Hospice of North Sunflower
A hospice in Ruleville, Mississippi 38771
105 East Floyce Street, Ruleville, Mississippi 38771. (662) 756-1700.
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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.
- 1 deficiency cited in the last three years
- Not rated family caregiver rating
- 7of 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?
1 deficiency cited in the last three years
The middle of the 9 hospices serving ZIP code 38771 had 1.
The last inspection on record was on Jul 12, 2024: a recertification inspection by the state.
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 May 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.
May 23, 2024: recertification inspection by the state1 deficiency
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 263 words
“Based on observation during home visit with a nurse, staff interviews, and policy/procedure review, the facility failed to follow accepted standard precautions to prevent the transmission of infections and communicable diseases during one (1) of three (3) observed home visits with patients; Patient #2. Findings Include: Observation at residence of Patient #2 at 10:00 a.m. on 05/21/2024, revealed Registered Nurse (RN) #1 failed to wash hands or use hand sanitizer prior to or after patient contact and failed to clean equipment prior to returning to nursing bag. RN #1 also failed to utilize a nursing bag with a clean closeable compartment. Interview with RN #1 on 05/21/2024 at 10:25 a.m. confirmed her bag was not an issued nursing bag from the facility and the bag in use has no closure for a clean compartment. Interview with Administrator on 05/21/2024 at 4:30 p.m. confirmed the facility issues closable nursing bags to all new hires and follows the facility bag technique policy and procedure. Review of the facility policy and procedure titled, “;The Nursing Bag – Technique, content, and care...Infection Control”, last review dated 06/14/2023 reveals, “;...Procedure...4... Equipment must be cleaned before being returned to the nursing bag...5. Hand washing is important before you enter the inside of the bag and after contact with each patient. 10.2. wash your hands before entering your bag...10.5. after finishing all tasks, wash your hands...10.6. place all cleaned equipment back into bag and close bag...” During the exit conference on 05/23/2024 at 1:45 p.m. with the Administrator, survey findings were discussed, and no further documentation was submitted for review.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 12, 2024 | Recertification inspection by the state | No deficiencies cited |
| May 23, 2024 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Sep 30, 2014.
- Ownership: government.
- 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): 16.3 nurse care minutes per routine home care day, 3.5% of skilled nursing minutes at weekends and a visit near death for 91.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 61% at home, 18% in assisted living, 5% in a nursing facility, 17% 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 | 16.3 min |
| Skilled nursing minutes at weekends | 3.5% |
| Visits near death | 91.3% of patients who died |
Who owns it?
- 9 owners or officers are people: Joan Perkins (runs it (operational or managerial control), 100%); Samuel Miller (corporate officer); Samuel Miller (managing employee (on the payroll)); Samuel Miller (runs it (operational or managerial control)); Joan Perkins (managing employee (on the payroll)); Rohith Guduru Venkata Reddy (managing employee (on the payroll)); Jose Ceja (corporate officer); Jose Ceja (corporate director); Jose Ceja (managing employee (on the payroll)).
- 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.
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: 7 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 91.8% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 50.7% 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 | 7 of 10 |
How does it compare nearby?
- Of the 9 hospices CMS’s data show serving patients in ZIP code 38771, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 1; this one had 1.
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 |
|---|---|
| Hospice of North Sunflower This hospice | 1 |
| Baptist Home Care & Hospice-North Mississippi | 0 |
| Mid Delta Hospice, Inc. DBA Bristol Hospice - Belzoni | Not given |
| Gentiva | 11 |
| Legacy Hospice of the South - Grenada | 10 |
| Adoration Hospice Care Mississippi | 0 |
| Grace Community Hospice | 1 |
| Grace Hospice | 2 |
| Heart of Hospice, LLC - Delta | 0 |
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.