Monarch Hospice & Palliative Care
A hospice in Shawnee, Kansas 66203
7451 Switzer Rd, Suite 100, Shawnee, Kansas 66203. (913) 730-8080.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 2 deficiencies cited in the last three years
- 5of 5 family caregiver rating
- 10of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- 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 29 hospices serving ZIP code 66203 had 4.
The last inspection on record was on Apr 26, 2024: a reaccreditation inspection by the Community Health Accreditation Partner.
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 Apr 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.
Apr 26, 2024: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies
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Hospice aide assignments and duties (42 CFR 418.76(g)(2)(ii))
The inspectors’ words, 294 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 18 (6%) clinical records reviewed, in which hospice aide services were accepted, it was revealed that the agency did not ensure the aide provided services as ordered by the Interdisciplinary Group and included in the plan of care. Clinical Record 12: The plan of care, effective 03/08/2024 through 05/06/2024, included a frequency of visits for the aide of two (2) visits per week. The hospice aide care plan, last updated 11/04/2023, instructed the aide to provide the patient a shower one (1) time per week and a bed bath one (1) time per week. The aide completed visits on 03/13/2024, 03/15/2024, 03/20/2024, and 03/22/2024 and documented in the visit summary for each visit that the aide had placed the patient in the facility’s whirlpool, and once clean and dry, applied powder to all skin folds. The clinical record did not contain documented evidence that the aide’s care plan was updated to include a whirlpool bath and powder application to skin folds or that the Registered Nurse provided verbal instructions to the aide to perform the identified tasks. On 04/25/2024 joint clinical record reviews and interviews were conducted with the Vice President of Clinical Operations, Director of Clinical Services, Administrator, and Chief Executive Officer who confirmed that the aide’s care plan did not include instructions for the aide to perform a whirlpool bath or to apply powder to the patient’s skin folds and that the clinical record did not contain evidence that the RN had provided verbal instructions to provide tasks not included on the aide’s care plan.”
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Content (42 CFR 418.104(a)(7))
The inspectors’ words, 372 words
“It is required that a patient clinical record containing past and current findings is maintained for each hospice patient. The record contains correct clinical information that is available to the patient’s attending physician and hospice staff. The record may be maintained electronically or on paper. Each patient’s record includes at a minimum, physician orders. This standard was not met as evidenced by clinical record review, document review and interview. In 2 of 19 (11%) clinical records reviewed it was revealed that the agency did not ensure the clinical record included physician orders for all care and services provided. Document 5: The agency’s policy titled, “PC.M50 Medication – Orders (Copyright 2021),” stated in part, “Verbal and signed orders for medications are documented in the patient’s clinical record and the medication profile is updated accordingly. Clinical Record 2: The plan of care for the current benefit period wad dated 04/02/2024 through 06/30/2024. On 04/24/2024, Home Visit 2 (two) was completed with the Chaplain (Staff 4). A copy of the assisted living facility’s “Physician’s Order report was compared to the hospice plan of care and current medication profile. The hospice plan of care and medication profile did not contain physician orders for the following scheduled and as needed medications: Loratadine 10MG tablet, Ensure Vanilla, Bisacodyl enteric coded 5MG tablets, Chlorhexidine Gluc oral rinse, Docusate sodium 100mg capsule, and Lidocaine patch 5% (five percent). Clinical Record 3: The plan of care for the current benefit period was dated 02/25/2024 through 05/24/2024. On 04/24/2024, Home Visit 3 (three) was completed with the Medical Social Worker (Staff 3), and a copy of the skilled nursing facility’s “Order Summary” report was compared to the hospice plan of care and current medication profile. The medication profile did not contain updated physician orders for the dosage and frequency of administration for the following scheduled and as needed medications: ipratropium-albuterol 0.5MG-2.5MG/3ML inhalation, naloxone hydrochloride 2MG/2ML intramuscular, melatonin 3mg oral tablet, and the discontinuation of lorazepam 0.5MG oral tablet dated 11/27/2023. On 04/25/2024 joint clinical record reviews and interviews were conducted with the Vice President of Clinical Operations, Director of Clinical Services, Administrator, and Chief Executive Officer who confirmed that the clinical records identified did not contain physician orders for all medications provided.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 26, 2024 | Reaccreditation inspection by the Community Health Accreditation Partner | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 26, 2021.
- Ownership: other.
- 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): 20.2 nurse care minutes per routine home care day, 6.7% of skilled nursing minutes at weekends and a visit near death for 98.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 10% at home, 66% in assisted living, 21% in a nursing facility, 2% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 20.2 min |
| Skilled nursing minutes at weekends | 6.7% |
| Visits near death | 98.3% of patients who died |
Who owns it?
- Nobility Investment Solutions LLC owns 7.5% directly since Jan 1, 2024.
- 6 owners or officers are people: David Wayne Nattress (owns 5% or more directly, 48.79%); Corey S Craig (owns 5% or more directly, 30%); Jasmine G Bell (owns 5% or more directly, 11.93%); Jasmine G Bell (corporate director); Jasmine G Bell (managing employee (on the payroll)); Corey S Craig (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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Nobility Investment Solutions LLC | Owns 5% or more directly | 7.5% | Jan 1, 2024 |
What do families say?
- Family caregivers rate it 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 87% rated it 9 or 10 out of 10, and 88% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 98.11% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 88.6% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
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 | 5 of 5 |
| 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 | 10 of 10 |
How does it compare nearby?
- Of the 29 hospices CMS’s data show serving patients in ZIP code 66203, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; this one had 2.
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 |
|---|---|
| Monarch Hospice & Palliative Care This hospice | 2 |
| Prairie Wind Hospice LLC | 9 |
| Hospice the University of Kansas Health System | 23 |
| Saint Lukes Hospice of Leavenworth, LLC | 7 |
| Elara Caring | 10 |
| Catholic Comm Hospice | Not given |
| St Croix Hospice | 4 |
| Kansas Palliative & Hospice Care | 7 |
| Vitas Innovative Hospice Care | 4 |
| Ascend Hospice | 3 |
| Gentiva | 16 |
| Kansas City Hospice and Palliative Care | 0 |
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.