Elara Caring
A hospice in Independence, Missouri 64057
4200 Little Blue Parkway, Ste 530, Independence, Missouri 64057. (816) 444-4611.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 7 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?
7 deficiencies cited in the last three years
The middle of the 39 hospices serving ZIP code 64057 had 7.
The last inspection on record was on Apr 18, 2024: 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
7 deficiencies in 1 month of the last 36. Last cited Apr 2024. 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.
Apr 18, 2024: reaccreditation inspection by the Accreditation Commission for Health Care7 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
“Upon patient record review 1 of 14 (Patient #12) did not have evidence in the patient record that the hospice interdisciplinary group, in consultation with the individual’s attending physician (if any), completed the comprehensive assessment no later than 5 calendar days after the election of hospice care. Patient #12 - SOC date 03/19/24 - SC visit made initial 03/26/24 (day 7) to complete spiritual assessment and MSW made initial visit 03/25/24 (day 6) to complete psychosocial assessment.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 159 words
“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 at facility contained Ipratropium-Albuterol solution 1 vial every 6 hours PRN for SOB - started on 01/11/24 but not on hospice list of medications. Effective 03/14/24 hospice medication profile contained Bisacodyl 10mg rectal suppository 1 daily PRN for constipation, Eliquis 5 mg 1 tab 2 x day, Lorazepam 2mg/ml oral concentrate 0.25mg every 2 hours PRN anxiety or Morphine concentrate 100mg/5ml 0.25 ml every 2 hours PRN moderate to severe pain or air hunger but not on facility medication profile. (Corrected on site)”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 113 words
“Upon patient record review, 3 of 14 (Patient #7, 12, 13) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient’s family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient’s death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient #7 - SOC 04/12/24 unable to locate initial bereavement assessment. Patient #12 - SOC 03/19/03/24 - initial bereavement assessment 04/02/24. Patient #13 - SOC 03/07/24 - unable to locate initial bereavement assessment.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 1 of 14 (Patient #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. Medications missing Patient #5 - POC dated 03/08/24 did not contain Ipratropium-Albuterol solution 1 vial every 6 hours PRN for SOB - started on 01/11/24.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 198 words
“Upon client record review, 5 of 14 (Patient #6, 7, 8, 9, 12,) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #6 - POC 03/28/24 SN visit frequency 1 wk1, 2wk12 - week 2 and 3 only made 1 SN visit documented a phone visit wk 2 and 3 but phone visits not on POC. Patient #7 - POC dated 03/08/24 - SC visit frequency 1wk1, 1 every 4wks 4 - SC visit made week 1 and then week 3. Patient #8 - POC dated 03/22/24 - SN visit frequency 2 wk 4 effective 03/24/24. SN visit made on 03/22/24 - no order for this visit. Patient #9 - POC dated 03/03/24 - SC visit frequency 1wk1, 1 every 5wk - visit made week 1 and week 3. Patient #12 - POC dated 03/19/24 - SN visit frequency 3wk1, 2wk 12 - 2 visits made week 1 - no documentation of missed visit. POC dated 03/19/24 did not contain wound care orders for L thigh wound but RN documented wound care on 03/27, 03/29, 04/03, 04/05, 04/10, 04/12 and 04/15/24 to L thigh.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 103 words
“Upon patient record review 1 of 14 (Patient #14) 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 #14 - Aide frequency 2 x wk. Aide care plan task ordered: shower 1 x week and shampoo 1 x week. Week of 3/10/24 aide completed shower and shampoo 2 x week. Visit dates 02/13, 02/20, 02/22, 03/19 and 03/28 aide completed sponge bath.”
