Hearth Record

Elite Hospice

A hospice in Lewiston, Idaho 83501

504 Main Street, Lewiston, Idaho 83501. (208) 576-6500.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited Jul 2024. Most serious: Standard-level. Every month

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?

1 deficiency cited in the last three years

The middle of the 5 hospices serving ZIP code 83501 had 2.

The last inspection on record was on Jul 17, 2024: an initial inspection by the Community Health Accreditation Partner.

Source:

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

1 deficiency in 1 month of the last 36. Last cited Jul 2024. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

1 deficiency by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Jul 17, 2024: initial inspection by the Community Health Accreditation Partner1 deficiency

  • Hospice aide assignments and duties (42 CFR 418.76(g)(1))

    The inspectors’ words, 357 words

    “It is required that hospice aides are assigned to a specific patient by a registered nurse who is a member of the Interdisciplinary Group. Written patient care instructions for a hospice aide are prepared by a RN who is responsible for the supervision of the hospice aide. This standard was not met as evidenced by clinical record review and interview. In 3 of 5 (60%) clinical records reviewed revealed that the agency did not ensure that the aide plan of care provided necessary information. Clinical Record 5: Initial SN assessment on 05/21/2024 and plan of care dated 05/21/2024 revealed that the patient had a football-shaped bandage on the whole foot, was on continuous oxygen, and had a foley catheter. The aide care plan dated 05/21/2024 did not include direction to the aide related to how to address the foley catheter, oxygen, or wound dressing. Clinical Record 6: SN initial assessment and plan of care dated 05/09/2024 revealed that the patient had a pressure ulcer on the right hip with orders to apply a dressing two times per week. The aide plan of care developed by RN on 05/09/2024 did not include any direction to the aide related how to manage bathing with a hip dressing. Clinical Record 7: SN initial assessment and election of benefit 05/24/2024. A new order was received on 06/06/2024 which read, “SN to cleanse left side of coccyx with wound cleanser, apply Silvasorb to wound bed. Cover with Mepilex dressing to be changed 2 x week and PRN. Plan of care update on 06/20/2024 read in part, “wound care, cleanse bilateral lower legs with wound cleanser, ABD pad to weeping areas. Apply 2-step wrap toes to just below knee using clean technique. The aide plan of care was created by the RN on 05/29/2024. There were no updates to the aide’s plan of care and no instructions to the aide related to wound care dressing sites. After review of clinical record and education on 07/15/2024, Director of Clinical Services confirmed there was lack of instruction to the aide on the care plan and stated in part, “Oh, that makes a lot of sense.””

    Rule L0625. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Jul 17, 2024Initial inspection by the Community Health Accreditation Partner1 deficiency cited

Is it certified?

  • Medicare-certified hospice since Aug 2, 2024.
  • CMS doesn’t list its type of ownership.
  • No deficiency or on record in the last three years.
Source:

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.
Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Who does the caring?

  • CMS hasn’t published nursing time from Medicare claims for this hospice.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Who owns it?

  • Paragon Healthcare, Inc. owns 100% directly since Jan 7, 2013.
  • 6 owners or officers are people: Kyle Ambrose (managing employee (on the payroll), 0%); Elizabeth Lefft Black (managing employee (under contract)); Brent Mills (corporate officer, 0%); Brent Guerisoli (corporate director, 0%); John Gochnour (corporate officer, 0%); Amber L Tueller (corporate officer, 0%).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
Paragon Healthcare, Inc.Owns 5% or more directly100%Jan 7, 2013
Cornerstone Healthcare Inc.Owns 5% or more through other companies100%Jan 7, 2013
The Pennant Group Inc.Owns 5% or more through other companies100%Oct 1, 2019

What do families say?

  • CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
  • CMS gives no Hospice Care Index for this hospice.
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

How does it compare nearby?

  • Of the 5 hospices CMS’s data show serving patients in ZIP code 83501, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2; this one had 1.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

The 5 hospices CMS lists serving ZIP code 83501
PlaceDeficiencies, 3 years
Heart ‘n Home Hospice5
Elite Hospice This hospice1
Hospice of North Idaho2
Advanced Home Care and Hospice of Coeur D’alene8
Elite Hospice0

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

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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