Faith and Family Hospice
A hospice in Marlborough, Massachusetts 01752
400 Donald Lynch Blvd, Suite 104, Marlborough, Massachusetts 01752. (774) 405-3326.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 10 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 9of 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?
10 deficiencies cited in the last three years
The middle of the 28 hospices serving ZIP code 01752 had 3.
The last inspection on record was on Feb 20, 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
10 deficiencies in 1 month of the last 36. Last cited Feb 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.
Feb 20, 2025: reaccreditation inspection by the Accreditation Commission for Health Care10 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c))
“Upon patient record review 1 of 19 (Patient #10) did not have evidence in the patient record that the comprehensive assessment identifies the physical, psychosocial, emotional, and spiritual needs related to the terminal illness that must be addressed in order to promote the hospice patient’s well-being, comfort, and dignity throughout the dying process: Patient # 10: Review of initial RN assessment revealed that a comprehensive patient pain assessment was not included.”
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Content of plan of care (42 CFR 418.56(c)(5))
“Upon patient record review, 1 of 19 (Patient’s # 3) did not have evidence the plan of care must included all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs: Patient # 3: During surveyor attended home visit on 02/18/2025 the patient was noted to have the following DME: Broda Wheelchair and Hoyer Lift. These items where not on the POC.”
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Counseling services (42 CFR 418.64(d)(1))
The inspectors’ words, 136 words
“Upon patient record review, 3 of 19 (Patients # 17, 18, 19) did not have evidence the hospice offers bereavement counseling that includes: • Ensuring that bereavement services reflect the needs of the bereaved • Development of a bereavement plan of care that notes the kind of bereavement services to be offered and the frequency of service delivery: Patient # 17: No evidence of a written Bereavement POC. However, there was documented evidence in the record of the provision of multiple planned bereavement activities. Patient # 18: No evidence of a written Bereavement POC. However, there was documented evidence in the record of the provision of multiple planned bereavement activities. Patient # 19: No evidence of a written Bereavement POC. However, there was documented evidence in the record of the provision of multiple planned bereavement activities.”
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Competency evaluation (42 CFR 418.76(c))
The inspectors’ words, 168 words
“Upon personnel record review, 1 of 12 (Personnel # 8) did not have evidence of an aide skills competency assessment having been performed by the aide with a patient at the time of hire, which included all CMS required skills: Personnel # 8: DOH 11/14/2023. An aide skills competency was conducted by an RN on 11/28/23. However, the following skills were not assessed: •Communications skills including the ability to read, write, and verbally report clinical information to patients, caregivers, and other hospice staff. •Reading and recording temperature, pulse, and respiration •Recognizing emergencies and knowledge of emergency procedures and their application •The physical, emotional, and developmental needs of and ways to work with the populations served by the hospice, including the need for respect for the patient, his or her privacy and his or her property •Bed bath •Sponge, tub, and shower bath •Shampoo, sink, tub, and bed •Nail and skin care •Oral hygiene •Toileting and elimination •Safe transfer techniques •Normal range of motion •Adequate nutrition and fluid intake”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 132 words
“Upon patient record review 2 of 19 (Patients # 2, 6) did not have documented evidence that a hospice aide provided 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 # 2: Aide visits were made on January 31, and February 3, 5, 7, 10, 11, 12, 14, 17, and 18. No physician orders on the POC for the aide visits. Patient # 6: Aide visits were made on December 6, 13, 17, 19, 20, 23, 31, January 3, 6, 10, 13, 17, 21, 24, 27 and 31, February 3, 4, 7, 10, and 14. No physician orders on the POC for the aide visits.”
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Supervision of hospice aides (42 CFR 418.76(h)(3))
The inspectors’ words, 91 words
“Upon personnel record review, 1 of 12 (Personnel #8) did not have evidence that a registered nurse made an annual on-site visit to the location where a patient is receiving care in order to observe and assess each aide while he or she is performing care. The supervising nurse must assess an aide’s ability to demonstrate initial and continued satisfactory performance in meeting outcome criteria that include all required content: Patient # 8: Hospice aide annual on-site visit observation and assessment did not include; complying with infection control policies and procedures.”
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Level of activity (42 CFR 418.78(e))
“Upon observation, there was not evidence that the Hospice’s Annual Report documented 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 Hospice’s 2024 calendar year results were 1.1%”
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Discharge or transfer of care (42 CFR 418.104(e)(2))
“Upon patient record review, 1 of 19 (Patient # 15) did not have evidence that if a patient revokes the election of hospice care or is discharged from hospice in accordance with §418.26, the hospice must forward the following to the patient’s attending physician: • A copy of the hospice discharge summary • The patient’s clinical record, if requested Patient # 15: Revoked 08/02/2024. Clinical Manager confirmed there was no evidence a discharge summary was sent to the attending physician.”
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Inpatient care provided under arrangements (42 CFR 418.108(c)(2))
“Upon inpatient contract review, 1 of 4 (Countryside) did not contain verbiage that the inpatient provider has established patient care policies, consistent with those of the Hospice, and agrees to abide by the palliative care protocols and Plan of Care established by the Hospice for its patients.”
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Inpatient care provided under arrangements (42 CFR 418.108(c)(3))
“Upon inpatient contract review, 1 of 4 (Countryside) did not contain verbiage that a copy of the Discharge Summary shall be provided to the Hospice at the time of inpatient discharge.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 20, 2025 | Reaccreditation inspection by the Accreditation Commission for Health Care | 10 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Apr 10, 2019.
- 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): 13.9 nurse care minutes per routine home care day, 7.4% of skilled nursing minutes at weekends and a visit near death for 88.6% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 23% at home, 55% in assisted living, 13% in a nursing facility, 9% 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 | 13.9 min |
| Skilled nursing minutes at weekends | 7.4% |
| Visits near death | 88.6% of patients who died |
Who owns it?
- 7 owners or officers are people: Peter H Carney (owns 5% or more directly, 33.34%); Peter H Carney (corporate officer, 33.34%); Peter H Carney (runs it (operational or managerial control), 33.34%); Daniel Carney (owns 5% or more directly, 33.33%); Thomas F. Carney (owns 5% or more directly, 33.33%); Corey B Saltin (managing employee (under contract)); Jillian M Bunker (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.
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 83% rated it 9 or 10 out of 10, and 86% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 97.72% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 51.5% 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 | 4 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 | 9 of 10 |
How does it compare nearby?
- Of the 28 hospices CMS’s data show serving patients in ZIP code 01752, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; this one had 10.
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 |
|---|---|
| Metrowest Homecare and Hospice, An Amedisys Compan | 4 |
| Brookhaven Hospice | 15 |
| Faith and Family Hospice This hospice | 10 |
| Good Shepherd Community Care | 7 |
| VNA Care Hospice Inc. | 6 |
| Care Dimensions, Inc. | 10 |
| Health Alliance Home Health and Hospice | 1 |
| Beth Israel Lahey Health at Home | 2 |
| Sudbury Pines Hospice | 3 |
| Compassus - Greater Western Massachusetts | 3 |
| New England Hospice II, LLC | 10 |
| Ascend 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 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.