Advanced Home Care and Hospice of Coeur D’alene
A hospice in Coeur d’Alene, Idaho 83814
1450 Northwest Blvd Ste 103, Coeur d’Alene, Idaho 83814. (208) 769-0500.
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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 7 hospices serving ZIP code 83814 had 6.
The last inspection on record was on Feb 6, 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
8 deficiencies in 1 month of the last 36. Last cited Feb 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.
Feb 6, 2025: reaccreditation inspection by the Accreditation Commission for Health Care8 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 139 words
“Upon patient record review, 6 of 14 (Patient #1,4,5,6,7,8) 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 1,4,5,7: Duplicate drug therapy: Senna 8.6 tab PRN daily and Bisacodyl 10mg PRN daily for constipation listed on the active medication list. No evidence that instructions were given on which medication for constipation to take first. Corrected on site. Patient 6,8: Miralax 17gram orally once daily for constipation listed on the active medication list. No evidence that instructions were giving on how to diluent. Corrected on site.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 109 words
“Upon patient record review, 6 of 14 (Patient #1,4,5,6,7,8) 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 1,4,5,7: The record has an active order for Senna 8.6 1-4 tabs PRN daily and Fleet Bisacodyl supp 10mg PRN daily for constipation. No evidence that instructions were given on which medication for constipation to take first. Corrected on site. Patient 6,8: The record has an active order for Miralax 17gram powder orally once daily for constipation. No evidence that instructions were giving on how to diluent. Corrected on site.”
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Coordination of services (42 CFR 418.56(e)(2))
“Upon client record review, 1 of 14 (Patient #3) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 3: The record indicated that there was a missed RN visit on 12/25/2024 for “Holiday”. No evidence that the CG/patient refused or that an order was received to decrease the visit frequency for the week.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 139 words
“Upon patient record review 2 of 14 (Patient #3,5) 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 Patient 3: The record indicated that there was a missed aide visit on 11/15/2024 for “aide admitted to the hospital” with no evidence that CG/patient refused the visit or that an order was received to decrease the visit frequency for the week. Patient 5: The record indicated that there was a missed aide visit on 11/25/2024 for “aide sick” with no evidence that CG/patient refused the visit or that an order was received to decrease the visit frequency for the week.”
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Supervision of hospice aides (42 CFR 418.76(h)(1))
The inspectors’ words, 119 words
“Upon patient record review 2 of 14 (Patient #1,7) 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 1: No evidence that a registered nurse made an on-site visit every 14 days between the following dates: 12/11/2024 and 12/26/2024, 15 days between on-site visits. Patient 7: No evidence that a registered nurse made an on-site visit every 14 days between the following dates: 11/27/2024 and 12/17/2024, 20 days between on-site visits.”
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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 volunteer usage for the year 2024 was 2.95%.”
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Content (42 CFR 418.104(a)(2))
“Upon patient client record review, 1 of 14 (Patient #10) 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 10: No evidence that the election statement was signed by the representative at the time of admit. The representative’s name was printed on the form but the signature was blank.”
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Discharge or transfer of care (42 CFR 418.104(e)(2))
“Upon client record review, 1 of 14 (Patient #12) did not have evidence that if a patient revokes the election of hospice care or is discharged from hospice in accordance with §418.26, the hospice must forward to the patient’s attending physician: • A copy of the hospice discharge summary • The patient’s clinical record, if requested Patient 12: No evidence that a discharge summary was completed or sent to the attending.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 6, 2025 | Reaccreditation inspection by the Accreditation Commission for Health Care | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Feb 13, 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): 10.6 nurse care minutes per routine home care day, 3.2% of skilled nursing minutes at weekends and a visit near death for 91.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 26% at home, 73% in assisted living, 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 | 10.6 min |
| Skilled nursing minutes at weekends | 3.2% |
| Visits near death | 91.5% of patients who died |
Who owns it?
- Lhm Man Hhh LLC owns 100% directly since Jul 1, 2024.
- 4 owners or officers are people: Jaren Draper (managing employee (on the payroll), 100%); Steven Starks (corporate officer); Forest Arnett (corporate officer); Michael G Meza (managing employee (under contract)).
- 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 | 70% | Jan 1, 2021 |
| The Karen Gail Miller Irrevocable Trust for the Benefit of Stephen F. | Owns 5% or more through other companies | 5% | Jan 1, 2026 |
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): 79% rated it 9 or 10 out of 10, and 82% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 92.71% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 57.2% 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 7 hospices CMS’s data show serving patients in ZIP code 83814, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; 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 |
|---|---|
| Crest Home Health and Hospice, LLC | 4 |
| Auburn Crest Hospice | 6 |
| Gentiva Hospice | 9 |
| Advanced Home Care and Hospice of Coeur D’alene This hospice | 8 |
| Hospice of North Idaho | 2 |
| Eden Hospice at the Inland Northwest LLC | 18 |
| Elite Hospice | 0 |
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.