Compassus Hospice Billings
A hospice in Billings, Montana 59101
490 N 31st St, Ste 130 A, Billings, Montana 59101. (406) 294-0785.
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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.
- 2 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 10of 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 5 hospices serving ZIP code 59101 had 2.
The last inspection on record was on Jul 24, 2025: a reaccreditation 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
2 deficiencies in 1 month of the last 36. Last cited Jul 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.
Jul 24, 2025: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies
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Supervision of hospice aides (42 CFR 418.76(h)(2))
The inspectors’ words, 350 words
“It is required that a registered nurse makes an annual on-site visit to the location where a patient is receiving care in order to observe and assess each hospice aide while he or she is performing care per the hospice’s policies and procedures. This standard was not met as evidenced by document review, personnel record review, and interview. Agency policy #HOS-C_12 “Evaluation of Clinical Competency for Hospice Licensed Professionals and Hospice Aides” (effective 04/07/2021) (revised 04/17/2025) stated in part, “Procedure. 3. For Hospice Aides -A SKILLS evaluation using the competency worksheet designed for hospice aides is required at the time of hire and annually. Steps for completion. 1. Those skills requiring direct observation must be performed with a patient or a pseudo-patient. 3. Use the skills checklist and the hospice aide assignment to inform the colleague of the desired skills to be performed. 4. Observe the aide during the provision of care and note on the skills checklist. 5. Once the aide has completed all required tasks, the registered nurse and aide sign off on the form and date it to indicate the process is complete.” In 1 of 1 (100%) personnel records reviewed of a Hospice Aide (HA), the agency did not ensure that the Registered Nurse (RN) conducted an annual on-site visit to the location where a patient was receiving care to observe and assess the Hospice Aide (HA) performing care. Personnel Record 7: A review of the personnel file for the Hospice Aide hired on 08/01/2022 revealed that the 2023 “annual on-site visit” did not contain documentation of skills being evaluated. The column labeled “patient/pseudo patient” was not filled out. The section of the form designated for the RN’s signature included the RN’s first name, no credentials, and had a line drawn down to the bottom. The form did not document that this was an onsite visit. During a joint clinical record review and interview conducted on 07/24/2025, the Director of Clinical Services stated, “This was not filled out per policy, and this was an issue with the previous leadership that we have worked on correcting since.””
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Level of activity (42 CFR 418.78(e))
The inspectors’ words, 280 words
“It is required that hospice volunteers provide day-to-day administrative or direct patient care services in an amount that, at a minimum, equals five percent (5%) of the total patient care hours of all paid hospice employees and contract staff. This standard was not met as evidenced by document review and interview. The agency did not ensure that hospice volunteers provided day-to-day administrative or direct patient care services in an amount that, at a minimum, equals five percent (5%) of the total patient care hours of all paid hospice employees and contract staff. An interview with the Volunteer Coordinator (VC) and a document review conducted on 07/23/2025 revealed that the volunteer percentage for the past year (June 2024 to June 2025) in either an administrative or patient care role was calculated at 4.22%. The Volunteer Coordinator, who has been in the VC role for approximately six (6) months, stated that the hospice “struggled with recruitment at first but has improved in the last two to three months.” Document review of the volunteer program revealed the agency did not ensure hospice volunteers provided day-to-day administrative or direct patient care services in an amount that, at a minimum, equals five percent (5%) of the total patient care hours of all paid hospice employees and contract staff. An interview and document review were conducted with the Volunteer Coordinator on 07/23/2025, and the volunteer percentage for the past year (June 2024 to June 2025) in either an administrative or patient care role was calculated at 4.22%. The Volunteer Coordinator has been in her role for approximately six (6) months and “struggled with recruitment at first but has improved in the last two to three months.””
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 24, 2025 | Reaccreditation inspection by the Community Health Accreditation Partner | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Feb 24, 2005.
- 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 nurse care minutes per routine home care day, 11.1% of skilled nursing minutes at weekends and a visit near death for 96.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 43% at home, 39% in assisted living, 1% in a nursing facility, 15% in a skilled nursing facility, 1% in a hospital.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.0 min |
| Skilled nursing minutes at weekends | 11.1% |
| Visits near death | 96.1% of patients who died |
Who owns it?
- Compassus SG Holdings I, LLC owns 100% directly since May 1, 2016.
- 7 owners or officers are people: Russell G Adkins (corporate officer); Russell G Adkins (runs it (operational or managerial control)); Laura A Templeton (corporate officer); Laura A Templeton (runs it (operational or managerial control)); Wendy Davis (managing employee (on the payroll)); Michael Asselta (corporate officer); Douglas Burns (managing employee (under contract)).
- 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 |
|---|---|---|---|
| Compassus Parent, Inc. | Owns 5% or more through other companies | 100% | Dec 31, 2019 |
| Fc Compassus LLC | Owns 5% or more through other companies | 100% | May 1, 2016 |
| Compassus SG Holdings II, LLC | Owns 5% or more through other companies | 100% | May 1, 2016 |
| Compassus Holdings, L.P. | Owns 5% or more through other companies | 100% | Dec 31, 2019 |
| Compassus SG Holdings I, LLC | Owns 5% or more directly | 100% | May 1, 2016 |
| Compassus Intermediate, Inc. | Owns 5% or more through other companies | 100% | Dec 31, 2019 |
| Ti V Asc Compassus Investment Aggregator LP | Owns 5% or more through other companies | 99% | Dec 31, 2019 |
| Ascension Towerbrook Healthcare Opportunities LP | Owns 5% or more through other companies | 49.5% | Dec 31, 2019 |
| Ti V Compassus Investment Aggregator, L.P. | Owns 5% or more through other companies | 49.5% | Dec 31, 2019 |
| Ascension Capital, LLC | Owns 5% or more through other companies | 49.48% | Dec 31, 2019 |
| Ascension Health Alliance | Owns 5% or more through other companies | 49.48% | Dec 31, 2019 |
| Towerbrook Investors V (Onshore) LP | Owns 5% or more through other companies | 29.75% | Dec 31, 2019 |
| Towerbrook Investors V (892), L.P. | Owns 5% or more through other companies | 14.14% | Dec 31, 2019 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 84% rated it 9 or 10 out of 10, and 86% would definitely recommend it.
- CMS’s Hospice Care Index: 10 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); 71.9% 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 | 4 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 | 10 of 10 |
How does it compare nearby?
- Of the 5 hospices CMS’s data show serving patients in ZIP code 59101, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2; 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 |
|---|---|
| Riverstone Health | 6 |
| Compassus Hospice Billings This hospice | 2 |
| St Johns United Hospice | 0 |
| Stillwater Hospice | 6 |
| Hospice of Campbell County Memorial Hospital | 1 |
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.