Gentiva
A hospice in Carroll, Iowa 51401
831 North Griffith Road, Carroll, Iowa 51401. (712) 792-2191.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 23, 2026.
- 6 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?
6 deficiencies cited in the last three years
The middle of the 5 hospices serving ZIP code 51401 had 8.
The last inspection on record was on Jul 1, 2026: 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
6 deficiencies in 1 month of the last 36. Last cited Jan 2025. 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 17, 2025: reaccreditation inspection by the Accreditation Commission for Health Care6 deficiencies
-
Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 156 words
“Upon patient record review, 2 of 14 (Patient #5,7) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient 5: The current medication profile contains an order oxycodone 5mg every 4 hours PRN and Tramadol 50mg 1 tab every 6 hours PRN, instructions for both say that they are to be used for moderate pain. No evidence that instructions were given on which medication to use first for moderate pain. Corrected on site. Patient 7: The current medication profile contains an order for polyethylene glycol 3350, 17gram oral powder 1 packet daily with no instructions to mix with a diluent. Corrected on site.”
-
Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 105 words
“Upon patient record review, 1 of 14 (Patient #2) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient’s family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient’s death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient 2: No evidence that a bereavement risk assessment was completed within 5 days of the election of hospice. Patient admitted on 07/01/2024, assessment completed on 07/12/2024.”
-
Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 110 words
“Upon patient record review, 2 of 14 (Patient #5,7) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient 5: The current medication profile contains an order Oxycodone 5mg every 4 hours PRN and Tramadol 50mg 1 tab every 6 hours PRN, both listed for moderate pain. No evidence that instructions were given stating which medication to use first for moderate pain. Corrected on site. Patient 7: The current medication profile contains an order for polyethylene glycol oral powder with no instructions to mix with a diluent. Corrected on site.”
-
Content of plan of care (42 CFR 418.56(c)(5))
The inspectors’ words, 171 words
“Upon patient record review, 3 of 14 (Patient #3,9,10) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs. Patient 3: The record indicates that patient had 2 wounds that were deactivated in the wound chapter on 09/09/2024 and 09/23/2024. No evidence that an order was received to take the wound care supplies off the current POC supply list. Corrected on site. Patient 9: The record indicates that patient had a wound at the time of admit that was deactivated in the wound chapter on 03/11/2024. No evidence that an order was received to take the wound care supplies off the current POC supply list. Corrected on site. Patient 10: The record indicates that patient had 2 wounds that were deactivated in the wound chapter on 01/29/2024 and 04/18/2024. No evidence that an order was received to take the wound care supplies off the current POC supply list. Corrected on site.”
-
Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 99 words
“Upon patient record review 1 of 14 (Patient #3) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training to start visiting the patient. Patient 3: Aide plan of care has orders for the aide to provide nail care and shampoo weekly. Aide documentation showed that those task were performed at every visit for the weeks of 12/16/24, 12/22, 12/29.”
-
Level of activity (42 CFR 418.78(e))
“Upon observation, there was no evidence the annual report documents the use of volunteers providing day to day administrative and/or direct patient care services in an amount that, at a minimum, equals 5 percent of the total patient care hours of all paid hospice employees and contract personnel. The documented annual usage for the year 2024 was 0.18%.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 1, 2026 | Complaint inspection by the state | No deficiencies cited |
| Jan 17, 2025 | Reaccreditation inspection by the Accreditation Commission for Health Care | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 20, 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): 15.8 nurse care minutes per routine home care day, 7.8% of skilled nursing minutes at weekends and a visit near death for 96.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 19% at home, 29% in assisted living, 1% in a nursing facility, 51% 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 | 15.8 min |
| Skilled nursing minutes at weekends | 7.8% |
| Visits near death | 96.5% of patients who died |
Who owns it?
- Curo Health Services LLC owns 100% directly since Mar 1, 2022.
- Curo Health Services LLC runs it.
- 8 owners or officers are people: Ronald C Lazas (corporate officer, 0%); David Robinson Arnold (corporate officer, 0%); David Robinson Arnold (runs it (operational or managerial control), 0%); Michael John Slattery (managing employee (under contract), 0%); Thomas Joseph Dolan (corporate officer, 0%); Melinda Hunnicutt (managing employee (on the payroll), 0%); David Allen Causby (corporate officer, 0%); Janet L Combs (corporate officer, 0%).
- 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 |
|---|---|---|---|
| Ch Services Midco Holdings Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Curo Health Services Holdings, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Charlotte Midco, LLC | Owns 5% or more through other companies | 100% | Aug 11, 2022 |
| Falcon Hospice, LP | Owns 5% or more through other companies | 100% | Aug 11, 2022 |
| Charlotte Buyer, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Curo Health Services LLC | Owns 5% or more directly | 100% | Mar 1, 2022 |
| Curo Health Services LLC | Runs it (operational or managerial control) | 100% | Jul 11, 2018 |
| Kah Hospice Company, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Ch Services Group Holdings Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Ch Services Holdings Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Cd&r Falcon Holdings, LP | Owns 5% or more through other companies | 60% | Aug 11, 2022 |
| Kentucky Homecare Parent Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Kentucky Homecare Holdings, Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Humana Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Centerwell Health Services Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
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): 84% rated it 9 or 10 out of 10, and 94% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 96.19% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 58.9% 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 5 hospices CMS’s data show serving patients in ZIP code 51401, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; this one had 6.
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 |
|---|---|
| St. Anthony Regional Hospital and Nursing Home | 9 |
| Gentiva This hospice | 6 |
| Care Initiatives Hospice - Sioux City | 11 |
| St Croix Hospice | 5 |
| Hospice of the Midwest, LLC | 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
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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.