Eternal Faith Hospice and Palliative Care
A hospice in Carrollton, Georgia 30117
497 Rome Street, Carrollton, Georgia 30117. (770) 462-1047.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 8 deficiencies 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?
8 deficiencies cited in the last three years
The middle of the 31 hospices serving ZIP code 30117 had 4.
The last inspection on record was on May 7, 2026: a reaccreditation 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
8 deficiencies in 1 month of the last 36. Last cited May 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.
May 7, 2026: reaccreditation inspection by The Joint Commission8 deficiencies
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Initial & comprehensive assessment of patient (42 CFR 418.54)
“Observed in Patient Home. In 1 of 3 home visits conducted, the organization did not assess the risk related to oxygen tank storage. Observed in RRHV#2, the patient had two E-Oxygen cylinders and one M size portable oxygen cylinder standing upright and not within storage racks. This was validated with the Director of Patient Clinical Services who was present during the home visits.”
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Content of comprehensive assessment (42 CFR 418.54(c)(5))
The inspectors’ words, 145 words
“Observed in Patient Home. In 2 of 2 home visits conducted, with a Skilled Nurse, the organization did not conduct a comprehensive physical reassessment to address individualized needs and ensure appropriate care was included in the care plan in accordance with organizational policy #PE.5, IX which states The patient will be reassessed throughout the course of care in order to identify and deliver the right care, treatment or services. The process includes: A. Collecting information about the patient’s health history as well as physical, functional, and psychosocial status . . .. Observed in RRHV#1, and RRHV#2 the Registered Nurse did not complete a full skin assessment on both of the patients who were nutritionally compromised, had limited mobility, spent the majority of each day in bed and who were both incontinent. This was validated with the Director of Patient Clinical Services following the home visits.”
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Content of plan of care (42 CFR 418.56(c))
“Observed in Record Review. In 10 of 10 patient records reviewed, the organization did not develop a written plan of care based on the patients’ goals and timeframes. Identified during the record review session all goals in the nursing plans of care were without target dates. This was validated by the Administrator/Area Director of Operations who was present during the record review session.”
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Content of plan of care (42 CFR 418.56(c)(1))
The inspectors’ words, 284 words
“Observed in Record Review. In 8 of 10 patient records reviewed, the organization did not ensure that the plan of care included all services needed for the palliation and management of the terminal illness and related conditions. For example, in the record review for RRHV#1, the patient had a diagnosis of CHF and Acute Respiratory Failure yet there was no care plan developed for Pulmonary or Respiratory. In RRHV#2 the patient had a diagnosis of COPD, yet there was no care plan developed for Pulmonary or Respiratory. In RRNHV#1, the patient had active symptoms of agitation and nausea & vomiting to which she was receiving medications for treatment, yet there was no care plan developed for agitation or GI symptom management. In RRNHV#3, the patient had a history of seizures and was being treated with anti-seizure medication yet there was no care plan developed for seizure or neurological symptoms. In RRNHV#4, the patient had a diagnosis of end-stage Alzheimer’s Disease, was documented to be pocketing food/medications and choking, yet there was no care plan developed for Swallowing Difficulties/Choking or Aspiration Risk. In RRNHV#5 the patient had a diagnosis of Metastatic Colon Cancer and Traumatic Brain Injury with paraplegia, and was being treated with multiple Opioid pain medications, yet there was no care plan developed for Pain or Risk to Skin Integrity. In RRNHV#6 the patient was on multiple opioid pain medications, yet there was no care plan developed for Pain. In RRNHV#7 the patient had a diagnosis of Sequelae of Stoke with active seizures, yet there was no care plan developed for Seizure or Neurological Symptom Management. This was validated with the Administrator/Area Director of Operations who was present for the record review session.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 158 words
“Observed in Record Review. In 2 of 10 patient records reviewed, the organization did not provide detailed and specific interventions to manage pain and symptoms. Identified during the record review for RRNHV#5 and RRNHV#6 the patients were each prescribed multiple pain medications without indicating a hierarchy of use. For example, in RRNHV#5, the patient was on Oxycodone HCL 5mg every 8 hours prn, and Morphine Sulfate 20 mg/1ml, 0.25 - 1 ml every 2 hours prn with no indication of which to use for what level of pain or which to administer first or second. In RRNHV#6, the patient was on Hydrocodone 5/325, 1 table 3 times daily as needed, and Morphine Sulfate 20mg/1 ml, 0.25 - 1 ml every 2 hours as needed without indication of which to use for what level of pain or to administer first or second. This was validated by the Administrator/Area Director of Operations who was present during the record review session.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
“Observed in Record Review. In 2 of 5 patient records reviewed, where the patient had Hospice Aide Services, appropriate instructions and precautions were not included on the Hospice Aide care plan. For example, in RRNHV#5 and RRNHV#6, the patients had active seizures yet there were no instructions or precautions regarding the risk of seizures on the Hospice Aide Plans. This was validated with the Administrator/Area Director of Operations who was present during the record review session.”
