Southern Grace Hospice
A hospice in Hammond, Louisiana 70403
510 E. Morris Avenue, Hammond, Louisiana 70403. (985) 277-1945.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 4 deficiencies cited in the last three years
- Not rated family caregiver rating
- 10of 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?
4 deficiencies cited in the last three years
The middle of the 29 hospices serving ZIP code 70403 had 7.
The last inspection on record was on May 22, 2026: an initial inspection by The Joint Commission.
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
4 deficiencies in 1 month of the last 36. Last cited May 2026. 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.
May 22, 2026: initial inspection by The Joint Commission4 deficiencies
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 140 words
“Observed in Record Review. In 6 of 14 patient records reviewed, it was noted the organization failed to ensure that the written plan of care was based on measurable goals with defined time frames. For example, HOSRRHV#1 the care plan statement to provide emotional and spiritual support was identified as an intervention rather than a measurable patient-centered goal. HOSRRNHV#4: Patient will remain free from UTI ; Provide emotional and spiritual support. Both did not have timeframe; HOSRRNHV#5: Patient will remain free from UTI ; Provide emotional and spiritual support. Both did not have timeframe; HOSRRHV#10: MSW Goal: Patient/Caregivers will express anticipatory grief needs and those needs will be addressed. Timeframe had not included; HOSRRNHV#12: SC Goal: “Provide emotional and spiritual support”; HOSRRNHV#13: SC Goal “Provide emotional and spiritual support”. This finding was discussed and validated by the hospice management team.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 134 words
“Observed in Record Review. In 6 of 13 active records with hospice aide services, HOSRRHV#1 it was noted the organization had failed to ensure that the written patient care instructions for a hospice aide must be prepared by a registered nurse who is responsible for the supervision of a hospice aide. For example, on record HOSRRHV#1, a review of hospice aide assignments revealed missing written instructions regarding patient precautions related to prescribed blood thinner medication, Plavix. HOSRRNHV#4; HOSRRNHV#5; HOSRRNHV#6; HOSRRNHV#12, hospice aide care plan had not included additional written instruction as a safety precaution related to anti-platelets (Aspirin) and/or oxygen and HOSRRNHV#14: hospice aide care plan had not added an additional instruction such as a safety precaution related to oxygen and anticoagulant (Eliquis). This finding was discussed and validated by the hospice management team.”
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Content (42 CFR 418.104(a)(3))
The inspectors’ words, 171 words
“Observed in Record Review. In 3 of 14 patient records reviewed, it was noted the organization had failed to ensure that the patient record contains the patient’s response to care, treatment, or services. For example in review of record HOSRRHV#1 the hospice nurse documented that teaching was provided regarding the use of comfort kit medications; however, there was no documented evidence of the caregiver’s response or understanding of the teaching. HOSRRNHV#8, Multiple teachings provided during SOC visit such as when to report changes in pain and how to report those changes; non -verbal signs of pain/discomfort and provide relief; availability of on call services; offering fluids; skin breakdown etc., however, SN had documented on going as opposed to more appropriate and acceptable patient response. HOSRRNHV#9: SN had documented multiple times that she educated family/caregiver on maintaining clear pathways, removing clutter and tripping hazards and keeping necessary medical equipment organized and accessible, however, there no evidence documented of response to teachings. This finding was discussed and validated by the hospice management team.”
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Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))
The inspectors’ words, 121 words
“Observed in Patient Home. In 1 of 3 home visit with home oxygen conducted, it was noted the organization failed to ensure that the education and training provided to the patient include Information on the storage, handling, and access to medical gases. For example, during home visit (HOSRRHV#2), the surveyor observed that an oxygen tank was being stored in the closet and informed the hospice nurse of the finding. Throughout the remainder of the visit, there was no evidence that the hospice nurse provided re-education or re-enforcement of the teaching to the family regarding the proper and safe storage of the oxygen tank. This finding was validated by the Director of Care Facility Operations (DCFO) who was present during the tracer.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 22, 2026 | Initial inspection by The Joint Commission | 4 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 15, 2007.
- 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): 11.5 nurse care minutes per routine home care day, 5.3% of skilled nursing minutes at weekends and a visit near death for 83.3% of patients who died.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 11.5 min |
| Skilled nursing minutes at weekends | 5.3% |
| Visits near death | 83.3% of patients who died |
Who owns it?
- Hospice Holdings North owns 100% directly since Dec 4, 2024.
- Southern Grace Management LLC runs it.
- 10 owners or officers are people: Timothy Bergeron (owns 5% or more through other companies, 100%); Timothy Bergeron (corporate officer, 100%); Timothy Bergeron (runs it (operational or managerial control), 100%); Jennifer Boudreaux (corporate officer, 50%); Nicole Pogue (corporate officer, 50%); Nicole Pogue (managing employee (on the payroll), 50%); Nicole Pogue (runs it (operational or managerial control), 50%); Leah B Benoit (managing employee (on the payroll), 25%); Ashley Hillman (runs it (operational or managerial control), 25%); Kyle L Caulfield (managing employee (under contract), 10%).
- 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 |
|---|---|---|---|
| Hospice Holdings North | Owns 5% or more directly | 100% | Dec 4, 2024 |
| Southern Grace Management LLC | Runs it (operational or managerial control) | 50% | Dec 4, 2024 |
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): 85% rated it 9 or 10 out of 10, and 79% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 95.95% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 3% 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 | 10 of 10 |
How does it compare nearby?
- Of the 29 hospices CMS’s data show serving patients in ZIP code 70403, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 4.
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 |
|---|---|
| North Oaks Hospice | Not given |
| Vitalcaring Group | 2 |
| Modern Hospice | 19 |
| Acg Hospice , | 1 |
| Southern Grace Hospice This hospice | 4 |
| Apex Hospice | 8 |
| The Hospice of Baton Rouge | 13 |
| Notre Dame Hospice | 4 |
| St Tammany Hospital Hospice | 11 |
| Bridgeway Healthcare & Hospice | 1 |
| Hospice Compassus - Greater New Orleans | 6 |
| Gentiva | 16 |
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 Oct 27, 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 Oct 27, 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 Oct 27, 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 Oct 27, 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 Oct 27, 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 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.