last 36. Last cited Jan 2024. Most serious: Condition-level. The last 3 years, to Oct 27, 2026.

8 deficiencies 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.

Jan 26, 2024: reaccreditation inspection by The Joint Commission8 deficiencies
  • Medical director (42 CFR 418.102)

    “Observed in Document Review. During opening conference with the administrator and the Director of Nursing for the hospice program it was noted that there was no alternate physician designated by the hospice to assume the responsibility of the medical director. This was discussed with and confirmed by the administrator.”

    Rule L0664. Condition-level.

  • N/a (42 CFR 418.110(a))

    “Observed in Tracer Activities. Leaders did not provide sufficient staffing as evidenced by the organization did not have an Alternate Medical Director ,which resulted in a Condition Level deficiency at 418.102”

    Rule L0821. Condition-level.

  • Update of comprehensive assessment (42 CFR 418.54(d))

    “Observed in Record Review. In 1 of 14 patient records reviewed, it was noted that for HOSNHVRR#6 the RN did not visit the patient at least every 15 days to perform comprehensive assessment. For example, the LPN was the primary nurse seeing the patient and the RN visits were done at the end of October, the first of December then 3 weeks later in December. This was confirmed by the DON and administrator assisting with record review.”

    Rule L0533. Standard-level.

  • Content of plan of care (42 CFR 418.56(c))

    The inspectors’ words, 130 words

    “Observed in Record Review. In 5 of 14 patient records reviewed, it was noted that goals stated on the hospice plan of care were not timed or measurable. For example, in HOSDCRR#1 and HOSRRNHV# all goals were stated as Ongoing. In record review for home visits #1 and #2 it was noted that some goals were also stated as ongoing and some were not measurable. For example, Caregiver will verbalize non verbal pain cues, Patient will have symptoms of fluid volume controlled within limits of the disease, Caregiver will verbalize plan for skin integrity, Anxiety will be absent or reduced to an acceptable level, Caregiver will verbalize understanding of expected decline. This was also noted in HOSNHVRR#4 where all goals were stated as ongoing. This was discussed with the administrator.”

    Rule L0545. Standard-level.

  • Prevention (42 CFR 418.60(a))

    “Observed in Patient Home. In 2 of 2 home visits conducted, by the same LPN, she was observed using hand gel after removal of gloves and prior to entering her nursing bag. She did not rub the gel until it was completely absorbed but instead was observed waving her hands to dry them. This was discussed with the DON and administrator upon return to the office.”

    Rule L0579. Standard-level.

  • Hospice aide assignments and duties (42 CFR 418.76(g)(1))

    The inspectors’ words, 137 words

    “Observed in Record Review. In 3 of 14 patient records reviewed, it was noted that the aide care instructions did not include specific instructions for the hospice aide. For example, in HOSRRNHV#1 the patient had a wound present at the start of care and also developed additional wounds during the course of care however there were no instructions to the aide that indicated the presence of the wounds or how to manage them during bathing. In another example, in HOSRRNHV#2 the patient was ordered oxygen continuously at 2 L/min. In another example in HOSRRNHV#5 the patient was recieving oxygen at 3L/nc continuously. In both examples the aide instruction sheet did not contain any instructions for the aide regarding the use of oxygen during the shower. This was discussed with the administrator who provided assistance with record reviews.”

    Rule L0625. Standard-level.

  • Level of activity (42 CFR 418.78(e))

    “Observed in Document Review. During discussion with the administrator and review of the Volunteer Services program it was noted that the required 5% of the total patient care hours were not provided. In the past 10 months the rate was documented in the QAPI program at 1.65%.”

    Rule L0647. Standard-level.

  • Discharge or transfer of care (42 CFR 418.104(e)(3)(i))

    “Observed in Record Review. In 2 of 2 patient records reviewed, that were live discharges, it was noted that there was a discharge note form however it did not include a summary of the patient’s care including treatments, symptoms and pain management. This was discussed with the administrator assisting with record review.”

    Rule L0684. Standard-level.

All 2 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Mar 5, 2024Follow-up inspection by The Joint CommissionNo deficiencies cited
Jan 26, 2024Reaccreditation inspection by The Joint Commission8 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Aug 27, 2021.
  • Ownership: for-profit.
  • Cited at in the last three years: it didn’t meet a whole condition of Medicare’s rules.
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): 10.1 nurse care minutes per routine home care day, 5.7% of skilled nursing minutes at weekends and a visit near death for 100% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 78% at home, 22% in assisted living.
Source:

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

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day10.1 min
Skilled nursing minutes at weekends5.7%
Visits near death100.0% of patients who died

Who owns it?

  • Jp Hassett and Co LLC owns 100% directly since Dec 20, 2022.
  • 9 owners or officers are people: John Hassett (corporate officer); John Hassett (managing employee (on the payroll)); Kristina Paden (managing employee (on the payroll)); Jordan Aaron Fisher (managing employee (under contract)); Whitney Johnson (managing employee (under contract)); Trisha Read (managing employee (on the payroll)); Ammar Kafa (managing employee (under contract)); Kadee Teegardin (managing employee (on the payroll)); Koruon Karen Daldalyan (managing employee (under contract)).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

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

Organisations CMS lists
OrganisationRoleShareSince
Jp Hassett and Co LLCOwns 5% or more directly100%Dec 20, 2022

What do families say?

  • CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
  • CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 92.86% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 78.6% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
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 5Not 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 threshold8 of 10

How does it compare nearby?

  • Of the 14 hospices CMS’s data show serving patients in ZIP code 86426, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 8.
Source:

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

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

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

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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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