Eternal Faith Hospice and Palliative Care
A hospice in Jackson, Georgia 30233
794 Mcdonough Road, Suite 107, Jackson, Georgia 30233. (770) 775-0100.
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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 39 hospices serving ZIP code 30233 had 2.
The last inspection on record was on Mar 28, 2024: an initial 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 2 months of the last 36. Last cited Mar 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.
Mar 28, 2024: initial inspection by The Joint Commission7 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
“Observed in Record Review. In 1 of 7 patient records reviewed, for active patients, it was noted by the nurse surveyor that the comprehensive assessment was not completed within five calendar days of the election of the hospice benefit. For RRNHV#3, the social worker documented her assessment one day late. There was no documentation in the electronic medical record to indicate why her visit was completed late. Finding was verified with the Branch Director, Administrator, and the Regional Clinical Specialist.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. In 3 of 7 patient records reviewed, for active patients, it was noted by the nurse surveyor that the initial bereavement risk assessment had not been completed as part of the comprehensive assessment. For RRHV#3, it was completed three months late. For RRNHV#2, it was completed three days late. For RRNHV#3, it was completed five days late. Findings were verified by the Branch Director, Administrator, and the Regional Clinical Specialist.”
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Content of plan of care (42 CFR 418.56(c))
“Observed in Record Review. In 7 of 7 patient records reviewed, for active hospice patients the nurse surveyor noted that the goals were not consistently measurable. For example, “Patient/caregiver understands effects of terminal illness on nutrition and hydration,” and “Pain will be controlled at a level acceptable to patient”. Additionally, goals were mostly the same from patient to patient with minimal individualization. Findings were discussed with the Branch Director, Administrator, and the Regional Clinical Specialist.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 107 words
“Observed in Record Review. In 3 of 4 patient records reviewed, for active patients with oxygen,, it was noted by the nurse surveyor that the orders were not clear or complete. For RRHV#1, the oxygen order was for Oxygen 2 liters as needed for shortness of breath, however, there was no route of delivery for the oxygen noted in the order. For RRNHV#1, the oxygen order was for Oxygen 2 – 4 liters by nasal canula continuously. For RRNHV#2, the oxygen order was for Oxygen 1 – 4 liters by nasal canula prn SOB. Findings were verified with the Branch Director, Administrator, and the Regional Clinical Specialist.”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 113 words
“Observed in Patient Home. In 1 of 3 home visits conducted, it was noticed by the nurse surveyor that the nurse did not follow the organization’s bag/barrier policy. During RRHV#2, the nurse put her nursing bag on a barrier and took her clean equipment out of the bag and placed it on the barrier directly next to the bag. As she used each piece of equipment (blood pressure cuff, stethoscope, thermometer, measuring tape, and pulse oximeter) she returned the dirty equipment to the barrier, placing it on top of/directly next to the clean equipment still on the clean barrier. Finding was verified by the Branch Manager who was present on the home visit.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 117 words
“Observed in Record Review. In 1 of 3 patient records reviewed, for active patients with the hospice aide, It was noted by the nurse surveyor that the hospice aide care plan did not include all of the information for the hospice aide to effectively provide care. RRNHV#1, the patient was on oxygen prn and there were no instructions to indicate if the patient’s oxygen could be removed for her bed bath. Additionally, there were no instructions as to when to notify the nurse. There were also incorrect instructions as the patient had a foley catheter and the care plan instructed to empty the urinal. Findings were verified with the Branch Director, Administrator, and the Regional Clinical Specialist.”
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Recruiting and retaining (42 CFR 418.78(c))
“Observed in Tracer Activities. It was noted by the nurse surveyor that the Volunteer Coordinator did not document retention activities that she did with/for her volunteer. Finding was discussed with the Branch Director, Administrator, and the Regional Clinical Specialist.”
Jan 10, 2024: complaint and recertification inspection by the state1 deficiency
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 309 words
“Based on record review, staff interview, observations, and review of facility policy, the agency failed to obtain orders that were individualized to address the scope and frequency of services to meet specific patients needs of four patients (P) (P#2, P#5, P#9, and P#11) of four records reviewed. Findings include: Review of the facility policy titled, “;Wound Assessment”, effective date 4/2021, revealed the following: Measurements F. Wounds shall be measured at least weekly upon assessment. H. Wounds will be photographed upon initial identification with any significant change (decline or progress) in wound status and/or at least monthly. Wound Care K. The agency will obtain physician wound care orders for all identified wounds. During a home visit with P#2 on 1/9/2024 at approximately 12:30 p.m., Registered Nurse (RN) DD failed to follow the agency’s Wound Assessment policy to measure at least weekly and obtain photographs of wounds monthly, During the visit, RN DD revealed that she would assess the wound on the next visit as the caregiver had already provided the wound care. Review of records for P#2 revealed no pictures of wounds obtained monthly and upon initial wound identification. Review of records for P#5 revealed no pictures of wounds obtained monthly and upon initial wound identification. Review of records for P#9 revealed no pictures of wounds obtained monthly and upon initial wound identification. Review of records for P#11 revealed no pictures of wounds obtained monthly and upon initial wound identification. During an interview with the Administrator on 1/10/2024 at 10:30 a.m., the Administrator acknowledged that the agency failed to document location of wound sites and obtain frequency orders for wound care. She acknowledged that the agency failed to follow the Wound Assessment policy as to document the wound site location, measure at least weekly and obtain pictures upon initial identification and at least monthly for P#2, P#5, P#9 and P#11.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 28, 2024 | Initial inspection by The Joint Commission | 7 deficiencies cited |
| Jan 10, 2024 | Complaint and recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since May 10, 2012.
- 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.
- 1 deficiency cited in the last three years came from an inspection 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): 14.1 nurse care minutes per routine home care day, 6.7% of skilled nursing minutes at weekends and a visit near death for 85.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 97% at home, 1% in a nursing facility, 2% 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 | 14.1 min |
| Skilled nursing minutes at weekends | 6.7% |
| Visits near death | 85.2% of patients who died |
Who owns it?
- Lifecare Home Health Intermediate Sub LLC owns 100% directly since Dec 3, 2025.
- 4 owners or officers are people: James M Douthitt (corporate officer); Urviben R Patel (managing employee (under contract)); William Dean Alverson (corporate officer); Amy Crowder (managing employee (on the payroll)).
- 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 Holdings 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.”
- 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); 55.6% 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 39 hospices CMS’s data show serving patients in ZIP code 30233, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2; 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 |
|---|---|
| Eternal Faith Hospice and Palliative Care This hospice | 8 |
| Wellstar Community Hospice | 13 |
| Atrium Health Navicent Hospice Pine Pointe | 2 |
| Gentiva | 10 |
| Abbey Hospice | 0 |
| Pruitthealth Hospice and Palliative Care-Atlanta | 0 |
| Pruitthealth Hospice-Macon | 2 |
| Vitas Healthcare Corporation of Georgia | 10 |
| Adoration Hospice | 1 |
| Heartland Hospice- Macon | 4 |
| Brightmoor Hospice, LLC | 23 |
| Harbor Grace Hospice, Inc. | 8 |
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.