Compassus-Atlanta
A hospice in Duluth, Georgia 30096
3235 Satellite Blvd, Suite 290, Duluth, Georgia 30096. (770) 449-8142.
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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
- 10of 10 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 45 hospices serving ZIP code 30096 had 2.
The last inspection on record was on Oct 8, 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
3 deficiencies in 1 month of the last 36. Last cited Jan 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.
Jan 25, 2024: reaccreditation inspection by the Community Health Accreditation Partner3 deficiencies
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Hospice Follow up for Staff (42 CFR 418.113(b)(1))
The inspectors’ words, 209 words
“It is required that the hospice implements emergency preparedness (EP) policies and procedures, based on the emergency plan, the risk assessment, and the communication plan. The policies and procedures address the development and inclusion of a plan for each hospice patient during a natural or man-made disaster as part of a patient/family comprehensive assessment, the documented discussion of the plan provided to the patient/family, and maintained by the hospice, follow up with patients/families to determine needs in the event that care is interrupted during or due to an emergency. This standard was not met as evidenced by clinical record review and interview. In 1 of 19 (5%) clinical records reviewed, the agency did not ensure that an individualized disaster plan was developed and discussed with the patient/family as part of the comprehensive assessment. Clinical Record 14: The patient elected hospice benefit on 02/24/2023 and expired on 02/27/2023. The patient resided at a private residence. A review of the clinical record revealed no documented evidence that the patient’s individual emergency plan was developed and discussed with the patient, family, and/or caregiver as part of the comprehensive assessment. The DCS was interviewed and confirmed that an individualized emergency plan was not completed and discussed with the patient and family on admission.”
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Plan of care (42 CFR 418.56(b))
The inspectors’ words, 164 words
“It is required that hospice care and services provided to patients and families follow the individualized plan of care established by: the hospice IDG in collaboration with the attending physician (if any). This standard was not met as evidenced by clinical record review and interview. In 1 of 19 (5%) clinical records reviewed, the hospice did not ensure the hospice care and services followed the patient’s plan of care. Clinical Record 1: The patient elected hospice care on 03/07/2023. The initial comprehensive assessment completed by the Registered Nurse (RN) documented the patient’s wounds on both lower extremities. On 03/07/2023, the Medical Director ordered the Skilled Nurse (SN) to assess the wound weekly and perform wound care. The SN visit note for the week of 03/14/2023 did not include documentation of a wound assessment or wound care. The Director of Clinical Services was interviewed on 01/25/2024 and confirmed that the nurse did not complete a wound assessment and dressing change as ordered by the physician.”
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Discharge or transfer of care (42 CFR 418.104(e)(1)(i))
The inspectors’ words, 224 words
“It is required that if the care of a hospice patient is transferred to a Medicare/Medicaid certified facility, the hospice forwards to the receiving facility a copy of the hospice discharge summary described in HCDT 40.I; and the patient’s record, if requested. This standard was not met as evidenced by clinical record review and interview. In 2 of 2 (100%) clinical records reviewed of patients who revoked the hospice benefit to seek aggressive treatment at a hospital, the hospice did not ensure the discharge summary was forwarded to the receiving hospital for continuity of care. Clinical Record 13: The patient elected the hospice benefit on 10/18/2023 and transferred to the hospital on 12/14/2023 to seek aggressive treatment. A clinical record review revealed no evidence that a discharge summary was forwarded to the receiving hospital as of the review date, 01/24/2024. Clinical Record 12: The patient elected the hospice benefit on 08/30/2023 and transferred to the hospital on 11/01/2023 to seek aggressive treatment. A clinical record review revealed no evidence that a discharge summary was forwarded to the receiving hospital as of the review date, 01/24/2024. Interview with the Director of Clinical Services on 01/24/2024 confirmed that the clinical records did not contain documentation that any of the required elements (plan of care, physician orders, summary of hospice stay) were forwarded to the receiving hospital.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 8, 2025 | Complaint inspection by the state | No deficiencies cited |
| Jan 25, 2024 | Reaccreditation inspection by the Community Health Accreditation Partner | 3 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Mar 23, 2007.
- 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): 10.6 nurse care minutes per routine home care day, 8.4% of skilled nursing minutes at weekends and a visit near death for 82.6% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 31% at home, 1% in assisted living, 59% in a nursing facility, 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 | 10.6 min |
| Skilled nursing minutes at weekends | 8.4% |
| Visits near death | 82.6% of patients who died |
Who owns it?
- Hospice Advantage Midco LLC owns 100% directly since Oct 7, 2015.
- 8 owners or officers are people: Cynthia Meili (managing employee (on the payroll)); Russell G Adkins (corporate officer); Russell G Adkins (runs it (operational or managerial control)); Russell G Adkins (other role (CMS gives no detail)); Laura A Templeton (corporate officer); Laura A Templeton (runs it (operational or managerial control)); Pinkesh A Bhuta (managing employee (under contract)); Michael Asselta (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 |
|---|---|---|---|
| Compassus Parent, Inc. | Owns 5% or more through other companies | 100% | Dec 31, 2019 |
| Fc Compassus LLC | Owns 5% or more through other companies | 100% | Dec 31, 2019 |
| Compassus Holdings LP | Owns 5% or more through other companies | 100% | Dec 31, 2019 |
| Hospice Advantage Midco LLC | Owns 5% or more directly | 100% | Oct 7, 2015 |
| Compassus Intermediate Inc. | Owns 5% or more through other companies | 100% | Dec 31, 2019 |
| Hospice Advantage Holdings, LLC | Owns 5% or more through other companies | 100% | Oct 7, 2015 |
| Ti V Asc Compassus Investment Aggregator LP | Owns 5% or more through other companies | 99% | Dec 31, 2019 |
| Ascension Towerbrook Healthcare Opportunities LP | Owns 5% or more through other companies | 49.5% | Dec 31, 2019 |
| Ti V Compassus Investment Aggregator, L.P. | Owns 5% or more through other companies | 49.5% | Dec 31, 2019 |
| Ascension Health Alliance | Owns 5% or more through other companies | 49.48% | Dec 31, 2019 |
| Towerbrook Investors V (Onshore) LP | Owns 5% or more through other companies | 29.75% | Dec 31, 2019 |
| Towerbrook Investors V 892 LP | Owns 5% or more through other companies | 14.14% | Dec 31, 2019 |
| Fc Compassus Hospice Blocker, LLC | Owns 5% or more through other companies | 13% | Dec 31, 2019 |
| Ascension Capital LLC | Owns 5% or more through other companies | Dec 31, 2019 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 60% rated it 9 or 10 out of 10, and 61% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.13% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 54% 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 | Not rated |
| 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 45 hospices CMS’s data show serving patients in ZIP code 30096, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2; 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 |
|---|---|
| Compassus-Atlanta This hospice | 3 |
| Aveanna Hospice | 0 |
| Inspire Hospice and Palliative Care, Inc. | 7 |
| Wellstar Community Hospice | 13 |
| Hospice Atlanta | 15 |
| Hospice of Northeast GA Mc | 4 |
| Pruitthealth Hospice and Palliative Care-Atlanta | 0 |
| Gentiva | 10 |
| Vitas Healthcare Corporation of Georgia | 10 |
| The Weinstein Hospice | 5 |
| Heritage Hospice, Inc. | 1 |
| Brightmoor Hospice, LLC | 23 |
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.