Deaconess Hospice
A hospice in Biloxi, Mississippi 39532
1641-A Popps Ferry Road, Suite A-3, P O Box 51266 Lafayette, La 70505-1266, Biloxi, Mississippi 39532. (228) 435-2265.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 2 deficiencies cited in the last three years
- 3of 5 family caregiver rating
- 9of 10 CMS’s Hospice Care Index
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?
2 deficiencies cited in the last three years
The middle of the 14 hospices serving ZIP code 39532 had 0.
The last inspection on record was on May 8, 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
2 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 11, 2024: recertification inspection by the state2 deficiencies
-
Level of activity (42 CFR 418.78(e))
The inspectors’ words, 245 words
“Based on staff interview, review of cost savings report, and policy and procedure review, the facility failed to provide day-to-day administrative and/or direct patient care services in an amount that, at a minimum, equals five (5) percent (%) of the total patient care hours of all paid hospice employees and contract staff on two (2) of four (4) survey days. Findings Include: Interview with the Volunteer Coordinator on 04/10/2024 at 2:48 p.m. confirmed cost savings total for volunteer services from April 2023 to April 2024 is one percent (1.00%). Second quarter (2nd) 2023 – one percent (1%), Third quarter (3rd) 2023 – one percent (1%), Fourth quarter (4th) 2023 – one percent (1%) and further confirms no logs for review and no other documents to submit. Review of the facility Quality Assurance Performance Improvement documents revealed no documented information of Performance Improvement Projects for volunteer cost savings for 2023 -2024. Review of the document titled, “;Hospice Volunteer Requirement Report”, revealed “;...For Year 2023, April Percentage 3.08%, May Percentage 1.92%, June Percentage 3.80%, July Percentage 1.69%, August Percentage 2.04%, September Percentage 2.86%, October Percentage 0.17%, November L Percentage 0.73%, December Percentage 0.79%, ... For the Year 2024 January Percentage 0.98%, February Percentage 1.22%, March 1191 Percentage 1,12%...”. During exit conference on 04/11/2024 at 12:16 p.m., with RN #1, RN #2, Business Office Manager (BOM), Regional Vice President of Operations (RVPO), and Executive Director (ED)the survey findings were discussed, and no further documentation was submitted for review.”
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Governing body and administrator (42 CFR 418.100(b))
The inspectors’ words, 144 words
“Based on staff interview the facility failed to ensure documented evidence that the Governing Body assumes full authority and responsibility for the management of the hospice program for three (3) of three (3) days of survey. Findings Include: Interview with Executive Director (ED), on 01/11/2024 at 11: 00 a.m. confirmed there was no evidence of documentation for Governing Body Meetings or Governing Body meeting minutes. The ED further confirmed she contacted corporate office requesting the Governing Body Minutes, Governing Body Bylaws and policy and procedure with no response at this time. No Governing Body By-Laws, policy and procedure or Governing Body Meeting Minutes submitted for review. During the exit conference on 04/11/2024 at 1:00p.m., with Executive Director, Registered Nurse (RN) #1, Regional Vice President of Operations, Business Office Manager, RN #2, Patient Care Manager (PCM), survey findings were discussed. No further documentation was submitted.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 8, 2024 | Recertification inspection by the state | No deficiencies cited |
| Apr 11, 2024 | Recertification inspection by the state | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 7, 2015.
- 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): 12.3 nurse care minutes per routine home care day, 6% of skilled nursing minutes at weekends and a visit near death for 89.9% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 90% at home, 5% in assisted living, 2% in a nursing facility, 1% 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 | 12.3 min |
| Skilled nursing minutes at weekends | 6% |
| Visits near death | 89.9% of patients who died |
Who owns it?
- Mississippi Health Care Group, LLC owns 100% directly since Apr 1, 2014.
- LHC Group Inc. runs it.
- 5 owners or officers are people: Marcus Macip (corporate officer); Kimberly Seymour (corporate officer); Janasia Ayers (managing employee (on the payroll), 0%); Wendy Daigle (corporate director, 0%); Joshua Lee Proffitt (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 |
|---|---|---|---|
| Unitedhealth Group Incorporated | Owns 5% or more through other companies | 100% | Feb 22, 2023 |
| Mississippi Health Care Group, LLC | Owns 5% or more directly | 100% | Apr 1, 2014 |
| LHC Group Inc. | Owns 5% or more through other companies | 100% | Apr 1, 2014 |
| LHC Group Inc. | Runs it (operational or managerial control) | Apr 1, 2014 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 74% rated it 9 or 10 out of 10, and 78% would definitely recommend it.
- 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); 54.3% 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 | 3 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 threshold | 9 of 10 |
How does it compare nearby?
- Of the 14 hospices CMS’s data show serving patients in ZIP code 39532, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 0; this one had 2.
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 |
|---|---|
| Southern Care Inc. DBA Gentiva | 7 |
| Deaconess Hospice This hospice | 2 |
| Enhabit Hospice of the Gulf Coast | 0 |
| Hospice of Light | 0 |
| Saad Hospice of Mississippi | 0 |
| Enhabit Hospice | 0 |
| Gentiva Hospice | 4 |
| The Sanctuary Hospice House | 0 |
| St Joseph Hospice of Southern Mississippi, LLC | 15 |
| Traditions Health | 9 |
| Vitalcaring Group | 1 |
| Notre Dame Hospice of Mississippi | 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
-
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.