Willowbrook Hospice, LLC
A hospice in Cartersville, Georgia 30120
162 W Main Street, Suite 306, Cartersville, Georgia 30120. (470) 315-4728.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 2 deficiencies cited in the last three years
- 2of 5 family caregiver rating
- 9of 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?
2 deficiencies cited in the last three years
The middle of the 40 hospices serving ZIP code 30120 had 3.
The last inspection on record was on Jul 16, 2026: a reaccreditation inspection by the Community Health Accreditation Partner.
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
2 deficiencies in 1 month of the last 36. Last cited Jul 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.
Jul 16, 2026: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies
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Hospice aide assignments and duties (42 CFR 418.76(g)(4))
The inspectors’ words, 282 words
“It is required that hospice aides must report changes in the patient’s medical, nursing, rehabilitative, and/or social needs to a registered nurse as the changes relate to the plan of care and any quality assessment and improvement activities. The hospice aide must also complete appropriate records of service, including the report of changes in the patient’s needs. This standard was not met as evidenced by clinical record review and interview. In 2 of 14 (14%) clinical records reviewed of patients receiving hospice aide services, the agency did not ensure the hospice aide reported changes in the patient’s needs to the Registered Nurse (RN). CLINICAL RECORD 1: The patient elected the hospice benefit on 06/16/2026. The plan of care (POC) dated 06/16/2026 assigned the hospice aide these relevant tasks: transfer patient from bed to chair, provide nail care, perineal care and catheter care every visit frequency 1wk1 then 2 times a week. The hospice aide visit note dated 06/23/2026 documented that these tasks were not completed. There was no documented evidence that the RN was notified of the tasks that were not completed. CLINICAL RECORD 13: The patient elected the hospice benefit on 06/25/2026. The POC dated 06/25/2026 assigned the hospice aide the relevant task: shampoo hair every visit frequency 1wk1 then 3 times a week. The hospice aide visit note dated 07/02/2026 documented that this task was not completed. There was no documented evidence that the RN was notified of the task that was not completed. During a joint clinical record review and an interview on 07/14/2026, the Director of Clinical Services (DCS) confirmed the findings that the RN was not notified of the tasks not completed. No further information was provided.”
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Level of activity (42 CFR 418.78(e))
The inspectors’ words, 241 words
“It is required that hospice volunteers provide day-to-day administrative or direct patient care services in an amount that, at a minimum, equals five percent (5%) of the total patient care hours of all paid hospice employees and contract staff. This standard was not met as evidenced by document review and interview. The agency did not ensure that hospice volunteers provided day-to-day administrative or direct patient care services that equaled five percent (5%) of the total patient care hours of all paid hospice employees and contract staff. A joint review of the agency report titled “Hospice Volunteer Requirement Report “ with the Director of Clinical Services on 07/15/2026 revealed that volunteer utilization was 4.71% for the period 01/01/2025 through 12/31/2025. The annual volunteer report for calendar year 2026, 01/01/2026 through 06/31/2026, revealed volunteer utilization was 2.5%. During an interview on 07/15/2026, the Volunteer Coordinator informed me of the active volunteer recruitment and retention program. No further information was provided. During an interview on 07/14/2026, the Director of Clinical Services confirmed the findings. “We have had challenges increasing our volunteers’ hours since the beginning of the year due to the increase in clinical hours.” A joint review of the agency report titled “Hospice Volunteer Requirement Report “ with the Director of Clinical Services on 07/15/2026 revealed that volunteer utilization was 4.71% for the period 01/01/2025 through 12/31/2025. The annual volunteer report for calendar year 2026, 01/01/2026 through 06/31/2026, revealed volunteer utilization was 2.5%.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 16, 2026 | Reaccreditation inspection by the Community Health Accreditation Partner | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 19, 2020.
- 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): 11.2 nurse care minutes per routine home care day, 5.3% of skilled nursing minutes at weekends and a visit near death for 85.8% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 16% at home, 18% in assisted living, 49% in a nursing facility, 17% 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 | 11.2 min |
| Skilled nursing minutes at weekends | 5.3% |
| Visits near death | 85.8% of patients who died |
Who owns it?
- Afc-Willowbrook Buyer, LLC owns 100% directly since Oct 1, 2025.
- 8 owners or officers are people: Drake Jarman (corporate officer, 100%); Andrew Galbierz (corporate officer, 100%); Michael Vincent Feist (owns 5% or more through other companies, 16.48%); Andrew Galbierz (owns 5% or more through other companies, 7.84%); Drake Jarman (owns 5% or more through other companies, 6.88%); Stephanie Dubose (managing employee (on the payroll), 0%); Shameka H Mcelhaney (managing employee (on the payroll), 0%); Punit Jyotindra Bhutwala (managing employee (under contract), 0%).
- A private-equity firm is 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 |
|---|---|---|---|
| Afc-Willowbrook Buyer, LLC | Owns 5% or more directly | 100% | Oct 1, 2025 |
| Afc-Willowbrook Holdings LLC | Owns 5% or more through other companies | 100% | Oct 1, 2025 |
| Anderson Family Care, LLC | Owns 5% or more through other companies | 70% | Oct 1, 2025 |
| Cpf Afc Holdings, LLC | Owns 5% or more through other companies | 70% | Oct 1, 2025 |
| Cpf Afc Aggregator, L.P. | Owns 5% or more through other companies | 25.87% | Oct 1, 2025 |
| Cpf IV Afc Aggregator, L.P. | Owns 5% or more through other companies | 25.87% | Oct 1, 2025 |
| Chicago Pacific Founders Fund III, L.P | Owns 5% or more through other companies | 19.76% | Oct 1, 2025 |
| Serenity Hospice LLC | Owns 5% or more through other companies | 16.48% | Oct 1, 2025 |
| Chicago Pacific Founders Fund IV, L.P. | Owns 5% or more through other companies | 13.96% | Oct 1, 2025 |
| Cpf IV Afc Blocker, LLC | Owns 5% or more through other companies | 11.91% | Oct 1, 2025 |
| Chicago Pacific Founders Fund IV-A, L.P. | Owns 5% or more through other companies | 11.91% | Oct 1, 2025 |
| Cpf Afc Blocker, LLC | Owns 5% or more through other companies | 6.1% | Oct 1, 2025 |
| Chicago Pacific Founders Fund III-A, L.P | Owns 5% or more through other companies | 6.1% | Oct 1, 2025 |
What do families say?
- Family caregivers rate it 2 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 75% rated it 9 or 10 out of 10, and 76% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 78.78% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 48.9% 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 | 2 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 | 9 of 10 |
How does it compare nearby?
- Of the 40 hospices CMS’s data show serving patients in ZIP code 30120, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; this one had 2.
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 |
|---|---|
| Affinis Cartersville | 0 |
| Amedisys Hospice Care of Cartersville | 7 |
| Willowbrook Hospice, LLC This hospice | 2 |
| Eternal Faith Hospice and Palliative Care | 6 |
| Compassus-North Georgia | 0 |
| Wellstar Community Hospice | 13 |
| Hearth Hospice | 13 |
| Atrium Health Floyd Medical Center Heyman Hospice Care | 14 |
| Pruitthealth Hospice and Palliative Care-Atlanta | 0 |
| Pruitthealth Hospice-Calhoun | 1 |
| Vitas Healthcare Corporation of Georgia | 10 |
| Heritage Hospice, Inc. | 1 |
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.