Elara Caring VII
A hospice in Springfield, Illinois 62704
1999 Wabash Ave, Springfield, Illinois 62704. (217) 210-8457.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 7 deficiencies cited in the last three years
- 2of 5 family caregiver rating
- 10of 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?
7 deficiencies cited in the last three years
The middle of the 12 hospices serving ZIP code 62704 had 6.
The last inspection on record was on Feb 19, 2026: 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
7 deficiencies in 1 month of the last 36. Last cited Feb 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
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 19, 2026: reaccreditation inspection by the Accreditation Commission for Health Care7 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 169 words
“Upon patient record review, 3 of 19 (Patient #6, 16, 19) 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 #6 - Metamucil did not contain specific ounces of water to mix with one packet of Metamucil. Oxygen 2-10L/M per nasal cannula did not have titration specifics. Patient #16 - Hospice medication profile contained Nystatin and Methadone but not on ALF medication profile. ALF medication profile contained Tylenol 325mg 2 tabs every 6 hours PRN pain but not on hospice medication profile. Patient #19 - SNF medication profile contained Tylenol 500mg 1 tabs every 6 hours PRN pain and Nystatin Powder apply every shift under breast and abdominal fold but not on hospice medication profile.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 102 words
“Upon patient record review, 1 of 19 (Patient #12) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient’s family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient’s death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient #12 - The patient was admitted on 12/14/25. There was no evidence of a bereavement risk assessment at the time of the survey.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 2 of 19 (Patient #7,11) 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 #7 - POC order for wound care to right forearm change daily and PRN did not have modifier for PRN. Patient #11 - The record indicated that the patient had a foley catheter. There was no evidence of an order for foley catheter changes.”
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Coordination of services (42 CFR 418.56(e)(2))
“Upon client record review, 1 of 19 (Patient #17) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #17 - The record indicated that the patient had a volunteer visit on 01/28/26. There was no evidence of an order for volunteer.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 186 words
“Upon patient record review 5 of 19 (Patient #7, 10, 13, 16, 19) 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 #7 - The aide documented completion of a sponge bath; the aide plan of care indicated a shower on 02/10/26, 02/13/26 and 02/17/26. Patient #10 - Aide frequency 2 x week and only 1 visit was made the week of 02/08/26. Patient #13 - The aide plan of care indicated for ear care to be done 1x week, this was completed 2x week on 01/13/26 and 02/01/26. Patient #16 - The aide plan of care indicated for nail care, shaving and linen change to be done 1x week, the tasks were completed 2 x week 11/16/25 and 01/19/26. Patient #19 - The aide plan of care indicated for nail care to be done 1x week, this was completed 2x week 01/04/26 and 01/25/26.”
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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 agency did not utilize at least 5% of the total patient care hours in 2025. The total usage of volunteers for 2025 was 2.09%.”
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Hospice plan of care (42 CFR 418.112(d)(1))
The inspectors’ words, 109 words
“Upon client record review, 2 of 19 (Patient #7, 11) did not have evidence that the hospice plan of care identifies the care and services that are needed and specifically identify which provider (nursing facility or hospice) is responsible for performing the respective functions that have been agreed upon and included in the hospice plan of care. Patient #7 - SNF resident admitted 12/23/25 with wound care to right forearm. There is no documented evidence of which provider is to provide wound care to the patient. Patient #11 - SNF resident admitted 10/29/25 with foley catheter. There is no documented evidence of which provider is to change foley catheter.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 19, 2026 | Reaccreditation inspection by the Accreditation Commission for Health Care | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since May 9, 2017.
- 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): 12.9 nurse care minutes per routine home care day, 8% of skilled nursing minutes at weekends and a visit near death for 93.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 41% at home, 40% in assisted living, 19% in a nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.9 min |
| Skilled nursing minutes at weekends | 8% |
| Visits near death | 93.1% of patients who died |
Who owns it?
- Great Lakes Acquisition Corp. owns 100% directly since Jan 27, 2017.
- 11 owners or officers are people: Daniel R Manley (corporate officer); Ananth P Mohan (corporate officer); Ananth P Mohan (corporate director); John Mcmahon (corporate officer); Katie L Monastiere (managing employee (on the payroll)); Joshua Gotbaum (corporate officer); Elizabeth S Swanson (managing employee (on the payroll)); Harvey Tepner (corporate officer); Bhavin Vallabhbhai Sonani (managing employee (under contract), 0%); Pj Dunkirk (managing employee (on the payroll)); Andrea L Jarrett (managing employee (on the payroll), 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 |
|---|---|---|---|
| GL Holding Corp. | Owns 5% or more through other companies | 100% | Jan 27, 2017 |
| Bw Homecare Holdings LLC | Owns 5% or more through other companies | 100% | Jan 27, 2017 |
| Elara Holdings, L.L.C. | Owns 5% or more through other companies | 100% | Dec 30, 2019 |
| Great Lakes Acquisition Corp. | Owns 5% or more directly | 100% | Jan 27, 2017 |
| Bw GL Holdings Inc. | Owns 5% or more through other companies | 100% | Jan 27, 2017 |
| Bw Nhhc Holdco, LLC | Owns 5% or more through other companies | 100% | Jan 27, 2017 |
| Gl Superholding Corp. | Owns 5% or more through other companies | 100% | Jan 27, 2017 |
| Bw Nhhc Co-Invest, L.P. | Owns 5% or more through other companies | 42.85% | Jul 1, 2023 |
| Kia Ix (Hh) Investor, L.P. | Owns 5% or more through other companies | 40.27% | Jul 1, 2023 |
| Kelso Hh Co-Investment, L.P. | Owns 5% or more through other companies | 19.2% | Dec 30, 2019 |
| Kelso Investment Associates Ix, L.P. | Owns 5% or more through other companies | 15.68% | Dec 30, 2019 |
| Blue WOLF Capital Fund III L.P. | Owns 5% or more through other companies | 11.13% | Jul 1, 2023 |
| Bw III Homecare Holdings, LLC | Owns 5% or more through other companies | 11.13% | Jul 1, 2023 |
| Stepstone H Opportunities Fund, L.P. | Owns 5% or more through other companies | 8.78% | Dec 30, 2019 |
| Stepstone K Strategic Opportunities Fund II L.P. | Owns 5% or more through other companies | 5.48% | Dec 30, 2019 |
| Ironsides Direct Investment Fund IV, L.P. | Owns 5% or more through other companies | 4.94% | Dec 30, 2019 |
| Uss-Constitution Co-Investment Fund II, L.P. | Owns 5% or more through other companies | 4.94% | Dec 30, 2019 |
| Kep VI LLC | Owns 5% or more through other companies | 4.52% | Dec 30, 2019 |
What do families say?
- Family caregivers rate it 2 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 79% rated it 9 or 10 out of 10, and 78% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.6% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 60.7% 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 | 2 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 | 10 of 10 |
How does it compare nearby?
- Of the 12 hospices CMS’s data show serving patients in ZIP code 62704, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 7.
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 |
|---|---|
| Gentiva | 10 |
| Elara Caring VII This hospice | 7 |
| Moments Hospice of Springfield LLC | 2 |
| Hospice Care of Illinois | 9 |
| Hands of God Hospice | 1 |
| Enhabit Hospice | 0 |
| Lightways Hospice and Serious Illness Care | Not given |
| Traditions Health | 6 |
| Residential Hospice of Southern Illinois | 10 |
| Heartland Hospice (Fairview Heights) | 36 |
| Hshs Hospice Illinois | 3 |
| Transitions Hospice Central Illinois LLC | 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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.