HCA Midwest Hospice & Family Care
A hospice in Independence, Missouri 64057
19550 E 39th Street S, Ste 322, Independence, Missouri 64057. (816) 943-4015.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 6 deficiencies cited in the last three years
- Not rated family caregiver rating
- 8of 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?
6 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 Oct 16, 2025: a reaccreditation inspection by The Joint Commission.
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
6 deficiencies in 1 month of the last 36. Last cited Oct 2025. 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.
Oct 16, 2025: reaccreditation inspection by The Joint Commission6 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. In 4 of 10 patient records reviewed, it was noted by the nurse surveyor that the social work assessment and bereavement risk assessment was not completed as part of the comprehensive assessment. For RRNHV#4 and RRNHV#7 there were no documented Initial Social Work Assessments. For RRNHV#2, RRNHV#6 and RRNHV#7 there was no documented Bereavement Risk Assessments by any member of the Interdisciplinary Team. Findings were discussed and verified with the Director of Hospice and the Regional Director of Survey Readiness.”
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Update of comprehensive assessment (42 CFR 418.54(d))
“Observed in Record Review. In 4 of 10 patient records reviewed, for active patients, it was noted by the nurse surveyor that for RRHV#2, RRHV#3, RRNHV#1, and RRNHV#3 interdisciplinary group meeting notes did not consistently document decline, revisions to plans of care and goals of care. Findings were discussed with the Hospice Director and the Director of Survey Readiness.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 238 words
“Observed in Record Review. In 6 of 10 patient records reviewed, for active patients, it was noted by the nurse surveyor that orders were not clear or complete. For RRHV#1 the oxygen orders were for Oxygen 2 liters per minute binasal cannula PRN. Orders did not include an indication for use. For RRHV#3, medication orders were unclear. The patient had Advil 2-4 tabs every six hours as needed for pain ordered. There were no instructions on how or when to titrate the medication. Additionally, the patient had Hydrocodone 5/325 tablets, one every 6 hours as needed for pain. There were no specific instructions on which medication to take first. For RRNHV#1, orders included Ibuprofen 200mg, 4 capsules every 6 hours as need by mouth for pain and Morphine Concentrate 100mg/5ml oral (20mg/ml), 5mg every four hours as needed for pain or dyspnea. Orders did not include specific amount of medication to take, nor did they include instructions on which medication to take first for pain. Patient was also on Lidocaine topical patches for pain relief however, orders did not include a location to place them. RRNHV#2, RRNHV#3, and RRNHV#5 had Lorazepam 2mg/ml oral concentrate 0.5mg every 4 hours as need for anxiety ordered. Orders did not include a specific amount of medication to administer. Pain medication orders were also the same as previously noted above. Findings were discussed with the Hospice Director and the Director of Survey Readiness.”
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Content of plan of care (42 CFR 418.56(c)(5))
“Observed in Record Review. In 1 of 10 patient records reviewed, for active patients, the surveyor noted that orders were not complete. For RRNHV#3, the patient had a foley catheter that was to be changed monthly and as needed for leaking, however, the care plan did not include a catheter size. Finding was discussed with the Hospice Director and the Director of Survey Readiness.”
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
The inspectors’ words, 135 words
“Observed in Record Review. In 4 of 10 patient records reviewed, for active patients, it was noted by the nurse surveyor that hospice aide supervisory visits were not documented no less frequently than every fourteen days. For RRNHV#1, hospice aide supervisory visits were five days late last month (nineteen days apart). Currently, the last documented hospice aide supervisory visit was sixteen days ago. For RRHV#2, hospice aide supervisory visits were six days late (twenty days between supervisory visits) and one day late (fifteen days between supervisory visits). For RRHV#3, hospice aide supervisory visits for last month were one day late (fifteen days between supervisory visits). For RRNHV#6, there have not been any home health aide supervisory visits documented since the patient’s admission over a month ago. Findings were verified with the Director of Survey Readiness.”
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Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))
The inspectors’ words, 124 words
“Observed in Patient Home. In 2 of 3 home visits conducted, It was noted by the nurse surveyor that for RRHV#2 the patient’s folder and educational materials provided to the patient when admitted to hospice and used for ongoing education could not be found. Since the patient’s daughter visited a few weeks ago, the patient’s binder and educational materials have not been seen. New materials had not been re-issued. For RRHV#3, the patient had a binder with Agency information and copies of consent forms, however the educational booklet with infection control and emergency management information could not be found. The patient stated she had no idea where it was. Findings were verified by the Director of Survey Readiness who was present on the visits.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 16, 2025 | Reaccreditation inspection by The Joint Commission | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Apr 25, 2014.
- 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): 18.2 nurse care minutes per routine home care day, 11.2% of skilled nursing minutes at weekends and a visit near death for 94.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 72% at home, 21% in a nursing facility, 6% in a skilled nursing facility, 1% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 18.2 min |
| Skilled nursing minutes at weekends | 11.2% |
| Visits near death | 94.4% of patients who died |
Who owns it?
- Health at Home-Bhs, LLC owns 100% directly since Jul 1, 2021.
- 7 owners or officers are people: Eric D Smith (runs it (operational or managerial control)); Timothy James Shatzel (managing employee (on the payroll), 0%); Kara Wimberly (managing employee (on the payroll), 0%); Jarrod L Watson (corporate officer); Stephanie M Garcia (managing employee (under contract), 0%); Michael A Marks (corporate officer); Brad Williams Parrish (corporate officer).
- 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 |
|---|---|---|---|
| HCA Squared LLC | Owns 5% or more through other companies | 100% | Jul 1, 2021 |
| HCA Inc. | Owns 5% or more through other companies | 100% | Jul 1, 2021 |
| H3ot Corp., LLC | Owns 5% or more through other companies | 100% | Jul 1, 2021 |
| HCA Healthcare Inc. | Owns 5% or more through other companies | 100% | Jul 1, 2021 |
| Health at Home-Bhs, LLC | Owns 5% or more directly | 100% | Jul 1, 2021 |
| Healthtrust Inc. - the Hospital Company | Owns 5% or more through other companies | 100% | Jul 1, 2021 |
| Hospital Corp LLC | Owns 5% or more through other companies | 100% | Jul 1, 2021 |
| Hercules Holding II | Owns 5% or more through other companies | 25% | Jul 1, 2021 |
| Frisco Holding II | Owns 5% or more through other companies | 13.25% | Jul 1, 2021 |
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): 85% rated it 9 or 10 out of 10, and 88% would definitely recommend it.
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 82.57% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 75.4% 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 | 8 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 6.
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 | 7 |
| Interim Healthcare of Kansas City | 3 |
| HCA Midwest Hospice & Family Care This hospice | 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.