Hearth Record

Gentiva

A hospice in Topeka, Kansas 66606

5375 SW 7th Street Suite 500, Topeka, Kansas 66606. (785) 246-6520.

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 5 deficiencies in 1 month of the last 36. Last cited May 2024. 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?

5 deficiencies cited in the last three years

The middle of the 10 hospices serving ZIP code 66606 had 4.5.

The last inspection on record was on May 10, 2024: a reaccreditation inspection by the Accreditation Commission for Health Care.

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

5 deficiencies in 1 month of the last 36. Last cited May 2024. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

5 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.

May 10, 2024: reaccreditation inspection by the Accreditation Commission for Health Care5 deficiencies
  • Content of comprehensive assessment (42 CFR 418.54(c)(6))

    The inspectors’ words, 136 words

    “Upon patient record review, 1 of 14 (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: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient 3: Patient has multiple pain medications present on medication record; Acetaminophen 325mg every 8 hours as needed for elevated temperature/pain and Hydrocodone 5mg-Acetaminophen 325mg every 4 hours as needed for pain. There is no further instruction for clarification of medication administration based upon pain rating, severity, or intensity. Further, there is no evidence of maximum dose instructions related to use of Acetaminophen containing medications.”

    Rule L0530. Standard-level.

  • Approach to service delivery (42 CFR 418.56(a)(1))

    The inspectors’ words, 101 words

    “Upon patient record review,1 of 14 (Patient #7) did not have evidence that a Registered Nurse is designated to ensure continuous assessment of the patient and family’s needs and to coordinate activities with other members of the interdisciplinary group (IDG). The IDG must work together and is responsible for supervision of the care and service for each patient and family. Patient 7: LPN documentation 5/8/24 reveals RN notification of “wrong labs” obtained on patient. No evidence found of RN follow up with facility and/or physician on incident, need for new or revised MD orders, or changes to the plan of care.”

    Rule L0540. Standard-level.

  • Content of plan of care (42 CFR 418.56(c)(4))

    The inspectors’ words, 148 words

    “Upon patient record review, 2 of 14 (Patient #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 3: Patient plan of care lists Acetaminophen 325mg every 8 hours as needed for elevated temperature/pain. Pt. also has Hydrocodone 5mg-Acetaminophen 325mg every 4 hours as needed for pain. There is no further instruction for clarification of medication administration based upon pain rating, severity, or intensity. Further, there is no evidence of maximum dose instructions related to use of Acetaminophen containing medications. Patient 5: Foley catheter initiated 4/12/24. Plan of care does not specify catheter size, whether this is to be completed by facility or hospice skilled nurse, additional instruction on replacing or reinserting as needed for occlusion or displacement, etc., or instructions/indications for flushing of catheter.”

    Rule L0549. Standard-level.

  • Supervision of hospice aides (42 CFR 418.76(h)(1))

    The inspectors’ words, 100 words

    “Upon patient record review 1 of 14 (Patient #1) did not have evidence documentation in the patient record that a Registered Nurse made an on-site visit to the patient’s home no less frequently than every 14 days to assess the quality of care and services provided by the hospice aide and to ensure that services ordered by the hospice interdisciplinary group meet the patient’s needs. Patient 1: RN visits were conducted on 4/11/24, 4/19/24, & 4/26/24. No evidence found of supervisory oversight or assessment of the quality of aide services provided to the patient between 4/3/24 - 4/29/24 (26 days).”

    Rule L0629. Standard-level.

  • Authentication (42 CFR 418.104(b))

    The inspectors’ words, 175 words

    “Upon patient client record review, 2 of 14 (Patient #2 & 5) 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: RN visit note on 5/7/24 indicates no pain per “staff observation” but the narrative note of same visit states patient complained of pain upon nurse entering room. Documentation is unclear as to congruency of pain assessment, interventions and re-assessment. Patient 5: Foley catheter initiated on 4/12/24. All SN and CNA documentation after that date reflects catheter remains in place. LVN documentation on 4/26/24 specifies there is no catheter in place with urinary incontinence. All SN and CNA documentation after this date reflects presence of urinary catheter. No evidence found of removal and reinsertion of catheter in SN notes, coordination notes, or patient orders. Catheter status at the LPN visit is unclear.”

    Rule L0679. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
May 10, 2024Reaccreditation inspection by the Accreditation Commission for Health Care5 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Dec 5, 2001.
  • 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): 16.6 nurse care minutes per routine home care day, 7.6% of skilled nursing minutes at weekends and a visit near death for 94.4% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 20% at home, 27% in assisted living, 30% in a nursing facility, 23% 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 day16.6 min
Skilled nursing minutes at weekends7.6%
Visits near death94.4% of patients who died

Who owns it?

  • Southerncare Holdings, Inc. owns 100% directly since Jun 6, 2014.
  • 9 owners or officers are people: Ronald C Lazas (corporate officer, 0%); Ronald C Lazas (corporate director, 0%); David Robinson Arnold (corporate officer, 0%); David Robinson Arnold (runs it (operational or managerial control), 0%); Thomas Joseph Dolan (corporate officer, 0%); David Allen Causby (corporate officer, 0%); David Allen Causby (corporate director, 0%); Janet L Combs (corporate officer, 0%); Victoria Mcclintock (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.
Source:

CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
Ch Services Midco Holdings Inc.Owns 5% or more through other companies100%Feb 5, 2015
Curo Health Services Holdings, Inc.Owns 5% or more through other companies100%Jun 6, 2014
Curo Hospice SC LLCOwns 5% or more through other companies100%Jun 6, 2014
Ksoc Holdings, Inc.Owns 5% or more through other companies100%Jun 6, 2014
Southerncare Holdings, Inc.Owns 5% or more directly100%Jun 6, 2014
Charlotte Midco, LLCOwns 5% or more through other companies100%Aug 11, 2022
Falcon Hospice, LPOwns 5% or more through other companies100%Aug 11, 2022
Charlotte Buyer, Inc.Owns 5% or more through other companies100%Jul 11, 2018
Curo Health Services LLCOwns 5% or more through other companies100%Jun 6, 2014
Kah Hospice Company, Inc.Owns 5% or more through other companies100%Mar 1, 2022
Ch Services Group Holdings Inc.Owns 5% or more through other companies100%Feb 5, 2015
Ch Services Holdings Inc.Owns 5% or more through other companies100%Feb 5, 2015
Cd&r Falcon Holdings, LPOwns 5% or more through other companies60%Aug 11, 2022
Kentucky Homecare Parent Inc.Owns 5% or more through other companies40%Aug 11, 2022
Kentucky Homecare Holdings, Inc.Owns 5% or more through other companies40%Aug 11, 2022
Humana Inc.Owns 5% or more through other companies40%Aug 11, 2022
Centerwell Health Services Inc.Owns 5% or more through other companies40%Aug 11, 2022

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): 73% rated it 9 or 10 out of 10, and 78% would definitely recommend it.
  • CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 98.73% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 78.9% 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 10 hospices CMS’s data show serving patients in ZIP code 66606, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4.5; this one had 5.
Source:

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

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

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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