Gentiva
A hospice in Kansas City, Missouri 64157
8414 N Church Road, Kansas City, Missouri 64157. (816) 795-1333.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 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 24 hospices serving ZIP code 64157 had 6.5.
The last inspection on record was on May 28, 2026: 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 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 28, 2026: reaccreditation inspection by the Accreditation Commission for Health Care8 deficiencies
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Rights of the patient (42 CFR 418.52(c)(1))
“Upon patient record review, 1 of 14 (Patient #6) did not have evidence that the patient has received effective pain management and symptom control from the hospice for conditions related to the terminal illness. Patient 6: The medical record contained nursing documentation 5/20/26 identifying patient complaint of constant nausea not relieved with medication regimen. There was no evidence of symptom control documented in the record.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 150 words
“Upon patient record review, 3 of 14 (Patients #2,#6,#9) 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 2: During home visit medication reconciliation, the facility and hospice medication profiles did not match. The facility has sliding scale insulin that was not on hospice, hydrocodone-acetaminophen scheduled twice a day versus hospice once at bedtime, and the facility did not have oxygen listed as a treatment. Patient 6: The medication profile contained acetaminophen tablets with an alternate route of under the tongue. Patient 9: The medication profile contained clotrimazole topical cream with no area defined for administration.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 110 words
“Upon patient record review, 1 of 14 (Patient #6) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient 6: The medical record contained nursing documentation since admission identifying patient issues with nausea and vomiting. There was no evidence of problems, goals and interventions related to nausea included in the plan of care.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 130 words
“Upon patient record review, 3 of 14 (Patients #2,#6,#9) 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: During home visit medication reconciliation, the facility and hospice medication orders did not match. The facility has an order for sliding scale insulin that was not on hospice record, the hydrocodone-acetaminophen order was scheduled twice a day versus hospice once at bedtime, and the facility did not have oxygen orders as a treatment. Patient 6: The medical record contained an order for acetaminophen tablets with an alternate route of under the tongue. Patient 9: The medical record contained an order for clotrimazole topical cream with no area defined for administration.”
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Review of the plan of care (42 CFR 418.56(d))
“Upon client record review, 1 of 14 (Patient #4) did not have evidence that the IDG in collaboration with the attending physician reviewed, revised and documents the individualized plan as frequently as the patient’s condition requires but no less frequently then every 15 calendar days. Patient 4: There was no evidence of collaboration with the attending physician no less than every 15 days. Plan of care updates were only documented as sent to the physician on 4/8/26 and 4/28/26.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
“Upon patient record review, 1 of 14 (Patient #4) did not have evidence in the patient record that hospice aide assignments and duties are specific to patient needs. Patient 4: There was no evidence the aide care plan was updated to remove instructions regarding wound bandage after the wound was documented as healed 5/13/26.”
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Supervision of hospice aides (42 CFR 418.76(h)(1))
The inspectors’ words, 99 words
“Upon patient record review 2 of 14 (Patients #3,#5) 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 3: There was no evidence of a supervisory visit from 5/4/26 until time of review 5/26/26. Patient 5: There was no evidence of a supervisory visit from 5/12/26 until time of review 5/27/26.”
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Coordination of services (42 CFR 418.112(e)(3))
“Upon patient record review, 1 of 14 (Patient #2) did not have evidence that the hospice provided the following information: • Hospice election form and any Advance Directives specific to each patient • Physician certification and recertification of the terminal illness specific to each patient Patient 2: During home visit review of the facility’s hospice binder there was no evidence the facility received the CTI and advance directive from the hospice.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 28, 2026 | Reaccreditation inspection by the Accreditation Commission for Health Care | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jul 8, 1993.
- 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): 12.9 nurse care minutes per routine home care day, 10.4% of skilled nursing minutes at weekends and a visit near death for 90.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 60% at home, 1% in assisted living, 36% in a nursing facility, 1% in a skilled nursing facility, 3% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.9 min |
| Skilled nursing minutes at weekends | 10.4% |
| Visits near death | 90.3% of patients who died |
Who owns it?
- Odyssey Healthcare Operating B, LP owns 100% directly since Feb 1, 2016.
- 7 owners or officers are people: Ronald C Lazas (corporate officer, 0%); David Robinson Arnold (corporate officer, 0%); Thomas Joseph Dolan (corporate officer, 0%); David Allen Causby (corporate officer, 0%); Janet L Combs (corporate officer, 0%); Michael G Wells (managing employee (under contract)); Joanna Davis (managing employee (on the payroll), 0%).
- 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 |
|---|---|---|---|
| Ch Services Midco Holdings Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Curo Health Services Holdings, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Odyssey Healthcare Inc. | Owns 5% or more through other companies | 100% | Feb 1, 2016 |
| Odyssey Healthcare Operating B, LP | Owns 5% or more directly | 100% | Feb 1, 2016 |
| Charlotte Midco, LLC | Owns 5% or more through other companies | 100% | Aug 11, 2022 |
| Falcon Hospice, LP | Owns 5% or more through other companies | 100% | Aug 11, 2022 |
| Charlotte Buyer, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Curo Health Services LLC | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Odyssey Healthcare Holding Company | Owns 5% or more through other companies | 100% | Feb 1, 2016 |
| Kah Hospice Company, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Ch Services Group Holdings Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Ch Services Holdings Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Odyssey Healthcare LP, LLC | Owns 5% or more through other companies | 99% | Feb 1, 2016 |
| Cd&r Falcon Holdings, LP | Owns 5% or more through other companies | 60% | Aug 11, 2022 |
| Kentucky Homecare Parent Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Kentucky Homecare Holdings, Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Humana Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Centerwell Health Services Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Odyssey Healthcare Gp, LLC | Owns 5% or more through other companies | 1% | Feb 1, 2016 |
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: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 93.48% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 74.5% 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 | 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 24 hospices CMS’s data show serving patients in ZIP code 64157, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6.5; 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 |
|---|---|
| Gentiva This hospice | 8 |
| Kansas City Hospice and Palliative Care | 10 |
| Saint Luke’s Hospice | 0 |
| Amedisys Hospice | 12 |
| Aquinas Hospice of Missouri | 14 |
| Hospice Care of VNA | 4 |
| Advanced Home Health and Hospice Kansas City | 8 |
| Monarch Hospice & Palliative Care | 1 |
| Ascend Hospice | 3 |
| Comfort Care Hospice | 7 |
| Heartland Hospice (Kansas City) | 14 |
| Hospice By John Knox Village | 7 |
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.