Compassionate Care Hospice of Lake and Sumter Inc.
A hospice in The Villages, Florida 32159
304 Lagrande Blvd, the Villages Fl, The Villages, Florida 32159. (352) 415-0778.
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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
- 3of 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?
6 deficiencies cited in the last three years
The middle of the 6 hospices serving ZIP code 32159 had 8.5.
The last inspection on record was on Jan 7, 2025: 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
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 12, 2024: initial inspection by the Accreditation Commission for Health Care6 deficiencies
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 97 words
“Upon patient record review, 6 of 23 (Patients #3, 4, 5, 6, 9, and 10) did not contain evidence that the Plan of Care included all services necessary for the palliation and management of the terminal illness and related conditions, including the following: A detailed statement of both the scope and frequency of the services necessary to meet the specific patient and family needs: Patients #3, 4, 5, 6, 9, and 10: For each of these patients, there was not a ‘scope’ of service included in their 07/02/24 IDG Plan(s) of Care, for their Physician-ordered Chaplain services.”
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Review of the plan of care (42 CFR 418.56(d))
The inspectors’ words, 197 words
“Upon patient record review, 3 of 23 (Patients #4, 16, 17) did not contain evidence that the revised Plan of Care included all information from the patient’s updated comprehensive assessment(s): Patient #4: During the 07/10/24 Surveyor-attended home visit, the RN discussed the presence of a left heel wound/pressure ulcer, and the weekly dressing changes being provided for such, “Cleanse with wound wash, apply skin barrier to peri-wound, then adhesive dressing. Every week and prn soiling.” This wound intervention had originally been ordered on 05/18/24. However, such wound care intervention had not been updated to the most recent 07/02/24 IDG Plan of Care. Patient #16: SOC 05/07/24. The 05/15/24 SN visit note reflected that the patient was using compression stockings. This therapeutic treatment was not included on the Hospice Plan of Care. Patient #17: A Physician order was obtained on 05/15/24 for, “SN to insert 18F, 10cc Foley Catheter. Change every month, and p.r.n. pain/dislodgement.” The most recent IDG POC dated 07/09/24, noted “Indwelling catheter in place.” However, the full details of this ongoing intervention, was not included on the POC. Nor was there any information as to how, or by whom, such Foley was to be maintained/monitored.”
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Coordination of services (42 CFR 418.56(e)(2))
“Upon patient record review, 1 of 23 (Patient #17) did not contain evidence that the IDG had ensured that the care and services were provided in accordance with the Plan of Care: Patient #17: A Physician order was obtained on 05/15/24 for, “SN to insert 18F, 10cc Foley Catheter. (which was documented as inserted on 05/15/24) Change every month, and p.r.n. pain/dislodgement.” There was no documented evidence within the clinical record of the Hospice having changed such Foley in the month of June 2024.”
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Coordination of services (42 CFR 418.56(e)(4))
“Upon patient record review, 1 of 23 (Patient #15) did not contain evidence that the IDG had documented the sharing of information between all disciplines providing care and services, in all settings, whether the care and services are provided directly or under arrangement. Patient #15: The 06/21/24 RN visit report noted a pulse rate of 140. There was no documentation of the Hospice nurse having reported this to the Hospice Physician.”
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Level of activity (42 CFR 418.78(e))
“Upon observation, there was not documented evidence of the Hospice’s use of Volunteers providing day to day administrative and/or direct patient care services, in an amount that at a minimum, equals 5 percent of the total patient care hours of all paid Hospice employees and contract personnel. The Administrator provided the 2023 calendar-year Volunteer report to Surveyor, which totaled 0.27%.”
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Authentication (42 CFR 418.104(b))
The inspectors’ words, 98 words
“Upon patient record review, 1 of 23 (Patient #3) did not contain evidence that all entries were comprehensively completed in accordance with the organizations policies and procedures and currently accepted standards of practice: Patient #3: During the 07/10/24 Surveyor-attended home visit, the patient stated that the gauze bandage on his left lower shin had been placed by the Hospice nurse on 07/08/24. The record reflected a verbal order having been obtained 07/08/24 to, “Cleanse left lower leg, and apply gauze bandage”. However, the nursing visit dated 07/08/24 did not include documentation of the application of such a dressing.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 7, 2025 | Complaint inspection by the state | No deficiencies cited |
| Jul 12, 2024 | Initial inspection by the Accreditation Commission for Health Care | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Nov 19, 2015.
- 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): 12.4 nurse care minutes per routine home care day, 12% of skilled nursing minutes at weekends and a visit near death for 95.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 50% at home, 41% in assisted living, 8% in a nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.4 min |
| Skilled nursing minutes at weekends | 12% |
| Visits near death | 95.4% of patients who died |
Who owns it?
- Amedisys Hospice, L.L.C. owns 100% directly since Feb 1, 2019.
- 13 owners or officers are people: Marcus Macip (corporate officer); Marcus Macip (corporate director); Kimberly Seymour (corporate officer); Bridget R Kaigler (managing employee (on the payroll)); Bridget R Kaigler (runs it (operational or managerial control)); Joni Babineaux (corporate officer); Kristina J Braud (managing employee (on the payroll)); Kristina J Braud (runs it (operational or managerial control)); Linda Arredondo (managing employee (on the payroll)); Jeanne Shingleton (corporate officer); Viola Jacob (managing employee (on the payroll)); Joshua Lee Proffitt (corporate officer); Joshua Lee Proffitt (corporate director).
- 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 |
|---|---|---|---|
| Unitedhealth Group Incorporated | Owns 5% or more through other companies | 100% | Aug 14, 2025 |
| Amedisys Inc. | Owns 5% or more through other companies | 100% | Feb 1, 2019 |
| Amedisys Hospice, L.L.C. | Owns 5% or more directly | 100% | Feb 1, 2019 |
| Amedisys Holding LLC | Owns 5% or more through other companies | 100% | Feb 1, 2019 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 79% rated it 9 or 10 out of 10, and 80% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.72% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 86.2% 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 | 3 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 6 hospices CMS’s data show serving patients in ZIP code 32159, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8.5; 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 |
|---|---|
| Compassionate Care Hospice of Lake and Sumter Inc. This hospice | 6 |
| Hospice of Marion County Inc. | 0 |
| Hospice of Lake & Sumter Inc. | 0 |
| Emerald Coast Hospice | 12 |
| Vitas Healthcare Corporation of Florida | 62 |
| Arc Hospice of Florida LLC | 11 |
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.