Pasco/SW Hospice Grand Junction
A hospice in Grand Junction, Colorado 81506
2764 Compass Dr, Ste 101, Grand Junction, Colorado 81506. (970) 208-1430.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 7 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?
7 deficiencies cited in the last three years
The middle of the 5 hospices serving ZIP code 81506 had 8.
The last inspection on record was on Aug 20, 2026: a complaint inspection by the state.
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
7 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 23, 2024: initial inspection by the Accreditation Commission for Health Care7 deficiencies
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 324 words
“Upon patient record review, 5 of 5 (Patient #1,2,3,4,5) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient 1: Physician’s order for SC visits, there is no evidence of a spiritual care plan of care, including problems, goals, and interventions. Constipation and pain are identified as problems in patient’s medical record. There is no evidence of constipation or pain plans of care, including problems, goals, and interventions. Patient 2: Physician’s order for SC visits, there is no evidence of a spiritual care plan of care, including problems, goals, and interventions. High fall risk identified via MAHC assessment during 08/02/2024 SN visit. There is no evidence of a fall risk plan of care including problems, goals, interventions. Patient 3: Physician’s order for SC visits, there is no evidence of a spiritual care plan of care, including problems, goals, and interventions. High fall risk identified via MAHC assessment during 08/08/2024 SN visit. There is no evidence of a fall risk plan of care including problems, goals, interventions. Patient with Braden score of 12 during 08/08/2024 SN visit. There is no evidence of an integumentary plan of care including problems, goals, and interventions. Patient 4: High fall risk identified via MAHC assessment during 08/02/2024 SN visit. There is no evidence of a fall risk plan of care including problems, goals, interventions. Patient identified as an aspiration risk during the 08/02/2024 SN visit. There is no aspiration plan of care including problems, goals, and interventions. Patient 5: Patient with physician’s order for SC visits, there is no evidence of a spiritual care plan of care, including problems, goals, and interventions.”
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Content of plan of care (42 CFR 418.56(c)(5))
The inspectors’ words, 110 words
“Upon patient record review, 2 of 5 (Patient #2,3) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs. Patient 2: Assessed DME need: oxygen concentrator, backup oxygen, wheelchair, raised toilet seat, grab bars. DME listed in the plan of care: wheelchair. There is no evidence of other DME listed in the plan of care. Patient 3: Assessed DME need: chairlift, wheelchair, raised toilet seat, grab bars, hospital bed. DME listed in the plan of care: wheelchair. There is no evidence of other DME listed in the plan of care.”
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Coordination of services (42 CFR 418.56(e)(2))
“Upon client record review, 1 of 5 (Patient #1) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 1: Physician’s visit frequency order for SN, effective 08/02/2024: twice weekly. There is no evidence of second SN visit made week of 10/13/2024.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 140 words
“Upon patient record review, 1 of 5 (Patient #2) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient 2: Task: transfer bed/chair on aide care plan with visit frequency every visit PRN.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
“Upon patient record review 1 of 5 (Patient #2) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient 2: 08/06/2024 aide visit-No evidence or documentation of aide visit made on this date. No evidence of missed visit in the medical record.”
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Inpatient care provided under arrangements (42 CFR 418.108(c)(3))
“Upon inpatient contract review, 2 of 2 SNF contracts, Mantey Heights and Eagle Ridge, did not have evidence that the hospice patient’s inpatient clinical record includes a record of all inpatient services furnished and events regarding care that occurred at the facility; that a copy of the discharge summary be provided to the hospice at the time of discharge; and that a copy of the inpatient clinical record is available to the hospice at the time of discharge.”
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Written agreement (42 CFR 418.112(c)(1))
“Upon SNF/NF contract review, 2 of 2 SNF contracts, Mantey Heights and Eagle Ridge, did not have evidence of the manner in which the SNF/NF and the hospice are to communicate with each other and how each will document such communications to ensure that the needs of patients are addressed and met 24 hours a day.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 20, 2026 | Complaint inspection by the state | No deficiencies cited |
| Oct 23, 2024 | Initial inspection by the Accreditation Commission for Health Care | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Nov 13, 2024.
- CMS doesn’t list its type of ownership.
- 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?
- Cornerstone Healthcare Inc. owns 100% directly since Jun 1, 2021.
- 6 owners or officers are people: Brent Mills (corporate officer, 0%); Scott Hollingshead (managing employee (on the payroll), 0%); Brent Guerisoli (corporate director, 0%); John Gochnour (corporate officer, 0%); Amber L Tueller (corporate officer, 0%); Elliot Mcmillan (corporate officer, 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 |
|---|---|---|---|
| Cornerstone Healthcare Inc. | Owns 5% or more directly | 100% | Jun 1, 2021 |
| The Pennant Group Inc. | Owns 5% or more through other companies | 100% | Jun 1, 2021 |
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.
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
How does it compare nearby?
- Of the 5 hospices CMS’s data show serving patients in ZIP code 81506, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; this one had 7.
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 |
|---|---|
| Hopewest Grand Junction | 0 |
| Abode Hospice of Colorado | 9 |
| Pasco/SW Hospice Grand Junction This hospice | 7 |
| Hospice of the Valley - Central | Not given |
| Pathways Hospice | 15 |
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.