Nightingale Hospice
A hospice in Bossier City, Louisiana 71112
4530 Barksdale Blvd Suites A1& A2, Bossier City, Louisiana 71112. (318) 402-2300.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency cited in the last three years
- Not rated family caregiver rating
- 5of 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?
1 deficiency cited in the last three years
The middle of the 13 hospices serving ZIP code 71112 had 2.
The last inspection on record was on Oct 29, 2025: a recertification inspection by the state.
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
1 deficiency in 1 month of the last 36. Last cited Oct 2025. 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.
Oct 29, 2025: recertification inspection by the state1 deficiency
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 469 words
“Based on record reviews and interview the provider failed to ensure care and services were provided in accordance with the plan of care for 5 (Patient #2, Patient #4, Patient #6, Patient #7, Patient #11) of 8 current patient records reviewed as evidenced by: 1. Failure to provide documentation of Skilled Nurse visits as ordered for Patient #2.2. Failure to provide documentation of Hospice Aide visits as ordered for Patient #2, Patient #4, Patient #6, Patient #7, and Patient #11. Findings:Patient #2Review of Patient #2’s record revealed an admission date of 11/012023. Review of Patient #2’s benefit period 08/22/2025 to 10/20/2025 revealed orders for Skilled Nurse visits 3 times a week for 9 weeks and Hospice Aide visits 2 times a week for 9 weeks. Review of Patient #2’s Skilled Nursing notes for the week of 08/31/2025 revealed one missing Skilled Nurse visit.Review of Patient #2’s Hospice Aide notes for the week of 08/31/2025 revealed no Hospice Aide visits. Review of Patient #2’s benefit period 10/21/2025 to 12/19/2025 revealed orders for Hospice Aide visits 2 times a week for 9 weeks. Review of Patient #2’s Hospice Aide notes for the week of 10/19/2025 no Hospice Aide visits. Patient #4 Review of Patient #4’s record revealed an admission date of 08/25/2023. Review of Patient #4’s benefit period 10/13/2025 to 12/11/2025 revealed orders for Hospice Aide visits 3 times a week for 9 weeks. Review of Patient #4’s Hospice Aide notes for the week of 10/12/2025 revealed one missing Hospice Aide visit. Patient #6Review of Patient #6’s record revealed an admission date of 08/06/2025. Review of Patient #6’s benefit period 10/5/2025 to 12/03/2025 revealed orders for Hospice Aide visits 3 times a week for 9 weeks. Review of Patient #6’s Hospice Aide notes for the week of 10/12/2025 revealed one missing Hospice Aide visit. Patient #7Review of Patient #7’s record revealed an admission date of 05/05/2025. Review of Patient #7’s benefit period 08/03/2025 to 10/31/2025 revealed orders for Hospice Aide visits 2 times a week for 13 weeks. Review of Patient #7’s Hospice Aide notes for the week of 09/07/2025 revealed one missed Hospice Aide visit. Further review of Patient #7’s Hospice Aide notes revealed one missed Hospice Aide visit for the week of 09/14/2025. Patient #11Review of Patient #11’s record revealed an admission date of 08/07/2025. Review of Patient #11’s benefit period 08/07/2025 to 11/04/2025 revealed orders for Hospice Aide visits 2 times a week for 13 weeks. Review of Patient #11’s Hospice Aide notes for the week of 08/31/2025 revealed no hospice aide visits. Further review of Patient #11’s Hospice aide notes revealed one missing Hospice Aide visit for the week of 10/5/2025. During an interview on 10/28/2025 at 3:00 p.m. S1 Administrator reviewed #2, 4, 6, 7, 11’s records and confirmed listed the missing visits were not conducted.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 29, 2025 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Jun 19, 2013.
- 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): 0.2 nurse care minutes per routine home care day, 18.7% of skilled nursing minutes at weekends and a visit near death for 13.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 99% at home, 1% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 0.2 min |
| Skilled nursing minutes at weekends | 18.7% |
| Visits near death | 13.5% of patients who died |
Who owns it?
- Carson Investments of Louisiana, Inc. owns 100% directly since Jun 18, 2010.
- Carson Investments of Louisiana, Inc. runs it.
- 14 owners or officers are people: Scott Carson (owns 5% or more through other companies, 51%); Lisa Carson (owns 5% or more through other companies, 19%); Reuven Alter (owns 5% or more through other companies, 6%); Stephen Wediger (owns 5% or more through other companies, 6%); Mark Tress (owns 5% or more through other companies, 6%); Yaakov Septimus (owns 5% or more through other companies, 6%); Chaim Rottenberg (owns 5% or more through other companies, 6%); Brian A Monaco (managing employee (under contract)); Scott Carson (corporate officer); Scott Carson (runs it (operational or managerial control)); Lisa Carson (corporate officer); Lisa Carson (corporate director); Lisa Carson (managing employee (on the payroll)); Lisa Carson (runs it (operational or managerial control)).
- 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 |
|---|---|---|---|
| Carson Investments of Louisiana, Inc. | Owns 5% or more directly | 100% | Jun 18, 2010 |
| Carson Investments of Louisiana, Inc. | Owns 5% or more through other companies | 100% | Jan 21, 2022 |
| Carson Investments of Louisiana, Inc. | Runs it (operational or managerial control) | 100% | Jun 18, 2010 |
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: 5 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 0% 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 | 5 of 10 |
How does it compare nearby?
- Of the 13 hospices CMS’s data show serving patients in ZIP code 71112, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2; this one had 1.
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 |
|---|---|
| Nightingale Hospice This hospice | 1 |
| Gentiva | 16 |
| Christus Hospice Shreveport-Bossier | 0 |
| Heart of Hospice | 11 |
| Willis Knighton Hospice of Louisiana | 4 |
| Amedisys Hospice | 17 |
| Passages Hospice | 0 |
| Lifepath Hospice Care Services, LLC | 0 |
| The Carpenter Hospice of Northwest Louisiana, LLC | 1 |
| Compassus-Ruston | 6 |
| Allegiance Hospice & Palliative Care | 1 |
| Bristol Hospice-NW Louisiana | 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
-
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.