True North Hospice
A hospice in Phoenix, Arizona 85029
2432 West Peoria Avenue, Suite 1201, Phoenix, Arizona 85029. (602) 246-5096.
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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
- 6of 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 97 hospices serving ZIP code 85029 had 5.
The last inspection on record was on Oct 30, 2024: a reaccreditation 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 Oct 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.
Oct 30, 2024: reaccreditation inspection by the Accreditation Commission for Health Care6 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
“Upon patient record review 1 of 14 (Patient #9) did not have evidence in the patient record that the hospice interdisciplinary group, in consultation with the individual’s attending physician (if any), completed the comprehensive assessment no later than 5 calendar days after the election of hospice care. Patient #9 admitted 06/27/23 SCP assessment completed on 7/03/23 (day 6).”
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Content of comprehensive assessment (42 CFR 418.54(c))
The inspectors’ words, 102 words
“Upon patient record review 2 of 14 (Patient #13,14) did not have evidence in the patient record that the comprehensive assessment identifies the physical, psychosocial, emotional, and spiritual needs related to the terminal illness that must be addressed in order to promote the hospice patient’s well-being, comfort, and dignity throughout the dying process. Patient #13 admitted 01/12/24 and discharged 06/26/24 due to transfer to another hospice. SC order on admission for 1visit monthly, no evidence of SCP assessment or visit. Patient #14 admitted 02/20/24 and discharged 03/05/24 due to hospitalization, SW ordered on admission, no evidence of a SW assessment or visit.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Upon patient record review, 2 of 14 (Patient #11,14) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient’s family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient’s death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patients #11,14 did not have evidence of a Bereavement Risk Assessment.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 94 words
“Upon client record review, 1 of 14 (Patient #13) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #13 admitted 01/12/24 with order for SC once monthly. There was no evidence of an initial SC Comprehensive assessment, nor was there any documentation of SC visits or contact during the patients length of stay. The SC visit frequency remained on the Plan of Care during the entire stay. Patient was discharged on 06/26/24 per family request to transfer to another hospice.”
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Counseling services (42 CFR 418.64(d)(1))
“Upon patient record review, 2 of 14 (Patient #11,12) did not have evidence the hospice offers bereavement counseling that includes: • Ensuring that bereavement services reflect the needs of the bereaved • Development of a bereavement plan of care that notes the kind of bereavement services to be offered and the frequency of service delivery Patients 11&12 did not have a Bereavement plan of care. There was documentation of one post death contact via phone and mailings sent per agency policy.”
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Counseling services (42 CFR 418.64(d)(3))
The inspectors’ words, 167 words
“Upon patient record review, 1 of 14 (Patient #13) did not have evidence in the patient record that the hospice has offered and/or provided spiritual counseling in accordance with the patient/family’s desires which include: •Providing spiritual counseling to meet these needs in accordance with the patient’s and family’s acceptance of this service and in a manner consistent with their beliefs and desires. Making all reasonable efforts to facilitate visits by local clergy, pastoral counselors, or other individuals who can support the patient’s spiritual needs to the best of their ability Patient #13 admitted 01/12/24 RN screened for SC needs, offered SC which was accepted by patient and family. Frequency order for SC once monthly. There was no evidence of an initial SC Comprehensive assessment, nor was there any documentation of SC visits or contact during the patients length of stay. The SC visit frequency remained on the Plan of Care during the entire stay. Patient was discharged on 06/26/24 per family request to transfer to another hospice.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 30, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 3, 2021.
- 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): 7.7 nurse care minutes per routine home care day, 4% of skilled nursing minutes at weekends and a visit near death for 84.6% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 14% at home, 86% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 7.7 min |
| Skilled nursing minutes at weekends | 4% |
| Visits near death | 84.6% of patients who died |
Who owns it?
- 9 owners or officers are people: Razel Espiritu Hernandez (owns 5% or more directly, 25%); Victoria Bravo (owns 5% or more directly, 25%); Raquel Grijaldo (owns 5% or more directly, 25%); Rex Espiritu (owns 5% or more directly, 25%); Razel Espiritu Hernandez (managing employee (on the payroll)); Redentor Espiritu (managing employee (under contract)); Victoria Bravo (managing employee (on the payroll)); Raquel Grijaldo (managing employee (on the payroll)); Rex Espiritu (managing employee (on the payroll)).
- 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.
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: 6 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 91.89% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 54.3% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
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 | 6 of 10 |
How does it compare nearby?
- Of the 97 hospices CMS’s data show serving patients in ZIP code 85029, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 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 |
|---|---|
| Family First Hospice, Inc. | 13 |
| Universal Hospice Care Services | Not given |
| Devoted Hospice Care Inc. | Not given |
| Golden Rose Hospice Care Inc. | Not given |
| Arizona Professional Hospice Care | 4 |
| Comforting Hospice Center Inc. | Not given |
| Serenity Hospice Services Inc. | Not given |
| Supreme Care Hospice Inc. | Not given |
| Manor Hospice Ltd | Not given |
| Oakmont Hospice LLC | 4 |
| Wings of Hope Hospice and Palliative Care, Inc. | 13 |
| American Premier Hospice, LLC | Not given |
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.