Fv Hospice
A hospice in St Louis, Missouri 63127
12399 Gravois Road, St Louis, Missouri 63127. (314) 270-7600.
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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.
- 3 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?
3 deficiencies cited in the last three years
The middle of the 20 hospices serving ZIP code 63127 had 6.
The last inspection on record was on Apr 4, 2024: an initial inspection by the Community Health Accreditation Partner.
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 Apr 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
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 4, 2024: initial inspection by the Community Health Accreditation Partner3 deficiencies
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 252 words
“It is required that each patient’s individualized written plan of care 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 3 of 14 (21%) clinical records reviewed revealed that the agency did not ensure that all problems identified in the initial and updated comprehensive assessments had planned interventions in the plan of care. Clinical Record 1: The election of hospice benefits was 01/24/2024. The initial nursing assessment was dated 01/24/2024. The initial nursing assessment read in part “The patient has a history of falls and a rib fracture.”. The plan of care dated 01/24/2024-04/22/2024 lacked interventions and goals related to the patient being a fall risk. Clinical Record 2: The election of hospice benefits was 03/05/2024. The initial nursing assessment was dated 03/05/2024. The initial nursing assessment read in part “The patient is a fall risk.”. The plan of care dated 03/05/2024-06/03/2024 lacked interventions and goals related to the patient being a fall risk. Clinical Record 8: The election of hospice benefits was 03/18/2024. The initial nursing assessment was dated 03/18/2024. The initial nursing assessment read in part “The patient has a history of falls.”. The plan of care dated 03/18/2024-06/16/2024 lacked interventions and goals related to the patient being a fall risk. In an interview on 04/03/2024, the Director of Clinical Services reviewed the records and stated, “There are no interventions listed for fall risk on these patients but there should be.”.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 183 words
“It is required that hospice aides are assigned to a specific patient by a registered nurse who is a member of the Interdisciplinary Group. Written patient care instructions for a hospice aide are prepared by an RN who is responsible for the supervision of the hospice aide. This standard was not met as evidenced by clinical record review and interview. In 1 of 13 (8%) clinical records with aide services ordered reviewed revealed that the agency did not ensure that all patient care instructions were included in the aide care plan. Clinical Record 9: The record revealed an initial nursing assessment dated 03/12/2024. The initial nursing assessment read in part “The patient has dysphagia and is on a pureed diet with honey thick liquids.”. The aide care plan dated 03/12/2024 read in part “Feed regular diet with pureed consistency and honey thick liquids.”. The aide care plan lacked instructions related to aspiration precautions. In an interview on 04/03/2024, the Director of Clinical Services reviewed the record and stated, “There are no aspiration precautions listed but since the patient has dysphagia there should be.”.”
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Label dispose storage drugs (42 CFR 418.106(e)(2)(i))
The inspectors’ words, 246 words
“It is required that when controlled medications are first ordered, a copy of the hospice’s written policies and procedures for the management and disposal of controlled medications is provided to the patient or family or patient’s legal representative(s). This standard was not met as evidenced by clinical record review, document review, and interview. In 1 of 5 (20%) deceased clinical records reviewed revealed that the agency did not ensure that disposal of controlled medications was documented. Agency Policy-“Hospice Medication Disposal Policy” reads in part “Controlled drugs, no longer needed by the patient, are disposed of in compliance with state and federal regulations, and disposal instructions and activities are documented. Long-Term Care/Hospital Setting: When the patient resides in long-term care, or in the in-patient hospital setting, hospice staff will follow the policies of the facility. The Medication Disposal form will be completed and placed into patient’s clinical record.”. Clinical Record 12: The election of hospice benefits was 02/16/2024. The medication profile dated 02/16/2024 read in part “Morphine 20mg/ml, give 0.25ml every 4 hours as needed for pain or dyspnea. Lorazepam 2mg/ml, give 0.25ml every 4 hours as needed for anxiety.”. The record revealed a nursing death visit dated 02/20/2024. The record lacked documentation of the disposal of the morphine and lorazepam. In an interview on 04/03/2024, the Director of Clinical Services reviewed the record and stated, “There is no documentation of drug disposal, but the facility nurses typically dispose of the medications when a patient passes away.”.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 4, 2024 | Initial inspection by the Community Health Accreditation Partner | 3 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Apr 8, 2024.
- CMS doesn’t list its type of ownership.
- 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): 14.8 nurse care minutes per routine home care day, 5.1% of skilled nursing minutes at weekends and a visit near death for 96.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 2% at home, 23% in assisted living, 72% in a nursing facility, 2% 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 | 14.8 min |
| Skilled nursing minutes at weekends | 5.1% |
| Visits near death | 96.2% of patients who died |
Who owns it?
- Fv Services, Inc. owns 100% directly since Jun 9, 2023.
- 8 owners or officers are people: Carmen Fronczak (corporate officer); Christina Hood (corporate officer); Taylor Tosto (runs it (operational or managerial control)); Stacey Zerban (runs it (operational or managerial control)); James T Walsh (corporate officer); Amy J Schawacker (runs it (operational or managerial control)); Bryan P Burns (managing employee (under contract)); Daniel Wacker (corporate director).
- 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 |
|---|---|---|---|
| Fv Services, Inc. | Owns 5% or more directly | 100% | Jun 9, 2023 |
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): 90% rated it 9 or 10 out of 10, and 91% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 73.96% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025).
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 20 hospices CMS’s data show serving patients in ZIP code 63127, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 3.
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 |
|---|---|
| Accentcare Hospice & Palliative Care of Missouri | 14 |
| Fv Hospice This hospice | 3 |
| Mercy Hospice | 6 |
| Bjc Hospice | 0 |
| SSM Health at Home Hospice | 12 |
| Gentiva | 9 |
| Heartland Hospice (St Louis) | 14 |
| Pathways Hospice and Palliative Care | 6 |
| Alternative Hospice, LLC | 11 |
| Vitas Healthcare Corporation Midwest | 9 |
| Bristol Hospice - St Louis | 6 |
| St Luke’s Hospice Services | 5 |
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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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.