Duke Hospice
A hospice in Durham, North Carolina 27713
12 Moore Drive, Suite 200, Durham, North Carolina 27713. (919) 613-4663.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 12 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?
12 deficiencies cited in the last three years
The middle of the 13 hospices serving ZIP code 27713 had 11.
The last inspection on record was on Mar 20, 2026: a reaccreditation inspection by The Joint Commission.
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
12 deficiencies in 1 month of the last 36. Last cited Mar 2026. 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.
Mar 20, 2026: reaccreditation inspection by The Joint Commission12 deficiencies
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Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))
“Observed in Record Review. In 1 of 3 patient records reviewed, for discharged patients, it was noted by the surveyor that for HOSRRDC#1 a copy of the Notice of Medicare Non-coverage (NOMNC) was not provided to or signed as required by the patient when it was determined that the patient was going to be discharged for extended prognosis. Finding was discussed and verified with the Clinical Nurse Managers.”
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Timeframe for completion of assessment (42 CFR 418.54(b))
The inspectors’ words, 138 words
“Observed in Record Review. In 3 of 20 patient records reviewed, it was noted by the hospice nurse surveyor that the comprehensive assessment was not completed within five calendar days of the election of the hospice benefit. For HOSRRNHV#7, the MSW assessment was not completed within 5 days with no explanation in the record as to why. The assessment was 13 days late. For HOSRRNHV#8, the chaplain assessment was not conducted within 5 days with no explanation documented with why late. Chaplain assessment not documented as being completed. The MSW assessment was not completed within 5 days with no documented explanation. Assessment was 5 days late. In HOSRRNHV#14, the MSW assessment was not conducted within 5 days with no documented explanation and was completed 16 days late. Findings were discussed and verified with the hospice clinical nurse managers.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. In 2 of 20 patient records reviewed, it was noted by the hospice nurse surveyor that the bereavement risk assessment was not completed as part of the comprehensive assessment. For HOSRRNHV#3 and HOSRRNHV#10, there was no documented Bereavement Risk Assessment by any member of the Interdisciplinary Team. Finding was discussed and verified with the hospice clinical nurse managers.”
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Update of comprehensive assessment (42 CFR 418.54(d))
The inspectors’ words, 111 words
“Observed in Record Review. In 2 of 20 patient records reviewed, for active patients, it was noted by the nurse surveyor that the plan of care was not updated based on changes in the patient condition. For HOSRRHV#3, Skilled nursing notes and IDG notes reflect that the patient was having increased anxiety, however the Care Plan was not updated to reflect anxiety or the noted interventions. HOSRRNHV#4, the patient had a change of condition resulting in daily nursing visits. The plan of care had not been updated to reflect the change of condition or that for the patient death was imminent. Findings were discussed and verified with the Clinical Nurse Managers.”
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Content of plan of care (42 CFR 418.56(c))
“Observed in Record Review. In 20 of 20 patient records reviewed, for active patients, the nurse surveyor noted that the goals were not measurable. For example, Patient cognitive care needs met without s/s of complications, and “Patient and/or family verbalizes understanding of nutritional needs. Most goals did not have a timeframe for completion or were to end of certification period or at death. Those goals with short term completion dates were not updated to reflect an on-going problem. All findings were discussed and verified with the Hospice Clinical Nurse Managers.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 100 words
“Observed in Patient Home. In 1 of 3 home visits conducted, for patients with a hospice aide, it was noted by the nurse surveyor that the hospice aide care plans did not include the information necessary for the hospice aide to effectively care for the patients. For RRHV#4, the patient had a foley catheter inserted and required catheter care and for the foley bag to be emptied at each hospice aide visit. The Hospice Aide Care Plan had not been updated to reflect this change. Findings were discussed and verified with the Hospice Nurse Manager present on the home visit.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2)(ii))
The inspectors’ words, 159 words
“Observed in Patient Home. In 2 of 3 home visits conducted, patients with the hospice aide, the nurse surveyor noted that care was not provided according to the hospice aide plan of care. RRHV#2, the Home Health Aide Care Plan indicated that the hospice aide was to provide the patient with a bed bath. During the home health aide visit the aide stated that she gave the patient a shower anytime there was help available at the facility to help her transfer the patient to the shower chair even though it was not on the care plan for her to do so. For RRHV#4, the Home Health Aide Care Plan indicated the hospice aide was to assist the patient with bowel/bladder elimination. The patient had had a foley catheter inserted and the hospice aide emptied the foley bag and performed catheter care at each visit. Findings were verified by the nurse managers who were present on the patient visits.”
