Alexander Hospice
A hospice in Taylorsville, North Carolina 28681
50 Lucy Echerd Lane, Taylorsville, North Carolina 28681. (828) 632-5026.
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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.
- 8 deficiencies cited in the last three years
- Not rated family caregiver rating
- 10of 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?
8 deficiencies cited in the last three years
The middle of the 9 hospices serving ZIP code 28681 had 5.
The last inspection on record was on Dec 1, 2023: an initial inspection by the Accreditation Commission for Health Care.
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
8 deficiencies in 1 month of the last 36. Last cited Dec 2023. 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.
Dec 1, 2023: initial inspection by the Accreditation Commission for Health Care8 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 136 words
“Upon patient record review, 3 of 14 (Patient #1, 3, 4) 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 There was no route given for these patients. These were corrected on site Pt #1- Oxygen 2 l/min prn dyspnea Pt #3- Azithromycin 250mg take 2 tabs today and then 1 tab qd X 4 days then stop. Oxycodone 5 mg take 1/2 -1 tab q 4 hours prn pain or dyspnea. Pt #4 - O2 2 l/min prn dyspnea (Corrected on site)”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 114 words
“Upon patient record review, 3 of 14 (Patient #1, 3, 4) 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. Pt #1 - Pt oxygen order reads 2 l prn dyspnea. No route identified. (Corrected on site) Pt #3 - Azithromycin ordered 11/28/23 250 mg take 2 tablets today, then 1 tablet qd X 4 days then stop. Oxycodone 5 mg. take 1/2-1 tab q 4 hours prn pain or dyspnea. No route identified. (Corrected on site) Pt #4 - Oxygen ordered 11/27/23 O2 at 2l/min prn dyspnea. No route identified (Corrected on site)”
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Review of the plan of care (42 CFR 418.56(d))
“Upon client record review, 1 of 14 (Patient #2) did not have evidence that the IDG in collaboration with the attending physician reviewed, revised and documents the individualized plan as frequently as the patient’s condition requires but no less frequently then every 15 calendar days. Pt #2 - No evidence in IDG notes of patient going to respite and from respite (10/25-10/29) staying in facility for care.”
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Review of the plan of care (42 CFR 418.56(d))
“Upon patient record review, 1 of 14 (Patient #2) 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. Pt #2 - No evidence the plan of care was updated to reflect patient going to respite and from respite (10/25-10/29) staying in facility for care.”
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Training (42 CFR 418.100(g)(3))
“Upon personnel record review, 1 of 12 (Personnel #6 ) did not have evidence that a skills competency assessment, specific to each discipline had been conducted for all personnel including volunteers initially during orientation. Personnel #6 is the SW and the BC. Competencies for the SW completed. No evidence of BC competencies.”
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Content (42 CFR 418.104(a)(1))
The inspectors’ words, 130 words
“Upon patient client record review, 1 of 14 (Patient #1) did not have evidence that each patient record contains:(this references that the documentation is part of the patient record. Citing the inaccuracy of a component of the record is cited under other standards) • Initial plan of care • Updated plan of care • Initial assessments • Comprehensive assessments • Updated comprehensive assessments • Signed and dated clinical and progress notes Pt #1 - No chaplain clinical notes for patient in clinical record for November, 2023. Visits were ordered for 1x/2wks for spiritual support. Clinical Notes agency policy states: Staff shall document the services rendered on date of service. Such notes shall be incorporated into the clinical record within 72 hours of date services were rendered. Survey date was 11/29/23.”
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Discharge or transfer of care (42 CFR 418.104(e))
“Upon client record review, 1 of 14 (Patient #2) did not have evidence that the hospice forwarded a transfer summary and a copy of the patient record, if requested, to a facility when transferring the patient to that facility. Pt #2 - There was no evidence in patient record that a transfer summary was provided to facility for respite stay.”
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Coordination of services (42 CFR 418.112(e)(3))
The inspectors’ words, 122 words
“Upon patient record review, 2 of 14 (Patient #2,12) did not have evidence that the hospice provided the following information: • The most recent hospice plan of care specific to each patient • Hospice election form and any Advance Directives specific to each patient • Physician certification and recertification of the terminal illness specific to each patient • Names and contact information for hospice personnel involved in hospice care of each patient • Instructions on how to access the hospice’s 24-hour on-call system • Hospice medication information specific to each patient • Hospice physician and attending physician (if any) orders specific to each patient Pt #2 and 12 - No evidence in patient record that the election form was sent to SNF.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 1, 2023 | Initial inspection by the Accreditation Commission for Health Care | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 15, 1987.
- 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): 11.4 nurse care minutes per routine home care day, 6.2% of skilled nursing minutes at weekends and a visit near death for 94.9% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 92% at home, 6% in assisted living, 3% 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 | 11.4 min |
| Skilled nursing minutes at weekends | 6.2% |
| Visits near death | 94.9% of patients who died |
Who owns it?
- Hospice and Home Care of Alexander County Inc. runs it.
- 22 owners or officers are people: Amy C Inman (managing employee (under contract)); Jordan Byers (corporate director); Jamison Presnell (managing employee (on the payroll)); Jamison Presnell (runs it (operational or managerial control)); Cherry Kilby (corporate director); Selena Harrington (corporate director); Robert James (corporate officer); Robert James (corporate director); William Bowman (corporate director); Sandi Daughtry (corporate officer); Sandi Daughtry (corporate director); Marquita Fox (corporate director); Roger Hill (corporate director); Leah Chapman Bumgarner (managing employee (on the payroll)); Leah Chapman Bumgarner (runs it (operational or managerial control)); Phil F Icard (corporate director); Carol Zachary (corporate officer); Carol Zachary (corporate director); Danny Dyson (corporate director); Paul Schronce (corporate officer); Paul Schronce (corporate director); Bernard Coulter (corporate director).
- 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: 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); 66% 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 | 10 of 10 |
How does it compare nearby?
- Of the 9 hospices CMS’s data show serving patients in ZIP code 28681, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 8.
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 |
|---|---|
| Alexander Hospice This hospice | 8 |
| Hospice & Palliative Care Charlotte Region | 9 |
| Amorem | 4 |
| Wake Forest Baptist Health Care at Home Hospice-WI | 13 |
| Hospice of Iredell County, Inc. | 5 |
| Medi Home Hospice | 5 |
| Carolina Caring | 0 |
| Medi Home Health and Hospice | 0 |
| Hospice of Carteret County | 2 |
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.