Choice Hospice
A hospice in Overland Park, Kansas 66210
7500 College Blvd Ste 535, Overland Park, Kansas 66210. (316) 618-9288.
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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
- 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?
9 deficiencies cited in the last three years
The middle of the 31 hospices serving ZIP code 66210 had 4.
The last inspection on record was on Mar 28, 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 Mar 2024. 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.
Mar 28, 2024: initial inspection by the Accreditation Commission for Health Care9 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 167 words
“Upon patient record review, 3 of 14 (Patient #3, #6, #7) 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: Daughter reported changes in patient medication that are older than last SN visit. Daughter reported discontinuing, Escitalopram, Forteo, Wellbutrin and Hydrocodone. Corrected on site with Director of Clinical Services providing written plan of correction to address with staff. Patient #6: Records indicate oxygen order on POC however, there is no evidence of oxygen on Medication profile upon SOC on 9/22/23 until date of survey 03/28/24. Patient #7: Records indicate oxygen order on POC however, there is no evidence of oxygen on Medication Profile upon SOC on 01/26/24 until date of survey 03/28/24.”
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Plan of care (42 CFR 418.56(b))
“Upon patient record review, 1 of 14 (Patient #3) did not have evidence that each patient and family received education and training provided as appropriate to their responsibilities for the care and services identified in the plan of care. Patient #3: Records indicated that there was no evidence of patient/family receiving teaching of symptom management, level of their understanding and the patients level of progress towards meeting goals including written instructions provided to the patient/family on 2/13/24, 2/15/24, 2/20/24, and 2/22/24.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 96 words
“Upon patient record review, 1 of 14 (Patient #5) 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 #5: Record indicate worsening dyspnea contributing to patient decline with no evidence of any interventions performed upon SOC on 10/23/23.”
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Content of plan of care (42 CFR 418.56(c)(1))
“Upon patient record review, 1 of 14 (Patient #3) did not have evidence that the plan of care includes all services necessary for the palliation and management of the terminal illness and related conditions which including interventions to manage pain and symptoms. Patient #3: Records indicate that there was no evidence of interventions performed to manage active symptoms, dyspnea, hallucinations and irregular heart rate, on 2/13/24, 2/15/24, 2/20/24, and 2/22/24.”
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Coordination of services (42 CFR 418.56(e)(4))
“Upon patient record review, 1 of 14 (Patient #3) did not have evidence that the IDG documents the sharing of information between all disciplines providing care and services in all settings, whether the care and services are provided directly or under arrangement. Patient #3: Records indicate that RN Comprehensive Assessment identified abnormal symptoms of disabling dyspnea with use of accessory muscles, hallucinations, bounding, irregular heartbeat with amber color urine in collection bag with sediment on 2/13/24, 2/15/24, 2/20/24, and 2/22/24. No evidence of Medical Director notification of active symptoms.”
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Prevention (42 CFR 418.60(a))
“Upon observation, there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. During on site visit with nurse , there was no evidence that RN was following agency policy for bag technique. Policy was reviewed on site.”
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Supervision of hospice aides (42 CFR 418.76(h)(1))
The inspectors’ words, 95 words
“Upon patient record review 2 of 14 (Patient #5, #6) 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 # 5: Records indicate there is no evidence of HHA supervisory visit between 10/25/23-11/28/23. Patient #6: Records indicate there is no evidence of HHA supervisory visit between 09/25/23-11/29/23.”
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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.”
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Authentication (42 CFR 418.104(b))
“Upon patient client record review, 1 of 14(Patient #1) 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 #1: Records indicate that patient/family signed Change of Choice of attending form on 6/16/23 however, agency form required signature of new Attending physician which was blank. SOC, 06/16/23”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 28, 2024 | Initial inspection by the Accreditation Commission for Health Care | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Nov 4, 2020.
- 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): 15.1 nurse care minutes per routine home care day, 8.1% of skilled nursing minutes at weekends and a visit near death for 98.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 34% at home, 18% in assisted living, 49% 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 | 15.1 min |
| Skilled nursing minutes at weekends | 8.1% |
| Visits near death | 98.4% of patients who died |
Who owns it?
- Kindful Hospice I, LLC owns 100% directly since Feb 16, 2021.
- 7 owners or officers are people: David Jackson (owns 5% or more through other companies, 9.69%); Katrina Lanier (corporate officer, 0%); David Jackson (corporate officer, 0%); David Jackson (corporate director, 0%); Katie Elizabeth Sandlin (managing employee (on the payroll), 0%); Kasey Kennedy (managing employee (on the payroll)); Troy A Holdeman (managing employee (under contract), 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 |
|---|---|---|---|
| Choice Health at Home Holdings, LLC | Owns 5% or more through other companies | 100% | Dec 29, 2021 |
| Kindful Hospice I, LLC | Owns 5% or more directly | 100% | Feb 16, 2021 |
| Tcfiii Ch LLC | Owns 5% or more through other companies | 100% | Dec 29, 2021 |
| Choice Health at Home, LLC | Owns 5% or more through other companies | 100% | Dec 29, 2021 |
| Choice Hospice of Oklahoma LLC | Owns 5% or more through other companies | 100% | Dec 29, 2021 |
| Tcfiii Ch Investor LLC | Owns 5% or more through other companies | 65.43% | Dec 29, 2021 |
| Trive Capital Fund III LP | Owns 5% or more through other companies | 64.37% | Dec 29, 2021 |
| Tcfiii Ch Spv LP | Owns 5% or more through other companies | 35.63% | Dec 29, 2021 |
| Coltala Choice, LLC | Owns 5% or more through other companies | 16.61% | Dec 29, 2021 |
| Choice Rehab Holdings, Inc. | Owns 5% or more through other companies | 8.93% | Dec 29, 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).
- 69.57% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 50% 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 31 hospices CMS’s data show serving patients in ZIP code 66210, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; 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 |
|---|---|
| Faith Hospice Inc. | 1 |
| Faith Hospice Care | 5 |
| Traditions Health | 8 |
| Choice Hospice This hospice | 9 |
| Sunset Hospice LLC | 4 |
| Catholic Comm Hospice | Not given |
| Kansas Palliative & Hospice Care | 7 |
| Ascend Hospice | 3 |
| Kansas City Hospice and Palliative Care | 0 |
| Interim Healthcare of Kansas City, Inc. | Not given |
| Harbor Hospice of Kansas LP | 6 |
| Phoenix Home Care and Hospice | 2 |
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.