Hearth Record

Caring Hospice Services of Massachusetts LLC

A hospice in Norwood, Massachusetts 02062

11 Vanderbilt Avenue, Suite 250, Norwood, Massachusetts 02062. (732) 901-6600.

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 11 deficiencies in 1 month of the last 36. Last cited Aug 2026. Most serious: Standard-level. Every month

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?

11 deficiencies cited in the last three years

The middle of the 25 hospices serving ZIP code 02062 had 3.

The last inspection on record was on Aug 7, 2026: a reaccreditation inspection by The Joint Commission.

Source:

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

11 deficiencies in 1 month of the last 36. Last cited Aug 2026. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

11 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Aug 7, 2026: reaccreditation inspection by The Joint Commission11 deficiencies
  • Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))

    The inspectors’ words, 92 words

    “Observed in Individual Tracer. In 1 of 2 patient records reviewed, that revoked, did not have the revocation consent form in the record. RR#5 was discharged from services because she went to the emergency room for pain management. Policy PC.R15 titled Revocation of the Medicare Hospice Benefit reflected that patients revoke when choosing to an inpatient facility with which the Hospice does not have a written agreement. There was no agreement between the hospital and the hospice and the revocation consent was not obtained. This observation was discussed with the RN manager.”

    Rule L0505. Standard-level.

  • Content of comprehensive assessment (42 CFR 418.54(c)(8))

    “Observed in Individual Tracer. In 5 of 16 patient records reviewed, did not have an evaluation for volunteer services. RR#1-RR#4, and RR#11 did not have documentation in the records that an evaluation for volunteer services was performed. The review of records included the initial nursing assessments, the chaplain and social workers’ initial visits, and the initial IDT(s). This observation was discussed with the RN manager.”

    Rule L0532. Standard-level.

  • Content of plan of care (42 CFR 418.56(c))

    The inspectors’ words, 131 words

    “Observed in Individual Tracer. In 3 of 16 patient records reviewed, the Hospice goals were not specific and or individualized. RR#1 was assessed as at risk for falls and had pain upon admission. The goals that addressed these issues both had a target date to achieve by xx/xx/xxxx or by the projected IDT date and or beyond. For example, pain will not interfere with sleep. RR#2 had issues with pain, nausea, and vomiting. The goal was that nausea/vomiting will be controlled by daily Zofran- the achieve date was 4 weeks from the identification of symptoms. RR#13 had issues related to feeling satiated. The patient complained of always feeling hungry. There was no goals listed on the comprehensive care plan that addressed this issue. This observation was discussed with the RN manager.”

    Rule L0545. Standard-level.

  • Content of plan of care (42 CFR 418.56(c)(1))

    “Observed in Individual Tracer. In 1 of 16 patient records reviewed, the Hospice comprehensive care plan did not include interventions required based on the assessment. RR#13 had issues related to feeling satiated. The patient complained of always feeling hungry. There were no interventions detailed on the care plan that addressed this issue. This observation was discussed with the RN manager.”

    Rule L0546. Standard-level.

  • Content of plan of care (42 CFR 418.56(c)(4))

    The inspectors’ words, 192 words

    “Observed in Individual Tracer. In 2 of 16 patient records reviewed, the hospice medication profile did not accurately reflect the medications required to address the patient’s pain. RR#1 had multiple medications for the indication of pain. These medications were ;Tylenol scheduled dose orally, Tylenol suppository prn, and morphine prn. Similarly, RR#3 had 2 prn medications for the symptom of pain. These medications were Tylenol suppository and morphine. There was no further clarification of the indication of pain in these records. During home visit for RR#2, the surveyor noted that the following medications were not included on the assisted living facilities medication record - Tylenol suppositories, Hyoscyamine, Lorazepam and Morphine. Additionally, the assisted living facility’s medication administration record reflected that the patient was on docusate however this medication was not on the current hospice care plan and or medication record. The medication orders of RR#14 reflected the following- Lasix 40 mg daily and Lasix 40 mg every other day. It was not clarified in the orders whether to alternate giving the patient 80 mg every other day however in the RN assessment there was clarification. This observation was discussed with the RN manager.”

