Affinity Hospice
A hospice in Claxton, Georgia 30417
109 South Duval Street, Claxton, Georgia 30417. (912) 739-0058.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency cited in the last three years
- Not rated family caregiver rating
- 9of 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?
1 deficiency cited in the last three years
The middle of the 13 hospices serving ZIP code 30417 had 1.
The last inspection on record was on Apr 21, 2026: a recertification 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
1 deficiency in 1 month of the last 36. Last cited Apr 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.
Apr 21, 2026: recertification inspection by the state1 deficiency
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Coordination of services (42 CFR 418.56(e)(1))
The inspectors’ words, 609 words
“Based on review of policies titled “Medication Monitoring,” and Medication Profile,” record reviews, observation, and staff interviews, it was determined the agency failed to coordinate medication updates and reconcile medication profiles with the Assisted Living Facility (ALF) for three patients (P) (P8, P9, P10) of three sampled ALF patients. The findings included: Review of policy titled “Medication Monitoring,” revised November 2018 revealed:“PolicyOngoing patient medication monitoring will use a collaborative approach between the clinicians, physicians, pharmacists, patients, and families/caregivers.” Review of policy titled “Medication Profile,” revised November 2018 revealed:“PolicyPatients receiving medications administered by the organization will have a current, accurate medication profile in the clinical record.” 1. Record review revealed P8 resides in ALF. During a home visit observation on 04/21/2026 at 11:05 AM P8’s medications at the ALF were compared to the hospice medication list titled “Client Medication Report.”The ALF medication list revealed P8 receives rosuvastatin (a prescription medication used with diet to lower “bad” cholesterol and triglycerides) every evening.Review of the hospice “Client Medication Report” revealed rosuvastatin was discontinued by the hospice on 2/5/2026. 2. Record review revealed P9 resides in ALF. During a home visit observation on 4/21/2026 at 10:00 AM, P9’s medications at the ALF were compared to the hospice agency’s medication list, “Client Medication Report.”The ALF medication list revealed P9 receives daily Ensure (a nutritional supplement drink) and monthly vitamin B-12 shots (a prescription injection used to treat deficiencies, boost energy, metabolism, and neurological function).Review of P9’s hospice Client Medication Profile revealed Ensure was discontinued by the hospice on 2/24/2026, and Vitamin B-12 shots discontinued by the hospice on 2/23/2026.Further review of P9’s ALF medication list revealed the following:• Docusate (an over-the-counter stool softener)• Haloperidol (an antipsychotic medication used to treat mental health disorders and severe behavioral issues)• Thick-It (a brand of food and beverage thickeners designed for people with swallowing difficulties) The hospice Client Medication Profile for P9 failed to reveal Docusate, Haloperidol, or Thick-It. Further review of P9’s hospice Client Medication Profile revealed the following:• Scheduled hydrocodone (a prescription opioid medication used as a pain reliever to treat moderate to severe pain) every 8 hours. The ALF medication list for P9 includes hydrocodone but given only as needed.• Morphine (an opioid medication used to treat severe pain) as needed for severe pain. The ALF medication list for P9 did not include morphine. 3. Record review revealed P10 resides in ALF. During a home visit observation on 04/21/2026 at 10:30 AM, P10’s medications at the ALF were compared to the hospice “Client Medication Report.”The ALF medication list revealed P10 receives Atorvastatin (a prescription medication used with diet to lower “bad” cholesterol and triglycerides) every night. A review of P10’s hospice Client Medication Profile revealed that Atorvastatin was discontinued by the hospice on 2/5/2026. Further review of ALF medication list for P10 revealed the following medications:• Trazodone (antidepressant primarily used off label for insomnia due to its strong sedative properties)• Melatonin (a supplement used to treat sleep issues)• Vitamin B-12 shots The hospice Client Medication Profile for P10 failed to reveal Trazodone, Melatonin, or vitamin B-12 shots. On 04/21/2026 at 11:30 AM, an interview was conducted at the ALF with Registered Nurse (RN) AA, who acknowledged the ALF staff administers all medications following the ALF’s medication profile and was unable to explain the discrepancies between the hospice and ALF medication lists. On 04/21/2026 at 2:00 PM, an office interview was conducted at the agency with the Interim Clinical Manager (ICM), who revealed nurses are instructed to reconcile medications every two weeks for all patients in preparation for the interdisciplinary team (IDT) meeting. The ICM confirmed all documentation for P8, P9, and P10 had been provided.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 21, 2026 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Aug 15, 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): 12.7 nurse care minutes per routine home care day, 7.9% of skilled nursing minutes at weekends and a visit near death for 96.6% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 71% at home, 23% in assisted living, 6% in a nursing facility, 1% 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 | 12.7 min |
| Skilled nursing minutes at weekends | 7.9% |
| Visits near death | 96.6% of patients who died |
Who owns it?
