Hearth Record

Interim Healthcare of Kansas City

A hospice in Independence, Missouri 64057

3131 Route 291, Suite C, Independence, Missouri 64057. (913) 381-3100.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.

The last 24 months 3 deficiencies in 1 month of the last 36. Last cited May 2025. Most serious: Standard-level. Every month

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?

3 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 May 9, 2025: a reaccreditation inspection by the Community Health Accreditation Partner.

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

3 deficiencies in 1 month of the last 36. Last cited May 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

3 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.

May 9, 2025: reaccreditation inspection by the Community Health Accreditation Partner3 deficiencies
  • Content of plan of care (42 CFR 418.56(c))

    The inspectors’ words, 206 words

    “It is required that each patient’s individualized written plan of care reflects patient and family goals; and identifies planned interventions based on problems identified in the initial and updated comprehensive assessments. This standard was not met as evidenced by clinical record review and interview. In 2 of 14 (14%) clinical records reviewed, the agency did not ensure that the patient’s plan of care identified planned interventions based on problems identified in the initial and updated comprehensive assessments. Clinical Record 3: The patient elected the hospice benefit on 04/22/2025 with a diagnosis of cerebral infarction. The plan of care dated 04/22/2025 through 07/20/2025 ordered “Eliquis (anticoagulant) 5mg tablet by mouth twice daily.” The plan of care did not document interventions related to the patient being at risk for bleeding. Clinical Record 7: The patient elected the hospice benefit on 11/13/2024 with a diagnosis of congestive heart failure (CHF). The plan of care dated 11/13/2024 through 02/10/2025 ordered “Eliquis (anticoagulant) 5mg tablet by mouth twice daily.” The plan of care did not document interventions related to the patient being at risk for bleeding. During a joint record review on 05/08/2025, the Clinical Director confirmed the findings, stating, “These plans of care did not include interventions for bleeding risk.””

    Rule L0545. Standard-level.

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

    The inspectors’ words, 219 words

    “It is required that each patient’s individualized written plan of care: includes all services necessary for the palliation and management of the terminal illness, including the following: drugs and treatment necessary to meet the needs of the patient This standard was not met as evidenced by clinical record review and interview. In 2 of 14 (14%) clinical records reviewed, the agency did not ensure that the patient’s plan of care included treatments necessary to meet the patient’s needs. Clinical Record 4: The patient elected the hospice benefit on 03/06/2025 with a diagnosis of severe protein-calorie malnutrition. The plan of care dated 03/06/2025 through 06/03/2025 ordered “Change Foley catheter monthly and as needed for blockage.” The plan of care did not include documentation of a physician’s order for the size of the Foley catheter. Clinical Record 5: The patient elected the hospice benefit on 04/02/2025 with a diagnosis of Parkinson’s disease. The plan of care dated 04/02/2025 through 06/30/2025 ordered “Insert indwelling Foley catheter to drain for urinary retention.” The plan of care did not include documentation of a physician’s order for the size of the Foley catheter. During a joint record review on 05/08/2025, the Clinical Director confirmed the findings, stating, “These plans of care did not include the size of the Foley catheter that the patient was using.””

    Rule L0549. Standard-level.

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

    The inspectors’ words, 209 words

    “It is required that hospice aides are supervised by a registered nurse who makes 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 ensure that services ordered by the hospice Interdisciplinary Group (IDG) meet the patient’s need. The hospice aide does not need to be present. This standard was not met as evidenced by clinical record review and interview. In 1 of 12 (8%) clinical records reviewed of patients who received Hospice Aide (HA) services, the agency did not ensure that the Hospice Aide was supervised by the Registered Nurse (RN) no less frequently than every 14 days to assess the quality of care and services provided. Clinical Record 4: The patient elected the hospice benefit on 03/06/2025 with a diagnosis of severe protein-calorie malnutrition. The patient resided in an assisted living facility (ALF). The plan of care dated 03/06/2025 through 06/03/2025 ordered “Aide 2wk, 11wk.” The first HA visit was dated 03/10/2025. The HA supervisory visits were dated 04/07/2025 and 04/22/2025, with 15 days outstanding. During a joint record review on 05/08/2025, the Clinical Director confirmed that Hospice Aide supervisory visits were completed less frequently than every 14 days.”

    Rule L0629. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
May 9, 2025Reaccreditation inspection by the Community Health Accreditation Partner3 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Mar 6, 2014.
  • Ownership: for-profit.
  • 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): 14.8 nurse care minutes per routine home care day, 5% of skilled nursing minutes at weekends and a visit near death for 95.7% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 74% at home, 13% in assisted living, 13% 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 day14.8 min
Skilled nursing minutes at weekends5%
Visits near death95.7% of patients who died

Who owns it?

  • 9 owners or officers are people: Patricia Clayborn (managing employee (on the payroll), 100%); Patricia Clayborn (runs it (operational or managerial control), 100%); Jerry M. Hess (owns 5% or more directly, 50%); Donna M. Hess (owns 5% or more directly, 50%); Chad W Sharky (managing employee (under contract)); Jerry M. Hess (corporate officer); Donna M. Hess (corporate officer); Charles L. Grewell (managing employee (on the payroll)); Charles L. Grewell (runs it (operational or managerial control)).
  • 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?

  • Family caregivers rate it 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 90% rated it 9 or 10 out of 10, and 95% would definitely recommend it.
  • CMS’s Hospice Care Index: 7 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 95.07% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 73.1% 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 55 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 threshold7 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 3.
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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