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
“Observed in Record Review. In 1 of 20 patient records reviewed, for active patients, it was noted by the nurse surveyor that hospice aide supervisory visits were not documented no less frequently than every fourteen days. For HOSRRHV#6, hospice aide supervisory visits were two days late (sixteen days between supervisory visits) and five days late (nineteen days between supervisory visits). Findings were verified with the Hospice Clinical Nurse Manager.”
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Supervision of hospice aides (42 CFR 418.76(h)(2))
“Observed in HR File Review. In 1 of 2 hospice aide competency records reviewed, the organization had not documented an annual on-site visit by a registered nurse. There was no documentation that validated that a RN made an on-site visit to the location where a patient was receiving care in order to observe and assess the hospice aide at any time during a 12 month period. The last signed evaluation was done two years prior to the date of the survey. This was discussed with hospice leadership.”
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Coordination of services (42 CFR 418.112(e)(3)(iii))
“Observed in Patient Home. In 3 of 3 home visits conducted, in a skilled facility, it was noted by the nurse surveyor that for RRHV#1, RRHV#2, and RRHV#6, the Skilled Nursing Facility had not been provided the physician certification and recertification of the patient’s terminal illness. Findings were verified by the Hospice Nurse Managers.”
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Criminal background checks (42 CFR 418.114(d)(1))
“Observed in Document Review. The organization’s contract for a Skilled Nursing Facility (SNF), Carver Living Center, did not contain all of the required elements. This was evidenced by the lack of a stipulation stating that the SNF would complete criminal background checks on employees who provide direct patient care or have access to patient records. This was discussed with the leadership of the organization.”
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N/a (42 CFR 418.110(e))
“Observed in Document Review. There was no documentation provided to demonstrate that the In-patient Hospice conducted quarterly sprinkler testing during the fourth quarter of 2025. This included no testing of high and low Air Pressure Supervisory Signals. This was confirmed by the Facilities Team.”
All 4 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 20, 2026 | Reaccreditation inspection by The Joint Commission | 12 deficiencies cited |
| Sep 30, 2025 | Complaint inspection by the state | No deficiencies cited |
| Jul 29, 2025 | Complaint inspection by the state | No deficiencies cited |
| Aug 5, 2024 | Complaint inspection by the state | No deficiencies cited |
Is it certified?
- Medicare-certified hospice since Feb 5, 1986.
- 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): 12.2 nurse care minutes per routine home care day, 7.4% of skilled nursing minutes at weekends and a visit near death for 93.8% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 83% at home, 5% in assisted living, 6% in a skilled nursing facility, 1% in a hospital, 5% 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 | 12.2 min |
| Skilled nursing minutes at weekends | 7.4% |
| Visits near death | 93.8% of patients who died |
Who owns it?
- Duke University Health System, Inc. owns an unstated share directly since Aug 1, 2006.
- 23 owners or officers are people: George R Wagoner (corporate director); Adam Silver (corporate officer); Alison P Toth (corporate officer); Garheng Kong (corporate officer); Leslie E Bains (corporate director); Carmichael S Roberts (corporate director); Mary Earley Klotman (corporate officer); Mary Earley Klotman (managing employee (on the payroll)); Thomas H Lister (corporate officer); John Stuart Smith (managing employee (on the payroll)); Peter Michael Grossi (corporate officer); Denise Barnes (corporate officer); Craig T Albanese (corporate officer); Velma Denis Shird Bennett (corporate officer); Nancy M Schlichting (corporate director); Federico Manon (corporate officer); Gail Belvett (corporate director); Laurene Sperling (corporate officer); Howard Wayne Francis (corporate officer); Gerald L Hassell (corporate director); Erik Karl Paulson (corporate officer); Vincent Price (corporate officer); Amanda Jane Richards (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.
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 88% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 95.54% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 47.1% 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 13 hospices CMS’s data show serving patients in ZIP code 27713, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 11; this one had 12.
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 |
|---|---|
| Duke Hospice This hospice | 12 |
| Authoracare Collective | 13 |
| Transitions Lifecare | 9 |
| UNC Hospice | 2 |
| Amedisys Hospice | 10 |
| Medi Home Health and Hospice | 6 |
| Liberty Home Care and Hospice | 11 |
| Liberty Home Care VI, LLC | 8 |
| Community Hospice LLC | 17 |
| Heartland Hospice (Raleigh ) | 14 |
| Community Home Care of Vance County | 1 |
| Pruitthealth Hospice - Rocky Mount | 20 |
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.