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Content (42 CFR 418.104(a)(7))
“Observed in Patient Home. In 1 of 3 home visits conducted, the patient record did not contain information that reflected the patient’s care and treatment. Identified during the medication reconciliation process conducted during RRHV#2, the medication profile was inaccurate. The medication record did not include Isosorbide 60mg tablet daily, and Morphine Sulfate 20mg/ml oral solution. This was validated with the Director of Patient Clinical Services following the home visits conducted.”
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Label dispose storage drugs (42 CFR 418.106(e)(2)(i)(A))
“Observed in Tracer Activities. During the review of the patient Admission Booklet and supplemental documents, the Surveyor noted that there was no evidence that the organization’s drug disposal policy was provided to the patients prior to controlled substances being added into the plan of care. According to the organization’s policy PC.140, page 2, I. Upon admission the hospice will: A. Provide a copy of the written policies and procedures on the management and disposal of controlled to the patient or representative. This was validated with the Area Director of Operations.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 7, 2026 | Reaccreditation inspection by The Joint Commission | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 23, 2010.
- 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): 13.1 nurse care minutes per routine home care day, 7.9% of skilled nursing minutes at weekends and a visit near death for 91.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 80% at home, 4% in assisted living, 13% in a nursing facility, 4% 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 | 13.1 min |
| Skilled nursing minutes at weekends | 7.9% |
| Visits near death | 91.2% of patients who died |
Who owns it?
- Lifecare Home Health Intermediate Sub LLC owns 100% directly since Dec 3, 2025.
- 3 owners or officers are people: James M Douthitt (corporate director); James M Douthitt (managing employee (on the payroll)); William Dean Alverson (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 |
|---|---|---|---|
| Lifecare Intermediate II LLC | Owns 5% or more through other companies | 100% | Dec 3, 2025 |
| Lifecare Intermediate I LLC | Owns 5% or more through other companies | 100% | Dec 3, 2025 |
| Lifecare Home Health Acquisition LLC | Owns 5% or more through other companies | 100% | Dec 3, 2025 |
| Lifecare Home Health Intermediate Sub LLC | Owns 5% or more directly | 100% | Dec 3, 2025 |
| Lifecare Home Health Partners LLC | Owns 5% or more through other companies | 100% | Dec 3, 2025 |
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): 82% rated it 9 or 10 out of 10, and 87% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 69.9% 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 31 hospices CMS’s data show serving patients in ZIP code 30117, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; this one had 8.
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 |
|---|---|
| Hospice Care- A Part of Tanner | 1 |
| Eternal Faith Hospice and Palliative Care This hospice | 8 |
| Wellstar Community Hospice | 13 |
| Hospice Atlanta | 15 |
| West Georgia Hospice | 0 |
| Atrium Health Floyd Medical Center Heyman Hospice Care | 14 |
| Pruitthealth Hospice and Palliative Care-Atlanta | 0 |
| Gentiva | 10 |
| Vitas Healthcare Corporation of Georgia | 10 |
| Brightmoor Hospice, LLC | 23 |
| Harbor Grace Hospice, Inc. | 8 |
| Gentiva | 9 |
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.