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Hospice plan of care (42 CFR 418.112(d))
The inspectors’ words, 116 words
“Upon client record review, 2 of 14 (Patient #5, 13) did not have evidence that a written hospice plan of care is established and maintained in consultation with SNF/NF or ICF/IID representatives. All hospice care provided is in accordance with this hospice plan of care. Patient #5 - POC dated 03/08/24 - SN documented that facility provided wound care on 03/08/24 but no wound care orders on POC. SN documented on visit 03/31/24 “wound care supplies to coordinator NB per wound care nurse dressing to be changed qod” no wound care orders documented. Patient #13 - POC dated 03/07/24 - SC visit frequency 1wk1, 1 every 6 wks - visit made wk 1 and wk 4.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 18, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jan 7, 2004.
- Ownership: other.
- 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): 18.5 nurse care minutes per routine home care day, 9.4% of skilled nursing minutes at weekends and a visit near death for 100% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 18% at home, 63% in assisted living, 17% in a nursing facility, 2% 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 | 18.5 min |
| Skilled nursing minutes at weekends | 9.4% |
| Visits near death | 100.0% of patients who died |
Who owns it?
- Great Lakes Acquisition Corp. owns 100% directly since Dec 12, 2016.
- 8 owners or officers are people: Daniel R Manley (corporate officer); Ananth P Mohan (corporate officer, 0%); Ananth P Mohan (corporate director); John Mcmahon (corporate officer); Katie L Monastiere (corporate officer, 0%); Crystal Shovlowsky (managing employee (on the payroll), 0%); Andrea L Jarrett (managing employee (on the payroll), 0%); Angel Stansbury (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 |
|---|---|---|---|
| GL Holding Corp. | Owns 5% or more through other companies | 100% | Dec 12, 2016 |
| Ec Homecare Holdings, Inc. | Owns 5% or more through other companies | 100% | Jul 20, 2026 |
| Ec Homecare Holdings Buyer, Inc. | Owns 5% or more through other companies | 100% | Jul 20, 2026 |
| Ec Homecare Holdings Intermediate, Inc. | Owns 5% or more through other companies | 100% | Jul 20, 2026 |
| Ec Homecare Holdings, LP | Owns 5% or more through other companies | 100% | Jul 20, 2026 |
| Great Lakes Acquisition Corp. | Owns 5% or more directly | 100% | Dec 12, 2016 |
| Bw GL Holdings Inc. | Owns 5% or more through other companies | 100% | Dec 12, 2016 |
| Bw Nhhc Holdco, LLC | Owns 5% or more through other companies | 100% | Jul 20, 2026 |
| Gl Superholding Corp. | Owns 5% or more through other companies | 100% | Dec 12, 2016 |
| Acof VII Holdings, LP | Owns 5% or more through other companies | 49.3% | Jul 20, 2026 |
| Ares Corporate Opportunities Fund VII, L.P. | Owns 5% or more through other companies | 35.8% | Jul 20, 2026 |
| Davita Inc. | Owns 5% or more through other companies | 32.9% | Jul 20, 2026 |
| Total Renal Care, Inc. | Owns 5% or more through other companies | 32.9% | Jul 20, 2026 |
| Ares Corporate Opportunities Fund VII Parallel (Te), L.P. | Owns 5% or more through other companies | 9.07% | Jul 20, 2026 |
| Dawson Holdings (Armstrong), LP | Owns 5% or more through other companies | 7.8% | Jul 20, 2026 |
| Acof VII Axiom Holdings, LP | Owns 5% or more through other companies | 7.8% | Jul 20, 2026 |
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).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 80.5% 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 39 hospices CMS’s data show serving patients in ZIP code 64057, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 7.
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 |
|---|---|
| Elara Caring This hospice | 7 |
| Interim Healthcare of Kansas City | 3 |
| HCA Midwest Hospice & Family Care | 6 |
| Elevate Hospice | 7 |
| Brighton Hospice Missouri, LLC | 4 |
| Three Oaks Hospice | 3 |
| Heartland Hospice (Kansas City) | 14 |
| Good Shepherd Hospice of Mid-America, Inc. | 16 |
| Shalom Hospice | 4 |
| Phoenix Home Care and Hospice | 9 |
| Harbor Hospice of Missouri, LP | 9 |
| HCA Midwest Hospice & Family Care | 12 |
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.