Clay County Health Department
A hospice in Flora, Illinois 62839
601 East 12th Street, Flora, Illinois 62839. (618) 662-4406.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 2 deficiencies cited in the last three years
- Not rated family caregiver rating
- 10of 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?
2 deficiencies cited in the last three years
The middle of the 6 hospices serving ZIP code 62839 had 4.5.
The last inspection on record was on Sep 23, 2026: 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 Sep 2026. 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.
Sep 23, 2026: recertification inspection by the state2 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
The inspectors’ words, 225 words
“Based on document review and interview, it was determined that for 10 out of 14 records (records P#1, P#2, P#3, P#4, P#5, P#6, P#8, P#10, P#11, and P#13), the Hospice failed to complete the comprehensive assessment within 5 days after the election of hospice. Findings include:1. A review of ten out of fourteen records indicated the comprehensive assessment by the interdisciplinary team was not completed within 5 days. The following was noted - Pt#1, Start of care (SOC) 07/20/26 and comprehensive assessment completed 08/14/26.Pt#2, SOC 5/22/26 and comprehensive assessment completed on 06/05/26.Pt#3, SOC 07/23/26 and comprehensive assessment completed on 07/31/26.Pt#4, SOC 09/16/26 and comprehensive assessment is scheduled for 09/25/26.Pt#5, SOC 08/05/26 and comprehensive assessment completed on 08/14/26.Pt#6, SOC 05/14/25 and comprehensive assessment completed on 05/23/26.Pt#8, SOC 09/01/26 and comprehensive assessment completed on 09/11/26.Pt#10, SOC 09/29/25 and comprehensive assessment completed on 10/10/25.Pt#11, SOC 0/01/26 and comprehensive assessment completed on 05/08/26.Pt#13, SOC 07/11/25 and comprehensive assessment completed on 07/18/25. 2. A policy related to the completion of the Comprehensive Assessment was requested on 9/22/26. No policy was provided. 3. An interview was conducted on 9/23/2026 at approximately 12:00 PM, with the Director of Home Health and Hospice, (E#1). E #1 reviewed the records and verbally agreed that the assessments were not completed and stated, “I did not know that was required... We will fix it moving forward.””
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Infection control (42 CFR 418.110(j))
The inspectors’ words, 149 words
“Based on record review and interview, the Hospice facility failed to ensure its infection control program addressed the risk of transmission of infectious and communicable diseases for hospice volunteers, including tuberculosis (lung disease) (TB) and Hepatitis B (liver infection caused by a virus). 1.The review of 4 of 4 volunteer personnel records (E #4, E #5, E#6, and E #7) revealed the hospice facility did not have evidence of required TB screening/evaluation and Hepatitis B-related infection control measures with the volunteers who directly interact with patients. 2. An interview was conducted on 9/23/26 at 1:30 PM with Hospice director (E #1). While discussing required screening for tuberculosis and Hepatitis B for all persons involved in patient care, E #1 stated, “We didn’t know we needed to do that with our volunteers, but they are in direct contact with our patients.” E #1 verbally agreed to do this moving forward.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 23, 2026 | Recertification inspection by the state | 2 deficiencies cited |
| Nov 14, 2024 | Complaint inspection by the state | No deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jul 16, 2003.
- Ownership: government.
- 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): 12.8 nurse care minutes per routine home care day, 8.1% of skilled nursing minutes at weekends and a visit near death for 87.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 64% at home, 13% in assisted living, 22% 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 | 12.8 min |
| Skilled nursing minutes at weekends | 8.1% |
| Visits near death | 87.3% of patients who died |
Who owns it?
- Clay County Health Department owns 100% directly since Feb 11, 2003.
- 14 owners or officers are people: Brandi K Young (managing employee (on the payroll), 100%); Lisa Cash (corporate director); Barb Mcgrew (corporate director); Joe Mccoy (corporate director); Christine Boyd (corporate director); Scott Christopher Suntrup (corporate director); Joel L Hackney (corporate director); Jeffery Workman (managing employee (on the payroll)); Jeffery Workman (runs it (operational or managerial control)); Jon R Wells (corporate director); Larry C Rinehart (corporate director); Michael P Klingler (corporate director); Brandon L Cycholl (corporate director); Cathy Croy (corporate director).
- 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 |
|---|---|---|---|
| Clay County Health Department | Owns 5% or more directly | 100% | Feb 11, 2003 |
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): 88% rated it 9 or 10 out of 10, and 94% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 50% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 50.5% 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 | 10 of 10 |
How does it compare nearby?
- Of the 6 hospices CMS’s data show serving patients in ZIP code 62839, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4.5; 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 |
|---|---|
| Clay County Health Department This hospice | 2 |
| Carle Hospice | 0 |
| SSM Hospice of Illinois | 7 |
| Residential Hospice of Southern Illinois | 10 |
| Good Samaritan Hospice | 6 |
| Hshs Hospice Illinois | 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.