- Bethany Hospice Holdings LLC owns 100% directly since Dec 23, 2022.
- 5 owners or officers are people: Christopher Smith (corporate officer, 100%); Adam C Cruse (corporate officer, 100%); Thomas J Miller (managing employee (under contract), 100%); Stacy Berrier (managing employee (on the payroll), 100%); Ray L Shrout (owns 5% or more through other companies, 11.8%).
- 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 |
|---|---|---|---|
| Bethany Hospice Holdings LLC | Owns 5% or more directly | 100% | Dec 23, 2022 |
| Affinity Hospice Intermediate Holdings LLC | Owns 5% or more through other companies | 100% | Dec 23, 2022 |
| Dragonfly Finance Holdco LLC | Owns 5% or more through other companies | 100% | Dec 23, 2022 |
| Affinity Hospice Holdings, LLC | Owns 5% or more through other companies | 100% | Dec 23, 2022 |
| Affinity Hospice Ultimate Holdings LLC | Owns 5% or more through other companies | 100% | Dec 23, 2022 |
| Llr Equity Partners VI LP | Owns 5% or more through other companies | 35.6% | Dec 23, 2022 |
| Llr VI-Ah LLC | Owns 5% or more through other companies | 35.6% | Dec 23, 2022 |
| Llr VI Ll-Ah LP | Owns 5% or more through other companies | 15.8% | Dec 23, 2022 |
| Llr Equity Partners International VI LP | Owns 5% or more through other companies | 15.8% | Dec 23, 2022 |
| FOSH Holdings LLC | Owns 5% or more through other companies | 11.8% | Dec 23, 2022 |
| Llr LP Co-Invest VI-Ah LLC | Owns 5% or more through other companies | 9.5% | Dec 23, 2022 |
| Llr Equity Partners VI Co-Invest LP | Owns 5% or more through other companies | 9.5% | Dec 23, 2022 |
| Go IV Equalization (Eci) LP | Owns 5% or more through other companies | 9.4% | Nov 4, 2022 |
| Franklin Park Co-Investment Fund V LP | Owns 5% or more through other companies | 6.2% | Dec 23, 2022 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 95.89% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 61.2% 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 | 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 | 9 of 10 |
How does it compare nearby?
- Of the 13 hospices CMS’s data show serving patients in ZIP code 30417, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 1; this one had 1.
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 |
|---|---|
| Affinity Hospice This hospice | 1 |
| Hospice Satilla of Mem Hosp | 0 |
| Ogeechee Area Hospice, Inc. | 14 |
| Pruitthealth Hospice-Swainsboro | 2 |
| Community Hospice | 0 |
| Spanish Oaks Hospice, Inc. | 0 |
| Gentiva | 11 |
| Regency Southerncare | 18 |
| Georgia Hospice Care | 7 |
| Affinis Hospice LLC | 0 |
| Georgia Hospice Care | 6 |
| Georgia Hospice Care | 0 |
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.