    Rule L0549. Standard-level.

  • Content of plan of care (42 CFR 418.56(c)(5))

    “Observed in Individual Tracer. In 1 of 16 patient records reviewed, the comprehensive care plan did not comprehensively reflect the supplies and equipment required to meet the patient’s needs. RR#11 had a Foley and the comprehensive care plan did not reflect the Foley and or balloon size. This observation was discussed with the RN manager.”

    Rule L0550. Standard-level.

  • Hospice aide assignments and duties (42 CFR 418.76(g)(1))

    “Observed in Individual Tracer. In 4 of 5 patient records reviewed, that had aide service, the aide care plan did not comprehensively reflect care required based on the assessment. Based on a review of the initial assessments and comprehensive plan of cares for RR#1, RR#2, and RR#4, these patients were placed on aspiration precautions. The aide care plans did not include this precaution. RR#11 had an indwelling Foley and the aide care plan reflected that the patient had an external catheter. This observation was discussed with the RN manager.”

    Rule L0625. Standard-level.

  • Supervision of hospice aides (42 CFR 418.76(h)(1)(i))

    “Observed in Individual Tracer. In 1 of 5 patient records reviewed, the Hospice did not supervise the aide no less frequently than every 14 days. RR#1 had aide services and it was noted during record review, that there was a gap in supervision of 5 weeks. This observation was discussed with the RN manager.”

    Rule L0629. Standard-level.

  • Discharge or transfer of care (42 CFR 418.104(e)(1)(i))

    “Observed in Individual Tracer. In 1 of 2 patient records reviewed, that was discharged to a facility, the transfer/discharge summary was not sent to the hospital. DC#2 went to the hospital, and the transfer/discharge summary was not sent to the facility. This observation was discussed with the RN manager.”

    Rule L0682. Standard-level.

  • Hospice plan of care (42 CFR 418.112(d))

    The inspectors’ words, 93 words

    “Observed in Individual Tracer. In 1 of 16 patient records reviewed, the nurse did not follow the hospice care plan. RR#9 had wounds on the lower extremities and the wound care orders required the nurse to apply calcium alginate once per week. A review of a revisit revealed that the nurse documented that she applied a border dressing and not the calcium alginate stating that there was only minimal drainage. There was no communication documented to the provider/MD related to the change in wound care. This observation was discussed with the RN manager.”

    Rule L0773. Standard-level.

  • Personnel qualification (42 CFR 418.114(a))

    “Observed in HR File Review. In 2 of 9 HR files reviewed, the Hospice did not obtain primary source verification at the time of credential renewal. HR#7 was a hospice aide and there was no primary source verification located in record at the time the license expired and/or was renewed. Similarly, HR#8 was an RN and there was no documentation in the file that primary source verification was obtained upon the license expiration/renewal. This observation was discussed with the administrator.”

    Rule L0784. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Aug 7, 2026Reaccreditation inspection by The Joint Commission11 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Oct 21, 2020.
  • Ownership: other.
  • No deficiency or on record in the last three years.
Source:

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.
Source:

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): 12.1 nurse care minutes per routine home care day, 5% 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): 8% at home, 90% in assisted living, 2% in a nursing facility.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day12.1 min
Skilled nursing minutes at weekends5%
Visits near death98.3% of patients who died

Who owns it?

  • 4 owners or officers are people: David Rosenbaum (owns 5% or more directly, 19%); Basya R Spitzer (managing employee (on the payroll), 0%); Bertina Soares (managing employee (on the payroll), 0%); Irving Raul Restituyo (managing employee (under contract), 0%).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

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): 88% rated it 9 or 10 out of 10, and 87% would definitely recommend it.
  • CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 97.6% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 78.6% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5Not 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 threshold9 of 10

How does it compare nearby?

  • Of the 25 hospices CMS’s data show serving patients in ZIP code 02062, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; this one had 11.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

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

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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