Saint Agnes Home Health & Hospice
A hospice in Fresno, California 93710
6729 North Willow Ave Suite 103, Fresno, California 93710. (559) 450-5600.
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The short answer
Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.
- 6 deficiencies cited in the last three years
- 4of 5 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
- 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?
6 deficiencies cited in the last three years
The middle of the 29 hospices serving ZIP code 93710 had 5.
The last inspection on record was on Jul 19, 2024: a reaccreditation inspection by The Joint Commission.
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 Jul 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.
Jul 19, 2024: reaccreditation inspection by The Joint Commission6 deficiencies
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Plan of care (42 CFR 418.56(b))
“Observed in Record Review. In 2 of 14 patient records reviewed, it was noted that the organization did not ensure the patient and/or the patient’s caregiver understanding of education and training was evaluated. For example, during a review of the medical record for RRHV#4, and RRHV#8, the clinician did not document an observation of wound care performed by the patient’s caregiver. This observation was reviewed with the Hospice Clinical Manager.
”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 206 words
“Observed in Record Review. In 3 of 14 patient records reviewed, it was noted that the organization did not ensure that the plan of care goals included outcome measures for specific care activities. For example, during a review of the medical record for RRHV#1, the patient was receiving antibiotic therapy for the treatment of a urinary tract infection. The following goal statement was noted: Patient/Caregiver demonstrates appropriate measures to prevent infection. The goal statement did not include a method to measure the effectiveness of problem interventions. Example #2: A review of the medical record for RRHV#2, revealed that the patient was receiving treatment for a stage 2 pressure ulcer at the right buttocks. The following goal statement was noted: Patient/Caregiver demonstrates appropriate measures to prevent infection. The goal statement did not include a method to measure the effectiveness of problem interventions. Example #3: A review of the medical record for RRHV#3, revealed that the patient was receiving care, and treatment related to the presence of an indwelling supra-pubic catheter. The following goal statement was noted: Patient/Caregiver demonstrates appropriate measures to prevent infection. The goal statement did not include a method to measure the effectiveness of problem interventions. This observation was reviewed with the Hospice Clinical Manager.”
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Content of plan of care (42 CFR 418.56(c)(1))
The inspectors’ words, 112 words
“Observed in Record Review. In 1 of 14 patient records reviewed, it was noted that the organization did not ensure it policy titled Hospice Care Planning Process was implemented. For example, during the review of the plan of care for RRHV#4, the following information was noted: Pressure Ulcer Care to Coccyx two times weekly …. Hospice Nurse or Family to Provide Care. The plan of care did not include an intervention to train and educate the patient’s caregiver on the wound care procedure. The plan of care did not include an intervention to evaluate the patient’s caregiver’s performance of the wound care procedure. This observation was reviewed with the Hospice Clinical Manager.
”
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Review of the plan of care (42 CFR 418.56(d ))
The inspectors’ words, 159 words
“Observed in Record Review. In 2 of 14 patient records reviewed, it was noted that the organization did not ensure the plan of care was revised when the patient’s condition changed. For example, a review of the medical record for RRNHV#8, revealed that the patient experienced a fall during the first hospice benefit period, and two falls during the second hospice benefit period. The plan of care was not updated with interventions to maintain patient safety, and strategies to prevent injury. 

Example#2: A review of the medical record for RRNHV#9, revealed that the patient experienced a witnessed fall without injury during week 5 of the first hospice benefit period. During a review of the plan of care update completed during week 5, it was noted that a description of the fall, interventions to maintain patient safety, and strategies to prevent injury were not included in the interdisciplinary team documentation. This observation was reviewed with the Hospice Clinical Manager. 
”
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Program scope (42 CFR 418.58(a)(1))
The inspectors’ words, 106 words
“Observed in Data Session. During the QAPI session, it was noted that the organization did not ensure improvement was demonstrated in the indicators related to improved palliative outcomes and hospice services. For example, a review of the QAPI plan revealed the following indicator related to patient safety - Patient falls rate will be less than 0.64%. During the first quarter of fiscal year 2024 the falls rate was 16%. During the second quarter of fiscal year 2024 the falls rate was 20%. During the third quarter of fiscal year 2024 the falls rate was 23%. This observation was reviewed with the Quality Management Specialist Home Health/Hospice.”
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Program activities (42 CFR 418.58(c)(3))
The inspectors’ words, 135 words
“Observed in Infection Control System Tracer. During the Infection Control System Tracer, it was noted that the organization did not take action when it did not achieve planned improvements. For example, the infection control plan included the following indicator – UTI rate will be equal or less than 2%. During the second quarter of fiscal year 2024 the UTI rate was 2.25%. In addition, the infection control plan included the following indicator – Wound infection rate will be less than or equal to 5%. During the first quarter of fiscal year 2024 the rate was 5.76%. During the second quarter of fiscal year 2024 the rate was 5.06%. There was no documented evidence that the organization implemented actions to achieve improvement with these indicators. This observation was reviewed with the Quality Manager Specialist Home Health/Hospice.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 19, 2024 | Reaccreditation inspection by The Joint Commission | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 21, 1988.
- Ownership: non-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): 9.7 nurse care minutes per routine home care day, 11.2% of skilled nursing minutes at weekends and a visit near death for 94.8% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 63% at home, 27% in assisted living, 8% in a skilled nursing facility, 1% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 9.7 min |
| Skilled nursing minutes at weekends | 11.2% |
| Visits near death | 94.8% of patients who died |
Who owns it?
- Trinity Health Corporation owns 100% directly since Jul 1, 1997.
- 17 owners or officers are people: Ray Anderson (corporate director); Marcus A Bowens (corporate officer); Corinne Francis (corporate director); Benjamin E Petersen (corporate officer); Daniel Roth (corporate director); Joshua Moore (corporate director); Donald Mathews (runs it (operational or managerial control)); Daniel Drake (corporate officer); Daniel Drake (corporate director); Daniel Drake (runs it (operational or managerial control)); Duc M Chung (managing employee (under contract), 0%); Robert F Casalou (corporate officer); Robert F Casalou (corporate director); Daniel Isacksen (corporate director); Carolyn Wilson (managing employee (on the payroll)); Ann Monahan (managing employee (on the payroll)); Christine Seppala (corporate officer).
- 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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Trinity Health Corporation | Owns 5% or more directly | 100% | Jul 1, 1997 |
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 84% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.48% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 61.2% 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 | 4 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 threshold | 9 of 10 |
How does it compare nearby?
- Of the 29 hospices CMS’s data show serving patients in ZIP code 93710, 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 |
|---|---|
| Saint Agnes Home Health & Hospice This hospice | 6 |
| Bright Horizon Hospice Services | 19 |
| Oyuna Hospice, Inc. | 2 |
| Hospice of the Valley | 13 |
| Valley Regional Hospice Inc. | 4 |
| Healthcare California Hospice | 21 |
| 1st Choice Hospice | 4 |
| Angel’s Best Hospice Care Inc. | 6 |
| Hinds Hospice - Fresno | 3 |
| Bristol Hospice Fresno | 4 |
| Aseracare Hospice | 6 |
| St Mary’s Hospice Services, Inc. | 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.