Aspen Home Care and Hospice
A hospice in Meridian, Idaho 83642
2950 E Magic View Dr Ste 188, Meridian, Idaho 83642. (208) 401-9153.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 9 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?
9 deficiencies cited in the last three years
The middle of the 23 hospices serving ZIP code 83642 had 5.
The last inspection on record was on Jul 10, 2025: a reaccreditation inspection by the Accreditation Commission for Health Care.
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
9 deficiencies in 1 month of the last 36. Last cited Jul 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.
Jul 10, 2025: reaccreditation inspection by the Accreditation Commission for Health Care9 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
“Upon patient record review 1 of 14 (Patient #10) did not have evidence in the patient record that the hospice interdisciplinary group, in consultation with the individual’s attending physician (if any), completed the comprehensive assessment no later than 5 calendar days after the election of hospice care Patient #10 - The patient was admitted on 5/01/25. The spiritual care assessment was completed on 05/07/25.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 109 words
“Upon patient record review, 1 of 14 (Patient #10) 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 #10 - Medication profile contained Triamcinolone 0.1% ointment apply 1 application 2 x day to rash - did not specify amount to apply or site. Azelastine 0.5% 1 drop once a day - did not specify which eye.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 122 words
“Upon patient record review, 3 of 14 (Patient #10, 11, 14) 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. Medications #10 - Medication order Triamcinolone 0.1% ointment apply 1 application 2 x day to rash - did not specify amount to apply or site. Azelastine 0.5% 1 drop once a day - did not specify which eye. #11 - Order for catheter to be changed monthly. Foley catheter changed twice in May and no Foley catheter change in June. #14 - Order for urine specimen for C&S did not specify type of specimen - clean catch or in and out catheter.”
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Review of the plan of care (42 CFR 418.56(d))
“Upon patient record review, 1 of 14 (Patient #6) did not have evidence that a revised plan of care includes information from the patient’s updated comprehensive assessment and must note the patient’s progress towards outcome/goals from the plan of care. Patient #6 - The record indicated a PRN visit by the RN on 05/10/25 due to pain secondary to constipation. There was no evidence the care plan was revised to include new problem of constipation.”
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Coordination of services (42 CFR 418.56(e)(2))
“Upon patient record review, 1 of 14 (Patient #6) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #6 - No order for digital exam or removal of impaction performed by RN on 05/10/25.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 148 words
“Upon patient record review, 1 of 14 (Patient #5) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient #5 - The aide written instructions indicated to provide a complete bath every visit, it does not specify bed, chair or shower.”
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Supervision of hospice aides (42 CFR 418.76(h)(1))
The inspectors’ words, 131 words
“Upon patient record review 3 of 14 (Patient #6, 8, 13) did not have evidence documentation in the patient record that a Registered Nurse made an on-site visit to the patient’s home no less frequently than every 14 days to assess the quality of care and services provided by the hospice aide and to ensure that services ordered by the hospice interdisciplinary group meet the patient’s needs. Patient #6 - The record indicated that an aide supervisory visit was conducted on 05/14/25 and not again until 05/29/25 (15 days). Patient #8 - The record indicated that an aide supervisory visit was conducted on 05/18/25 and not again until 06/09/25. Patient #13 - The record indicated that an aide supervisory visit was conducted on 06/11/25 and not again until 06/26/25 (15 days).”
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Content (42 CFR 418.104(a)(2))
“Upon patient record review, 1 of 14 (Patient #11) did not have evidence that each patient record contains: • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 Patient #11 - Patient admitted 05/14/25 and requested Patient Notification of Hospice Non-Covered Items. This document was not created until 05/20/25 and provided to patient/cg on 05/22/25.”
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Authentication (42 CFR 418.104(b))
The inspectors’ words, 98 words
“Upon patient record review, 1 of 14 (Patient #14) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #14 - SN visit note 06/19/25 documented “urine specimen obtained and dropped off for C&S” and “blood draw was delivered to lab for CBC, SER and CRP”, lack of details of documentation of how urine or blood obtained.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 10, 2025 | Reaccreditation inspection by the Accreditation Commission for Health Care | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 5, 2019.
- 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): 12.4 nurse care minutes per routine home care day, 8.4% of skilled nursing minutes at weekends and a visit near death for 98% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 44% at home, 53% in assisted living, 3% 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 | 12.4 min |
| Skilled nursing minutes at weekends | 8.4% |
| Visits near death | 98.0% of patients who died |
Who owns it?
- Lhm Man Hhh LLC owns 100% directly since Jul 1, 2024.
- 4 owners or officers are people: Steven Starks (corporate officer); Forest Arnett (corporate officer); Warren Hunter Looney (managing employee (under contract)); Luke F Cable (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 |
|---|---|---|---|
| Advanced Health Care - Larry H Miller Corporation | Owns 5% or more through other companies | 100% | Jan 1, 2021 |
| Lhm Man Hhh LLC | Owns 5% or more directly | 100% | Jul 1, 2024 |
| The Gail Miller Gst Trust | Owns 5% or more through other companies | 72.27% | Jan 1, 2024 |
| Karen Gail Miller Irrev Tr Fbo Zane Miller | Owns 5% or more through other companies | 5.1% | Jan 1, 2024 |
| The Karen Gail Miller Irrevocable Trust for the Benefit of Stephen F. | Owns 5% or more through other companies | 5.1% | Jan 1, 2024 |
| The Karen Gail Miller Irrevocable Trust for the Benefit of Roger L. Mi | Owns 5% or more through other companies | 5.1% | Jan 1, 2024 |
| The Karen Gail Miller Irrevocable Trust for the Benefit of Karen R. WI | Owns 5% or more through other companies | 5.1% | Jan 1, 2024 |
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): 71% rated it 9 or 10 out of 10, and 75% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 94.9% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 72.9% 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 23 hospices CMS’s data show serving patients in ZIP code 83642, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 9.
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 Luke’s Home Care / Hospice | 4 |
| Horizon Hospice | Not given |
| Harrison’s Hope | 8 |
| Aspen Home Care and Hospice This hospice | 9 |
| Bluebird Hospice | 15 |
| Terrace Hospice | 8 |
| Copper Falls Hospice LLC | 5 |
| Aarondale Hospice | 1 |
| Idaho Home Health & Hospice | 1 |
| Enhabit Home Health & Hospice | 0 |
| Horizon Hospice West | 4 |
| Heart N Home Hospice & Palliative Care | 5 |
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.