Optimal Hospice Care of Colorado
A hospice in Denver, Colorado 80237
4380 S Syracuse St, Ste 620, Denver, Colorado 80237. (303) 488-9998.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 3 deficiencies cited in the last three years
- Not rated family caregiver rating
- Not available 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?
3 deficiencies cited in the last three years
The middle of the 25 hospices serving ZIP code 80237 had 6.
The last inspection on record was on Aug 27, 2025: an initial 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
3 deficiencies in 1 month of the last 36. Last cited Aug 2025. 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.
Aug 27, 2025: initial inspection by The Joint Commission3 deficiencies
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Content of plan of care (42 CFR 418.56(c)(1))
The inspectors’ words, 134 words
“Observed in Record Review. In 3 of 12 patient records reviewed, During RRNHV# 2, RRNHV# 3, and RRNHV# 7’s patient records review it was noted the organization had not ensured the patients’ plans of care included all services needed for the palliation and management of the terminal illness and related conditions. For example: review of RRNHV# 2 and RRNHV# 3’s patient records revealed RRNHV# 2 and RRNHV# 3 were taking Eliquis, an anticoagulant and the plans of care did not include bleeding precautions. Review of RRNHV# 7’s start of care RN comprehensive assessment revealed RRNHV# 7 was on oxygen at 2 lpm continuous at night. However, review of the medication profile revealed no oxygen order until approximately 25 days after the start of care. This was reviewed, discussed, and validated with the Clinical Manager.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 212 words
“Observed in Record Review. In 3 of 12 patient records reviewed, During RRHV# 1, RRNHV# 3, and RRNHV# 4’s patient records review it was noted the organization had not ensured the registered nurse prepared complete written patient care instructions for the hospice aide. For example: review of RRNHV# 3’s patient record revealed RRNHV# 3 had a wound to the left lower leg with a dressing. Review of RRNHV# 3’s hospice aide written patient care instructions revealed no documentation of a wound or what to do if the dressing got wet during bathing. Review of RRNHV# 4’s patient record revealed RRNHV# 4 had seven different wounds with dressings. Review of RRNHV# 4’s hospice aide written patient care instructions revealed no documentation of the wounds or what to do if the dressings got wet during bathing. Review of RRHV# 1’s hospice aide written patient care instructions revealed it was created at the start of care with no further updates until the day of the surveyor’s home observation. Review of RRHV# 1’s patient record revealed RRHV# 1 had two different wounds with dressings over the past three months with no documentation of the wound or wound dressings on the hospice aid written patient care instructions. This was reviewed, discussed, and validated with the Clinical Manager.”
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Content (42 CFR 418.104(a)(3))
The inspectors’ words, 271 words
“Observed in Record Review. In 4 of 12 patient records reviewed, During RRHV# 1, RRNHV# 3, RRNHV# 4, and RRNHV# 5’s patient records review it was noted the organization had not ensured the patient record contained information that reflected the patient’s care, treatment, or services. For example: review of RRNHV# 4’s patient record revealed RRNHV# 4 had seven wounds with different wound care dressing orders. Review of the Skilled Nurse (SN) revealed documentation of left elbow, left buttock; left leg ; midline back; midline buttocks; midline buttocks prolapse; right foot; completed wound care visit on all wounds with no further documentation on what wound care was provided. Review of RRHV# 1’s recertification RN comprehensive assessment revealed documentation of a wound to the coccyx with wound care provided per plan of care with no further documentation. Review of RRHV# 1’s plan of care revealed two different wound care orders for the coccyx. Review of RRNHV# 3’s patient record revealed RRNHV# 3 had a wound on the lower left leg with an absorbent dressing to be applied and secured with Kerlix and a stage 2 pressure ulcer on the midline sacrum with barrier cream to be applied 3 times a day by the facility staff. Review of the SN visit notes revealed documentation under the midline buttock sacrum and left lower leg revealed “wound cleansing/dressing change per care plan” with no further documentation. Review of RRNHV# 5’s start of care RN comprehensive assessment revealed RRNHV# 5 had an open blister to the left foot and “wound dressed per orders” with no other documentation. This was reviewed, discussed, and validated with the Clinical Manager.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 27, 2025 | Initial inspection by The Joint Commission | 3 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 12, 2013.
- 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?
- CMS hasn’t published nursing time from Medicare claims for this hospice.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
Who owns it?
- L & M Hospice, LLC owns 100% directly since Feb 20, 2025.
- Thrive Hospice Care Services, LLC runs it.
- 6 owners or officers are people: Francis Legasse (owns 5% or more through other companies, 25%); Jason W Laing (owns 5% or more through other companies, 25%); Brian Turner (owns 5% or more through other companies, 25%); Edwyn S Vergeire (owns 5% or more through other companies, 25%); Edwyn S Vergeire (managing employee (on the payroll)); Gagandeep Singh (managing employee (under contract), 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 |
|---|---|---|---|
| L & M Hospice, LLC | Owns 5% or more directly | 100% | Feb 20, 2025 |
| L&m Operations LLC | Owns 5% or more through other companies | 50% | Feb 20, 2025 |
| Thrive Hospice Care Services, LLC | Owns 5% or more through other companies | 50% | Feb 20, 2025 |
| Thrive Hospice Care Services, LLC | Runs it (operational or managerial control) | Feb 20, 2025 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- CMS gives no Hospice Care Index for this hospice.
- 82.14% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
How does it compare nearby?
- Of the 25 hospices CMS’s data show serving patients in ZIP code 80237, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 3.
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 |
|---|---|
| Optimal Hospice Care | 10 |
| Optimal Hospice Care of Colorado This hospice | 3 |
| Canyon Home Care & Hospice | 1 |
| Brighton Hospice Colorado, LLC | 5 |
| Denver Hospice the | 11 |
| Compassus - Greater Denver | 3 |
| At Home Hospice | 0 |
| Tru Community Care - Lafayette | 10 |
| Adventhealth Hospice | 6 |
| Namaste Hospice | 0 |
| Gentiva | 26 |
| HCA Healthone Hospice & Family Care | 16 |
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.