Hearth Record

Optimal Care Hospice

A hospice in Carmel, Indiana 46032

600 E Carmel Drive Suite 144, Carmel, Indiana 46032. (317) 349-7015.

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 2 deficiencies in 1 month of the last 36. Last cited Mar 2025. 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?

2 deficiencies cited in the last three years

The middle of the 34 hospices serving ZIP code 46032 had 5.

The last inspection on record was on Mar 28, 2025: a reaccreditation 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

2 deficiencies in 1 month of the last 36. Last cited Mar 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

2 deficiencies 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.

Mar 28, 2025: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies

  • Content of plan of care (42 CFR 418.56(c))

    The inspectors’ words, 240 words

    “It is required that each patient’s individualized written plan of care: Identifies planned interventions based on problems identified in the initial and updated comprehensive assessments. This standard was not met as evidenced by clinical record review and interview. In 1 of 14 (7%) clinical records reviewed, it was revealed that the agency did not ensure that the plans of care included all interventions based on the needs of the patient identified in the comprehensive assessments. CLINICAL RECORD 5: The hospice benefit of the election was 11/26/2024 with a primary diagnosis of Alzheimer’s disease with secondary diagnoses of stage 3 pressure ulcer, and urinary and fecal incontinence. Wound care was managed by the facility staff. The nursing comprehensive assessment was documented on 02/10/2025 and included wound care change orders and documented that the patient was using Prostat (a nutrition drink) 3 times a day and the patient occasionally refused this. The updated plans of care on 02/18/2025, 03/04/2025, and 03/18/2025 noted slow healing wounds and decreasing oral intake but were not updated (as of the record review on 03/26/2025) to include interventions for the supplement or any other interventions specific to the nutritional concerns documented. During interview with the Administrator who reviewed the record and confirmed that the Prostat that the patient was using was not documented on the plan of care nor was the plan of care updated with interventions specific to the decline in nutrition noted in the assessments.”

    Rule L0545. Standard-level.

  • Hospice aide assignments and duties (42 CFR 418.76(g)(2)(i))

    The inspectors’ words, 184 words

    “It is required that a hospice aide provides services ordered by the Interdisciplinary Group and included in the plan of care. This standard was not met as evidenced by clinical record review and interview. In 1 of 12 (8%) clinical records reviewed, in which a hospice aide services were accepted, the agency did not ensure that the hospice aide followed all assigned tasks on the interdisciplinary ordered plan of care. CLINICAL RECORD 1: The hospice aide plans of care with effective dates of 11/07/2024 and 01/17/2025 both included the task “obtain weight on the first visit of each month.” The following dates were for the first aide visits of the month 12/02/2024, and 01/03/2025; they lacked documented evidence that a weight was obtained. The vital sign flow sheet, located in the clinical record, included a documented weight on 02/05/2025 and 02/13/2025 of 143 pounds, it is unclear who documented this weight. The record was jointly reviewed with the Administrator, on 03/26/2025, and during the interview they confirmed that the monthly weights were not obtained and documented by the aide per the care plan orders.”

    Rule L0626. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Mar 28, 2025Reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Jun 30, 2022.
  • Ownership: for-profit.
  • 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?

  • From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 9.4 nurse care minutes per routine home care day, 8.9% of skilled nursing minutes at weekends and a visit near death for 92.9% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 40% at home, 22% in assisted living, 33% in a nursing facility, 5% in a skilled nursing facility.
Source:

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

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day9.4 min
Skilled nursing minutes at weekends8.9%
Visits near death92.9% of patients who died

Who owns it?

  • Expect Exceptional, LLC owns 100% directly since Apr 11, 2024.
  • Careline Holdco, LLC runs it.
  • 8 owners or officers are people: William L Deary (owns 5% or more through other companies, 14.58%); Nicholas M Kielhorn (managing employee (under contract)); Joseph Donald Mead (corporate officer); Joseph Donald Mead (runs it (operational or managerial control)); Erik J Wilson (corporate officer); Laura C Boneham (managing employee (on the payroll)); Denise Boas (managing employee (on the payroll)); Ellen Kaehr (managing employee (under contract)).
  • 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
Expect Exceptional, LLCOwns 5% or more directly100%Apr 11, 2024
Careline Holdco, LLCOwns 5% or more through other companies82.05%Apr 11, 2024
Caring Health Equity Holding, LLCOwns 5% or more through other companies17.95%Sep 4, 2024
Careline Holdco, LLCRuns it (operational or managerial control)Aug 18, 2021

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).
  • 96.97% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 73.6% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
Source:

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

Ratings and measures, as published
MeasureRating
Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5Not 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 threshold9 of 10

How does it compare nearby?

  • Of the 34 hospices CMS’s data show serving patients in ZIP code 46032, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 2.
Source:

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

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

The 34 hospices CMS lists serving ZIP code 46032
PlaceDeficiencies, 3 years
The Care Team Hospice19
Optimal Care Hospice This hospice2
Anchor of Hope Hospice3
Luminary Hospice3
Select Hospice LLC5
Corsocare Hospice of Indiana, LLCNot given
Legacy Hospice LLC4
Compassus-Indianapolis Metro5
Indiana University Health Hospice8
Aseracare Hospice13
Main Street Hospice, LLC3
Suburban Hospice, Inc.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

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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