Caring Cove Hospice LLC
A hospice in Mishawaka, Indiana 46545
3120 N Home Street, Suite B, Mishawaka, Indiana 46545. (574) 855-3017.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 4 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?
4 deficiencies cited in the last three years
The middle of the 14 hospices serving ZIP code 46545 had 5.
The last inspection on record was on Sep 26, 2024: 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
4 deficiencies in 1 month of the last 36. Last cited Sep 2024. 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 26, 2024: reaccreditation inspection by the Accreditation Commission for Health Care4 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 259 words
“Upon patient record review, 3 of 19 (Patient #1,3,4) 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 Upon home visit to SNF, observed the facility MAR contained two medication orders that were not on the medication profile. Zolpidem 5mg tablet at HS and Bisacodyl EC oral tablet 5mg, take 2 tablets every 23 hours as needed for constipation. . Corrected on site Patient #3 Upon home visit to ALF, observed facility MAR contained order for Escitalopram 20mg po daily and the hospice medication profile contained an order for Escitalopram10mg, take one tablet oral daily and also an order for Lexapro 20mg take one tablet oral daily. Corrected on site Patient #4 Upon home visit, surveyor observed medications in home did not match all meds and instructions as on the medication profile as follows: Norco 5/325mg tabs label instructed “one tablet three times daily”. Hospice medication profile contained that order and also an additional order for Norco 5/325mg “take one tablet every 4 hours As needed for pain”. There was no evidence of the PRN instruction at the home. The following medications were on the medication profile and not found in the home: Bisacodyl Suppository, Hyoscyamine sublingual tablets, and Morphine concentrate. Corrected on site”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 203 words
“Upon patient record review, 3 of 19 (Patient #1,3,4) 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 Upon home visit, observed the facility MAR contained two medication orders that were not on the hospice POC . Zolpidem 5mg tablet at HS and Bisacodyl EC oral tablet 5mg, take 2 tablets every 23 hours as needed for constipation. . Corrected on site Patient #3 Upon home visit, observed facility MAR contained order for Escitalopram 20mg po daily, which was not on the hospice POC. Corrected on site Patient #4 Upon home visit, surveyor observed medications in home did not match all meds and instructions in home, on the hospice POC as follows: Norco 5/325mg tabs label instructed “one tablet three times daily”. Hospice POC contained that order and also an additional order for Norco 5/325mg “take one tablet every 4 hours As needed for pain”. There was no evidence of the PRN instruction at the home. The following medications were on the hospice POC and not found in the home: Bisacodyl Suppository, Hyoscyamine sublingual tablets, and Morphine concentrate. Corrected on site”
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Competency evaluation (42 CFR 418.76(c))
“Upon personnel record review, 1 of 14 (Personnel #6) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) ·Appropriate and safe techniques in personal hygiene and grooming that include- ·(B) Sponge bath ·(C) Shampoo, sink, tub, and bed Personnel #6 Competency did not include a “sponge” bath, nor did it specify shampoo, “sink, tub, and bed”.”
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Discharge or transfer of care (42 CFR 418.104(e)(2))
“Upon client record review, 1 of 19 (Patient #18) 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 #18 Revoked benefit. The Discharge summary has a section that states: “Discharge Summary sent to Attending Physician”, this is marked “no”.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 26, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 4 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 2, 2021.
- 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): 13.9 nurse care minutes per routine home care day, 9.6% of skilled nursing minutes at weekends and a visit near death for 96.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 61% at home, 12% in assisted living, 4% in a nursing facility, 8% in a skilled nursing facility, 16% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 13.9 min |
| Skilled nursing minutes at weekends | 9.6% |
| Visits near death | 96.3% of patients who died |
Who owns it?
- 12 owners or officers are people: Jason Carrico (owns 5% or more directly, 14%); Danny Chimutu (owns 5% or more directly, 14%); Thomas J Sweeney (owns 5% or more directly, 14%); Ryan Brady (owns 5% or more directly, 14%); Dennis Carrico (owns 5% or more directly, 14%); John Costello (owns 5% or more directly, 14%); Jamie Mehta (owns 5% or more directly, 8%); Jennifer Costello (owns 5% or more directly, 8%); Jennifer Costello (corporate officer); Jennifer Costello (corporate director); Jennifer Costello (managing employee (on the payroll)); Dennis Carrico (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.
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 86.74% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 81.8% 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 14 hospices CMS’s data show serving patients in ZIP code 46545, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 4.
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 |
|---|---|
| The Center for Hospice and Palliative Care Inc. | 5 |
| Southerncare South Bend | 28 |
| Heart to Heart Hospice of Northern Indiana LLC | 5 |
| Comfort 1 Hospice, LLC | 7 |
| Caring Cove Hospice LLC This hospice | 4 |
| Heartland Hospice (Ft Wayne) | 79 |
| Traditions Health | 2 |
| Elara Caring | 30 |
| Aseracare Hospice | 8 |
| Paradigm Health | 5 |
| Dunes Hospice LLC | 21 |
| Ascent Hospice LLC | 4 |
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.