Hearth Record

Fitzgibbon Mary Montgomery Hospice

A hospice in Marshall, Missouri 65340

2303 South Highway 65, Suite D, 2305 South Highway 65, PO Box 250, Marshall, Missouri 65340. (660) 831-3293.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited Jan 2024. 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?

1 deficiency cited in the last three years

The middle of the 7 hospices serving ZIP code 65340 had 7.

The last inspection on record was on Jan 24, 2024: a recertification inspection by the state.

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

1 deficiency in 1 month of the last 36. Last cited Jan 2024. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

1 deficiency 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.

Jan 24, 2024: recertification inspection by the state1 deficiency

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

    The inspectors’ words, 578 words

    “Based on policy review, record review, home visit observation, and interview, the hospice provider failed to develop an individualized plan of care (POC) that included all of the treatments in, one of five full records reviewed (Record/Patient #2). This deficient practice has the potential to affect all patients served by the provider. Findings included: Review of the provider’s policy, titled, “Plan of Care,” revised 05/2021, showed, in part: - All hospice care and services furnished to patients and their families shall follow an individualized written plan of care established by the hospice interdisciplinary group in collaboration with the attending physician (if any), the patient or representative, and the primary caregiver in accordance with the patients needs if any of them so desire; - The plan of care shall include all services necessary for the palliation and management of the terminal illness and related conditions, including the following; * Interventions to manage pain and symptoms * Drugs and treatment necessary to meet the needs of the patient; and - The analysis of data obtained during assessments shall facilitate the ongoing identification and prioritization of patient problems, needs, goals and care, treatment and services. Review of the provider’s policy, titled, “Telephone/Verbal Orders,” revised 06/2018, showed, in part: - When services are furnished based on a physicians oral order, the orders may be accepted and put in writing by personnel authorized to do so by applicable State and Federal laws and regulations; - The registered nurse will complete the initial assessment and will initiate the development of the plan of care after the consent forms are signed; - Orders for treatment include the following; * Type of treatment * Specific requirements, i.e. wet to dry dressings * Frequency and duration of treatment - Each telephone/verbal order is written down or entered into the computer and the read-back to the individual delivering the order, by an appropriate qualified agency staff member receiving the order; and - Hospice provides care, treatment and/or services to patients in accordance with current physician orders. RECORD/PATIENT #2: Review of the Plan of Care showed, in part: - The patient was admitted at home, on 01/18/2024, with a terminal diagnosis of pneumonitis due to inhalation of food and vomit; - Supplies included, 4x4 Dressing, wound cleanser, and foam dressing; - SN (skilled nurse) to assess for signs/symptoms of wound infection; - SN to assess measures in place to reduce risk and avoid wound infection; - SN to perform wound care/dressing change (Interventions failed to include specific wound care/dressing change orders); and - Patient/caregiver will verbalize/demonstrate proper wound care/dressing procedures. During home visit observation on 01/23/2024, beginning at 11:00 AM, showed, in part: - The hospice binder had written instructions for wound care to the left heal that included: Cleanse wound with wound cleanser, pat dry, apply TAO (triple antibiotic ointment), cover with foam and ace wrap. Change daily and PRN (as needed). Staff nurse to perform in the absence of hospice; and - The RN (registered nurse) performed wound care during the observation visit as written in the hospice binder. The clinical record failed to show orders for wound care. During an interview on 01/23/2024, at 2:45 PM, the director of nursing, stated that: - The clinical record failed to include the orders for wound care; - The nurse received the orders but forgot to enter them into the record; and - The nurse entered the verbal order into the record after realizing that the orders were missing.”

    Rule L0545. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Jan 24, 2024Recertification inspection by the state1 deficiency cited

Is it certified?

  • Medicare-certified hospice since Jul 14, 1993.
  • 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): 15.5 nurse care minutes per routine home care day, 6.6% of skilled nursing minutes at weekends and a visit near death for 96.5% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 24% at home, 13% in assisted living, 63% 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 day15.5 min
Skilled nursing minutes at weekends6.6%
Visits near death96.5% of patients who died

Who owns it?

  • CMS’s ownership file has no owners listed for this hospice.
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.”
  • CMS’s Hospice Care Index: 8 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); 77.6% 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 threshold8 of 10

How does it compare nearby?

  • Of the 7 hospices CMS’s data show serving patients in ZIP code 65340, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 1.
Source:

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

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

The 7 hospices CMS lists serving ZIP code 65340
PlaceDeficiencies, 3 years
Fitzgibbon Mary Montgomery Hospice This hospice1
Heartland Hospice (Kansas City)14
Good Shepherd Hospice of Mid-America, Inc.16
Three Rivers Hospice3
Hospice Compassus-North Central Missouri9
Shirkey Hospice and Palliative Care7
Acg Hospice5

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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