Paradigm Health
A hospice in Fort Wayne, Indiana 46818
10020 Lima Road Ste D, Fort Wayne, Indiana 46818. (317) 735-6001.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 23, 2026.
- 9 deficiencies cited in the last three years
- Not rated family caregiver rating
- Not available 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?
9 deficiencies cited in the last three years
The middle of the 12 hospices serving ZIP code 46818 had 9.
The last inspection on record was on Sep 5, 2024: an initial 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
9 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 5, 2024: initial inspection by the Accreditation Commission for Health Care9 deficiencies
-
Content of comprehensive assessment (42 CFR 418.54(c)(6))
“Upon patient record review, 1 of 9 (Patient #3) 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: Patient 3: The medication profile contains an order for Melatonin 3mg, the patient is taking Melatonin 10mg as per home visit finding. Caregiver states patient has had this medication for a couple of weeks. Corrected on site.”
-
Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 107 words
“Upon patient record review, 1 of 9 (Patient #1) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient 1: The SN documented down grading the patient’s diet to mechanical soft due to dysphagia on 7/20/24. The SN did not implement a risk for aspiration care plan. Corrected on site.”
-
Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 126 words
“Upon patient record review, 3 of 9 (Patient #1,3,5) 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: The POC 8/10/24 contains an order to cleanse the ear and to apply Aquaphor to the ear. There was no frequency or solution ordered to cleanse the ear with. Corrected on site. Patient 3: The POC 5/10/24 contains an order for Melatonin 3mg, the patient is taking Melatonin 10mg as per home visit finding. Corrected on site Patient 5: The POC 5/6/24 contains an order for a foley catheter to be placed with out a directive for the size french or balloon size. Corrected on site”
-
Content of plan of care (42 CFR 418.56(c)(5))
“Upon patient record review, 1 of 9 (Patient #2) 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 equipment and supply needs. Patient 2: The SN documented 7/22/24 that patient has a rollator and a fall mattress. These items have not been added to the POC.”
-
Review of the plan of care (42 CFR 418.56(d))
“Upon patient record review, 1 of 9 (Patient #1) did not have evidence that a revised plan of care includes information from the patient’s updated comprehensive assessment and must note the patient’s progress towards outcome/goals from the plan of care. Patient 1: The SN documented on 8/10/24 pt has skin breakdown on the ear. There was no risk skin impairment care plan initiated. Corrected on site.”
-
Program activities (42 CFR 418.58(c)(2))
“Upon observation, there was no evidence the hospice investigates all adverse events, incidents, accidents, variances or unusual occurrences that involve patient care and develops a plan of correction to prevent the same or similar event from occurring again. Patient 3: The SN documented on 8/16/24 that the patient stated “I had to grab on to the coffee table so I would not fall”. There was no incident report filed. Administrator agreed agency considered this occurrence as a fall.”
-
Competency evaluation (42 CFR 418.76(c))
“Upon personnel record review, 1 of 13 (Personnel #5) 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.) Personnel 5: The personnel file did not contain evidence of the aide’s competency included the Shampoo, sink, tub, and bed.”
-
Hospice aide assignments and duties (42 CFR 418.76(g)(2))
“Upon patient record review 1 of 9 (Patient #2) did not have evidence documentation in the patient record that a hospice aide provides services that are: Patient 2: The aide POC contained a directive to shampoo the hair the first visit of the week. There is evidence the aide performed shampooing on 7/29 & 8/1, 8/5 & 8/8, 8/14 & 8/15. There is no evidence the aide called the RN to gain permission to shampoo the hair twice weekly.”
-
Authentication (42 CFR 418.104(b))
The inspectors’ words, 142 words
“Upon patient client record review, 4 of 9 (Patient #2,3,4,6) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient 2: The SN documented on 7/29 “cg” the approved abbreviation for caregiver is CG. On 8/5 the SN documented wc, the approved abbreviation is w/c. On 8/19 the SN documented FN, the approved abbreviation is FSN. Patient 3: The SN documented on 5/21 “d/t” this is not an approved abbreviation. Patient 4: The SN documented on 8/19 “ABT”. This is not an approved abbreviation. Patient 6: The SN documented on 5/3/24 “Writer called xxx NP”. There is no NP named xxx.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 5, 2024 | Initial inspection by the Accreditation Commission for Health Care | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 12, 2024.
- CMS doesn’t list its type of ownership.
- 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?
- CMS hasn’t published nursing time from Medicare claims for this hospice.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
Who owns it?
- Plc Acquisition, LLC owns 100% directly since Jun 21, 2021.
- 6 owners or officers are people: Jenna Grimes (managing employee (on the payroll)); Sarah Sanger Lemke (other role (CMS gives no detail)); Andrew Worswick (corporate officer); Andrew Worswick (managing employee (on the payroll)); Karthik R Polsani (corporate director); Jessica Nagel (managing employee (on the payroll)).
- A private-equity firm is 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 |
|---|---|---|---|
| Plc Acquisition, LLC | Owns 5% or more directly | 100% | Jun 21, 2021 |
| Plc Intermediate, LLC | Owns 5% or more through other companies | 100% | Jun 21, 2021 |
| Plc Hc I, LLC | Owns 5% or more through other companies | 100% | Jun 21, 2021 |
| Cc Plc Splitter, LP | Owns 5% or more through other companies | 40.9% | May 6, 2025 |
| Cc Plc Blocker, LLC | Owns 5% or more through other companies | 40.9% | May 6, 2025 |
| Cressey & Company Fund VII-A LP | Owns 5% or more through other companies | 40.2% | May 6, 2025 |
| Cressey & Company Fund VII LP | Owns 5% or more through other companies | 33.6% | May 6, 2025 |
| Cc Plc Buyer, LLC | Owns 5% or more through other companies | 33.6% | May 6, 2025 |
| Havencrest Healthcare Partners II, LP | Owns 5% or more through other companies | 20.7% | May 6, 2025 |
| New York State Teachers’ Retirement System | Owns 5% or more through other companies | 5.5% | May 6, 2025 |
| Cressey & Company Gp VII LP | Owns 5% or more through other companies | 5.1% | May 6, 2025 |
| Plc Employee Holdings, Inc. | Owns 5% or more through other companies | 4.6% | May 6, 2025 |
| Cressey & Company LP | Owns 5% or more through other companies | 0% | May 6, 2025 |
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.
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
How does it compare nearby?
- Of the 12 hospices CMS’s data show serving patients in ZIP code 46818, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 9; this one had 9.
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 |
|---|---|
| Paradigm Health This hospice | 9 |
| Stillwater Hospice | 3 |
| Heartland Hospice (Ft Wayne) | 79 |
| Parkview Hospice | 9 |
| Eleos Hospice Care | 9 |
| Heart to Heart Hospice of Northeast Indiana, LLC | 3 |
| Transitions Fort Wayne, LLC | 0 |
| Interim Healthcare of Fort Wayne | 5 |
| Elara Caring | 30 |
| Paradigm Health | 5 |
| Transitions Indiana, LLC | 30 |
| Solace Hospice LLC | 10 |
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
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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.