Symbii Hospice
A hospice in Chubbuck, Idaho 83202
240 West Burnside Avenue, Suite B, Chubbuck, Idaho 83202. (208) 637-2273.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 2 deficiencies cited in the last three years
- 4of 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 8 hospices serving ZIP code 83202 had 3.5.
The last inspection on record was on Dec 18, 2024: 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
2 deficiencies in 1 month of the last 36. Last cited Dec 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.
Dec 18, 2024: recertification inspection by the state2 deficiencies
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 274 words
“Based on medical record review, policy review, and staff interview, it was determined the agency failed to ensure care and services were provided in accordance with the plan of care for 1 of 19 patients (Patients #11) whose record was reviewed. This had the potential to interfere with patient safety and coordination of patient care. Findings include: The Hospice had a policy titled, “;Pain Assessment” dated May 2024. The policy stated, “;The patients preferences for pain management will be reflected in the pain control measures selected.” This policy was not followed. An example includes: Patient #11 was an 89 year old female who was admitted to hospice on 06/11/24 with the primary diagnosis of atherosclerotic heart disease of native coronary artery with unspecified angina pectoris. Patient #11s medical record included a POC included “;Need for observation and assessment of altered comfort – Hospice” with the intervention of “;Monitor pain level using appropriate pain scale.” Patient #11s medical record documented a SN visit on 12/9/24 where the pain was assessed at a 5 and the narrative included “;Pt refused shower today due to breakthrough pain. Pt report intermittent pain to LLQ abdomen.” There was no additional pain management information recorded or a documented intervention to address pain. The DCS was interviewed on 12/17/24 beginning at 3:00 PM and Patient #11s medical record was reviewed. When asked about when an intervention for pain would be expected the DCS reported, “;Anything over a 3 [pain scale] would need an intervention.” The DCS confirmed there was not a documented intervention in Patient #11s medical record. The Hospice failed to ensure services outlined on Patient #11s POC were done.”
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Use & maintenance of equipment & supplies (42 CFR 418.106(f)(2))
The inspectors’ words, 375 words
“Based on direct observation, medical record review, policy review, and staff interview, it was determined the hospice agency failed to ensure the patient and assisted living facility received and acknowledged instructions of the safe use of DME, specifically oxygen tanks, for 1 of 3 patients (Patient #2) whose care was observed. This had the potential to lead to the misuse and handling of DME. Findings include: A hospice policy titled, “Storage, handling, and Access to Supplies and Gases, Policy No. 4-087.1”, revised May 2024, read: “Patients will receive, when appropriate, information and instruction regarding storage, handling, and access to supplies and medical gases.” This policy was not followed. An example includes: Patient #2 was an 80 year old female on hospice services since 10/03/24 with a terminal diagnosis of congestive heart failure. Patient #2 resided in an Assisted Living facility. A supervised nursing visit was conducted on 12/17/24 at 11:00 AM at the facility. Patient #2 used 4 liters of oxygen continuously via nasal cannula with an oxygen concentrator. It was noted the patient had 13 oxygen tanks stored in her room between her bed and the wall. Patient #2’s medical record was reviewed including the current plan of care. There was no mention of safe oxygen use and storage being taught to patient or facility. In an interview with Patient #2’s nurse on 12/17/24, starting at 11:50 AM, she was asked why the patient had 13 oxygen tanks currently in her room. The nurse stated the patient liked to go out frequently and used them when she was not in her room using the oxygen concentrator. The nurse confirmed this was not a safe environment for the patient. The nurse also confirmed there was no teaching of safe oxygen use documented in the patient medical record for this or previous hospice visits. The DCS was interviewed on 12/17/24 beginning at 3:00 PM. He was asked if it was typical to have 13 oxygen tanks in a patient room. The DCS confirmed this was not appropriate. The DCS contacted the DME company to inquire about these tanks and was told they delivered whatever was ordered for the patient. The hospice agency did not ensure safe oxygen use and storage was taught to patient and facility.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 18, 2024 | Recertification inspection by the state | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jul 25, 2006.
- 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): 11.7 nurse care minutes per routine home care day, 8.9% of skilled nursing minutes at weekends and a visit near death for 94.9% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 51% at home, 47% in assisted living, 1% 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 | 11.7 min |
| Skilled nursing minutes at weekends | 8.9% |
| Visits near death | 94.9% of patients who died |
Who owns it?
- Cornerstone Healthcare Inc. owns 100% directly since Jul 1, 2020.
- 7 owners or officers are people: Camielle B Tripp (managing employee (on the payroll), 0%); Brent Mills (corporate officer, 0%); Steven J Webster (managing employee (under contract), 0%); Brent Guerisoli (corporate officer, 0%); John Gochnour (corporate officer, 0%); Amber L Tueller (corporate officer, 0%); Elliot Mcmillan (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 |
|---|---|---|---|
| Cornerstone Healthcare Inc. | Owns 5% or more directly | 100% | Jul 1, 2020 |
| The Pennant Group Inc. | Owns 5% or more through other companies | 100% | Jul 1, 2020 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 86% rated it 9 or 10 out of 10, and 90% 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); 67.6% 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 | 4 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 8 hospices CMS’s data show serving patients in ZIP code 83202, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3.5; 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 |
|---|---|
| Symbii Hospice This hospice | 2 |
| Heritage Hospice | 9 |
| Aspen Hospice | 2 |
| Alliance Hospice of Idaho | 0 |
| Hands of Hope Hospice | 5 |
| Encompass Hospice of Eastern Idaho | 4 |
| Onesource Hospice | 4 |
| Solace Healthcare | 3 |
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.