Providence at Home With Compassus Hospice Care, Sonoma County
A hospice in Petaluma, California 94952
416 Payran Street, Petaluma, California 94952. (707) 778-6242.
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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.
- 5 deficiencies cited in the last three years
- 5of 5 family caregiver rating
- 10of 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?
5 deficiencies cited in the last three years
The middle of the 10 hospices serving ZIP code 94952 had 5.
The last inspection on record was on Mar 27, 2026: 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
5 deficiencies in 1 month of the last 36. Last cited Mar 2026. 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.
Mar 27, 2026: reaccreditation inspection by The Joint Commission5 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(5))
The inspectors’ words, 95 words
“Observed in Record Review. In 7 of 18 patient records reviewed, The surveyor observed that the patient wounds had not been measured weekly as required by HCO policy. The surveyor observed that multiple patients in SNFs the hospice staff had documented wound care completed by SNF staff and hospice staff had not documented any wound measures for multiple weeks some exceeding 3 weeks and two records the surveyor observed that wound had not been measured on admit and greater than one week before wounds were measures. The issue was discussed and confirmed with organization leadership.”
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Content of plan of care (42 CFR 418.56(c))
“Observed in Record Review. In 9 of 18 patient records reviewed, The surveyor observed that the plan of care goals had not been measurable the organization had changed their EMR in late 2025 and the new system generated more generic non measurable goals that clinicians had been using. The issue was discussed and confirmed with organization.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 141 words
“Observed in Record Review. In 1 of 18 patient records reviewed, the hospice surveyor noted that the organization did not make sure that the plan of care included treatments necessary to meet the patient’s needs. For example, in HOSRRHV#4, the wound care order did not include a complete wound order describing what the wound should be cleansed with, only stating clean area with, providing no detail. This was reviewed and discussed with leadership. Observed in Individual Tracer. In 1 of 6 home visits conducted, The surveyor observed in observing review of medications with RN in HOSHV#1 that two symptom management PRN medications without indication for when to take which medication. For example the surveyor observed that the patient had two medications for pain without indications as to when to take which medication. The issue was discussed and confirmed with organization leadership.”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 136 words
“Observed in Patient Home. In 2 of 6 home visits conducted, the hospice surveyor noted that the organization did not make sure that clinicians followed infection control activities that support the use of standard precautions and hand hygiene practices. for managing infection control practices. For example, in HOSRRHV#4, the clinicians did not perform hand hygiene consistent with the organization;s policy Infection Control: Bag technique for in Home Care and Standard Precautions. The clinician did not perform hand hygiene after gloves were removed and before donning new gloves to change from cleaning the wound to then applying the clean dressing. Additionally, she did not perform hand hygiene after removing gloves at the end of wound care. She then used her tablet and left the patient residence without performing hand hygiene. This was reviewed and discussed with leadership.”
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Label dispose storage drugs (42 CFR 418.106(e)(2)(i)(A))
“Observed in Patient Home. In 1 of 6 home visits conducted, The surveyor observed that the organization had not given the family a copy of organization policy on the management and disposal of controlled drugs. The issue was discussed and confirmed with organization leadership.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 27, 2026 | Reaccreditation inspection by The Joint Commission | 5 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 10, 1989.
- 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): 12.1 nurse care minutes per routine home care day, 12.3% of skilled nursing minutes at weekends and a visit near death for 90.9% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 61% at home, 31% in assisted living, 8% 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 | 12.1 min |
| Skilled nursing minutes at weekends | 12.3% |
| Visits near death | 90.9% of patients who died |
Who owns it?
- St Joseph Health Northern California LLC owns 100% directly since Apr 1, 2018.
- Providence Health & Services - Washington runs it.
- 17 owners or officers are people: Dwight Story Fullerton (corporate director); Paul Edward Swafford (corporate director, 0%); Terri P Warren (corporate officer, 0%); Janice Burger (corporate director); Terry Rogers (corporate director); Robert Mccann (corporate director); Kateri Murray (managing employee (under contract), 0%); Jody Albright (corporate director); Nicole Sikes (managing employee (on the payroll), 0%); Malisa J Westlund (corporate officer, 0%); James Zapp (corporate director); Larry Schecter (corporate director); Dianna Reely (corporate director, 0%); Donald Wayne Anderson (corporate officer); Gregory David Hoffman (corporate officer); Rachel Arrington (corporate officer, 0%); Shayna Stiles (managing employee (on the payroll), 0%).
- 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 |
|---|---|---|---|
| St Joseph Health Northern California LLC | Owns 5% or more directly | 100% | Apr 1, 2018 |
| Providence Health & Services - Washington | Runs it (operational or managerial control) | Jul 1, 2016 | |
| St. Joseph Health System | Other role (CMS gives no detail) | Mar 8, 2017 |
What do families say?
- Family caregivers rate it 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 89% rated it 9 or 10 out of 10, and 93% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.9% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 52.7% 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 | 5 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 | 10 of 10 |
How does it compare nearby?
- Of the 10 hospices CMS’s data show serving patients in ZIP code 94952, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 5.
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 |
|---|---|
| Providence at Home With Compassus Hospice Care, Sonoma County This hospice | 5 |
| Anchor Health | 2 |
| By the Bay Health | 6 |
| Sutter Care at Home | 5 |
| Suncrest Hospice | 4 |
| Continuum Care Hospice LLC | 7 |
| Adya Hospice & Palliative Care, LLC | 8 |
| Solano Care | 20 |
| Bridge Hospice | 3 |
| Mary’s Help Hospice Services | 5 |
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.