Hospice & Palliative Care Charlotte Region
A hospice in Charlotte, North Carolina 28226
7845 Little Avenue, Charlotte, North Carolina 28226. (704) 375-0100.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 9 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?
9 deficiencies cited in the last three years
The middle of the 16 hospices serving ZIP code 28226 had 4.
The last inspection on record was on Sep 14, 2026: a complaint 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
9 deficiencies in 1 month of the last 36. Last cited Aug 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.
Aug 29, 2025: reaccreditation inspection by the Accreditation Commission for Health Care9 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 191 words
“Upon patient record review, 3 of 35 (Patient #4, 13, 28) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient #4: Hospice medication profile has patient Oxygen order for 2 LPM via NC continuously. Upon interview, during visit to facility resident, noted patient not using Oxygen. He stated he does not need it at this time. Verified with facility nurse he is not using continuously. Updated on site. Patient #13: Hospice medication profile has Dexamethasone 4 mg (1) tab PO twice daily. The patient’s prescription bottle has 2 mg twice daily. Prescription bottle is dated 6/20/25. Upon interview, confirmed with patient/spouse taking (1) 2 mg tablet twice daily. Patient #28: 6/4/25 Bisacodyl RS 10mg Q72 hours PRN and 8/10/25 Bisacodyl RS 10mg QD PRN, no evidence of duplicate order being discontinued on medication profile. Corrected on Site.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 111 words
“Upon patient record review, 1 of 35 (Patient #14) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient’s plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patient #14: 7/18/25 order volunteer effective 07/27/25 (7) prn. Staff corrected on site to specific frequency.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 112 words
“Upon patient record review, 5 of 35 (Patient #4, 10, 13, 20, 35) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient #4, 10, 13: Admitted with indwelling catheter related to urinary retention. Orders to change catheter every 6 weeks OR as needed for occlusion/leakage/removal. Corrected on site. Patient #20: 8/25/25 update to POC order says insert/maintain indwelling catheter (14, 16, 18 or Coude/5-10 cc balloon). Corrected on site. Patient #35: 8/22/25 order for oxygen as follows “O2 admin 2-6LPM BID/PRN”, order should be either BID or PRN. Corrected on Site.”
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Review of the plan of care (42 CFR 418.56(d))
“Upon patient record review, 2 of 35 (Patient #5, 7) did not have evidence that a revised plan of care includes information from the patient’s updated comprehensive assessment and must note the patient’s progress towards outcome/goals from the plan of care. Patient #5: Treated for UTI 8/20/25 Cipro. No update to problems, goals and interventions specific to UTI. Patient #7: Developed rash with itching / discomfort. prn 7/26/ RN visit. Nurse suspicious of shingles. Rash lasted for days. No update to problems, goals and interventions specific to rash.”
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Coordination of services (42 CFR 418.56(e)(2))
“Upon client record review, 1 of 35 (Patient #32) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #32: 8/27/25 POC contains orders for wound care to Right upper Skin tear, Right lower skin tear and left upper skin tear, no evidence of wound care being performed.”
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Coordination of services (42 CFR 418.56(e)(3))
“Upon patient record review 1 of 35 (Patient #30) did not have evidence that the IDG ensures that the care and services provided are based on all assessments of the patient and family needs. Patient #30: 8/22/25 MSW states a follow up visit will be made on Monday 8/25/25 to the patient and daughter, no evidence of any follow up completed.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 183 words
“Upon patient record review, 3 of 35 (Patient #1, 4, 13) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient #1: Patient medications include Keppra for seizures and Eliquis anticoagulant. Aide Care Plan does not address seizure and bleeding precautions. Patient #4: Patient has order for Oxygen 2LPM NC continuously. O2 precautions not addressed in Aide Care Plan. Patient #13: Patient medications include seizure medications, but seizure precautions are not addressed on Aide Care Plan.”
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Content (42 CFR 418.104(a)(2))
The inspectors’ words, 113 words
“Upon patient client record review, 1 of 35 (Patient #11) did not have evidence that each patient record contains: • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 Patient #11: In admission documents, hospice election effective date is typed as 6/13/25, but a line is manually drawn through with change to 12th. The change is initialed, but the initials were not consistent with patient/RP or agency representative. Interview with staff reveals office staff changed the date after visit completed. There is no date for change/initials as required in policy. RN was in home and performed admission 6/12/25. Patient/RP signatures dated 6/12/25.”
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Authentication (42 CFR 418.104(b))
“Upon patient client record review, 1 of 35 (Patient #20) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #20: 18 Fr Coude catheter inserted by SN 7/16/25 visit, but balloon size not specified in documentation.”
All 4 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 14, 2026 | Complaint inspection by the state | No deficiencies cited |
| May 11, 2026 | Complaint inspection by the state | No deficiencies cited |
| Aug 29, 2025 | Reaccreditation inspection by the Accreditation Commission for Health Care | 9 deficiencies cited |
| Dec 4, 2023 | Complaint inspection by the state | No deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 21, 1984.
- Ownership: non-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): 13.2 nurse care minutes per routine home care day, 8.9% of skilled nursing minutes at weekends and a visit near death for 94.7% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 45% at home, 31% in assisted living, 22% in a nursing facility, 2% in an inpatient hospice.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 13.2 min |
| Skilled nursing minutes at weekends | 8.9% |
| Visits near death | 94.7% of patients who died |
Who owns it?
- Hospice & Palliative Care Charlotte Region owns 100% directly since Mar 8, 1978.
- 11 owners or officers are people: Michael S Bolewitz (corporate director, 100%); Michael S Bolewitz (managing employee (on the payroll), 100%); Peter A Brunnick (corporate officer); Peter A Brunnick (corporate director); Peter A Brunnick (managing employee (on the payroll)); Peter A Brunnick (runs it (operational or managerial control)); Julie Ann Vibbert (corporate director); Michael S Bolewitz (corporate officer); Bridget Ilka Hiller (managing employee (on the payroll)); Todd Vincent Fontenot (corporate officer); Todd Vincent Fontenot (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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Hospice & Palliative Care Charlotte Region | Owns 5% or more directly | 100% | Mar 8, 1978 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 86% rated it 9 or 10 out of 10, and 89% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 97.04% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 68.9% 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 16 hospices CMS’s data show serving patients in ZIP code 28226, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; this one had 9.
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 & Palliative Care Charlotte Region This hospice | 9 |
| Novant Health Hospice and Palliative Care A Department of Novant Health | Not given |
| Trellis Supportive Care | 13 |
| Amorem | 4 |
| Hospice and Palliative Care of Cabarrus County | 4 |
| Atrium Health Hospice Union | 1 |
| Hospice of Wilson Medical Center | 3 |
| Carolina Caring | 0 |
| Carolina Caring | 2 |
| Liberty Home Care II, LLC | 4 |
| Gentiva | 18 |
| Community Home Care & Hospice | 15 |
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.