Elara Caring
A hospice in Newburyport, Massachusetts 01950
222 Merrimac Street, 2nd Floor, Suite A, Newburyport, Massachusetts 01950. (978) 358-1007.
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The short answer
Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.
- 8 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?
8 deficiencies cited in the last three years
The middle of the 13 hospices serving ZIP code 01950 had 3.
The last inspection on record was on Dec 12, 2025: a reaccreditation 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
8 deficiencies in 1 month of the last 36. Last cited Dec 2025. 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.
Dec 12, 2025: reaccreditation inspection by the Accreditation Commission for Health Care8 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
“Upon patient record review, 1 of 14 (Patient #5) 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 #5 - Medication profile did not contain oxygen but patient receiving O2 at 2L/min nasal cannula.”
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Update of comprehensive assessment (42 CFR 418.54(d))
The inspectors’ words, 106 words
“Upon patient record review, 1 of 14 (Patient #10) did not have evidence in the patient record that the comprehensive assessment is updated including and by: • The hospice interdisciplinary group (in collaboration with the individual’s attending physician, if any) • Changes that have taken place since the initial assessment • Information on the patient’s progress toward desired outcomes • Reassessment of the patient’s response to care • The assessment update must be accomplished as frequently as the condition of the patient requires, but no less frequently than every 15 days Patient #10 - Comprehensive assessment documented by RN on 10/31/25, then not again until 11/20/25.”
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Approach to service delivery (42 CFR 418.56(a)(1))
“Upon patient record review, 1 of 14 (Patient #2) 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 #2 - POC order stated to measure wound weekly but no measurements documented the week of 10/19/25, 11/09/25 or 11/23/25.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 2 of 14 (Patient #2,5) 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 #2 - Wound care to sacrum did not contain a frequency. Patient #5 - The plan of care did not contain oxygen but patient receiving O2 at 2L/min nasal cannula.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
“Upon patient record review, 1 of 14 (Patient #5) did not have evidence in the patient record that hospice aide assignments and duties indicate what tasks are to be done by the Aide and the frequency of these tasks. Patient #5 - Aide care plan assignment task for bathing contained both “full sponge bath 1 x week if patient refuses shower” and “shower 1 x week using shower chair” - did not document that patient was cognitively and functionally able to make decision.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 185 words
“Upon patient record review 5 of 14 (Patient #5,6,8,9,10) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient #5 - Aide documented on 10/20/25 she provided both a full sponge bath and shower. Patient #6 - Aide documented she provided both a bed bath and shower, provided nail care and changed linen twice a week but ordered only 1 time a week on 11/10/25, 11/12/25, 12/01/25 and 12/03/25. Patient #8 - Aide documented she weighed patient every visit the month of November (twice a week) but only ordered 1 x month. Patient #9 - Aide documented on 12/10/25 she provided both a full sponge bath and shower. Patient #10 - Aide documented nail care three times a week, week of 10/20/25 and 11/09/25 but ordered 1 x week. Aide visit frequency three times a week but only provided two visits the week of 11/23/25.”
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Supervision of hospice aides (42 CFR 418.76(h)(1))
“Upon patient record review 1 of 14 (Patient #10) 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 #10 - Aide supervisory visit documented on 10/31/25, then not again until 11/20/25.”
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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. The annual report documents the use of volunteers providing day to day administrative and/or direct patient care services in an amount 4.08% for the FY 2024.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 12, 2025 | Reaccreditation inspection by the Accreditation Commission for Health Care | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jan 17, 2017.
- 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): 11.9 nurse care minutes per routine home care day, 10% of skilled nursing minutes at weekends and a visit near death for 89.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 35% at home, 16% 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 | 11.9 min |
| Skilled nursing minutes at weekends | 10% |
| Visits near death | 89.3% of patients who died |
Who owns it?
- Great Lakes Acquisition Corp. owns 100% directly since Sep 3, 2015.
- 10 owners or officers are people: Daniel R Manley (corporate officer); Ananth P Mohan (corporate officer); Ananth P Mohan (corporate director); John Mcmahon (corporate officer); Michael Levitz (runs it (operational or managerial control), 0%); Katie L Monastiere (corporate director, 0%); Joshua Gotbaum (corporate officer); Harvey Tepner (corporate officer); Amy Gordon (managing employee (on the payroll)); Angel Stansbury (managing employee (on the payroll)).
- 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 |
|---|---|---|---|
| GL Holding Corp. | Owns 5% or more through other companies | 100% | Sep 3, 2015 |
| Bw Homecare Holdings LLC | Owns 5% or more through other companies | 100% | Dec 8, 2016 |
| Elara Holdings, L.L.C. | Owns 5% or more through other companies | 100% | Dec 30, 2019 |
| Great Lakes Acquisition Corp. | Owns 5% or more directly | 100% | Sep 3, 2015 |
| Bw GL Holdings Inc. | Owns 5% or more through other companies | 100% | Dec 8, 2016 |
| Bw Nhhc Holdco, LLC | Owns 5% or more through other companies | 100% | Dec 8, 2016 |
| Gl Superholding Corp. | Owns 5% or more through other companies | 100% | Sep 3, 2015 |
| Bw Nhhc Co-Invest, L.P. | Owns 5% or more through other companies | 42.85% | Jul 1, 2023 |
| Kia Ix (Hh) Investor, L.P. | Owns 5% or more through other companies | 40.27% | Jul 1, 2023 |
| Kelso Hh Co-Investment, L.P. | Owns 5% or more through other companies | 19.2% | Dec 30, 2019 |
| Kelso Investment Associates Ix, L.P. | Owns 5% or more through other companies | 15.68% | Dec 30, 2019 |
| Blue WOLF Capital Fund III L.P. | Owns 5% or more through other companies | 11.13% | Jul 1, 2023 |
| Bw III Homecare Holdings, LLC | Owns 5% or more through other companies | 11.13% | Jul 1, 2023 |
| Stepstone H Opportunities Fund, L.P. | Owns 5% or more through other companies | 8.78% | Dec 30, 2019 |
| Stepstone K Strategic Opportunities Fund II L.P. | Owns 5% or more through other companies | 5.48% | Dec 30, 2019 |
| Ironsides Direct Investment Fund IV, L.P. | Owns 5% or more through other companies | 4.94% | Dec 30, 2019 |
| Uss-Constitution Co-Investment Fund II, L.P. | Owns 5% or more through other companies | 4.94% | Dec 30, 2019 |
| Kep VI LLC | Owns 5% or more through other companies | 4.52% | Dec 30, 2019 |
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): 74% rated it 9 or 10 out of 10, and 82% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 76.6% 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 | 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 13 hospices CMS’s data show serving patients in ZIP code 01950, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; this one had 8.
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 |
|---|---|
| Constellation Hospice | 3 |
| Elara Caring This hospice | 8 |
| Tufts Medicine Care at Home | 11 |
| Care Dimensions, Inc. | 10 |
| Beth Israel Lahey Health at Home | 2 |
| Beacon Hospice, An Amedisys Company | 3 |
| Compassus - Southern Massachusetts | 0 |
| All Care Hospice Inc. | 5 |
| Hospice Services of Massachusetts | 3 |
| Brookhaven Hospice | 15 |
| Harborside Hospice of Massachusetts, LLC | 0 |
| Pathways Healthcare | 1 |
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.