Hospice of Davidson County/ Hinkle Hospice House
A hospice in Lexington, North Carolina 27292
200 Hospice Way, Lexington, North Carolina 27292. (336) 475-5444.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 23, 2026.
- 8 deficiencies cited in the last three years
- 5of 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?
8 deficiencies cited in the last three years
The middle of the 14 hospices serving ZIP code 27292 had 7.
The last inspection on record was on May 23, 2025: a reaccreditation 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 May 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.
May 23, 2025: reaccreditation inspection by the Accreditation Commission for Health Care8 deficiencies
-
Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 178 words
“Upon patient record review, 4 of 21 (Patient #1,10,11,16) 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 #1-5/16/25 Orders for Diclofenac 1% gel, apply 1 dose topically 4x/day, no evidence of location to apply gel on medication profile. Corrected on Site. Patient #10-4/21/25 Orders for Nystatin Powder Q12 PRN, no evidence of location to apply powder on medication profile. Corrected on Site. Patient #11-1/30/25 Acetaminophen 325mg tab, admin 2 tabs Q6 PRN and 2/12/25 Acetaminophen/Hydrocodone 325/5mg, admin 1 tab Q4 PRN exceed the maximum dosage of 4g, no evidence of maximum allowable parameters medication profile. Corrected on Site. Patient #16-3/17/25 Orders for Diclofenac 1% gel, apply 1 dose topically BID, no evidence of location to apply gel on medication profile. Corrected on Site.”
-
Approach to service delivery (42 CFR 418.56(a)(1))
The inspectors’ words, 98 words
“Upon patient record review, 1 of 21 (Patient #13) did not have evidence that a Registered Nurse is designated to ensure continuous assessment of the patient and family’s needs and to coordinate activities with other members of the interdisciplinary group (IDG). The IDG must work together and is responsible for supervision of the care and service for each patient and family. Patient #13-5/17/25 Call received after hours by on call RN stating patient with increased anxiety, medication was given per orders but were ineffective, no evidence of SN visit was made to assess the change in patient status.”
-
Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 175 words
“Upon patient record review, 5 of 21 (Patient #1,4,10,11,16) 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 #1-5/16/25 Orders for Diclofenac 1% gel, apply 1 dose topically 4x/day, no evidence of location to apply gel on the plan of care. Corrected on Site. Patient #4-4/29/25 NP states patient has a wound, no evidence of wound care orders on the plan of care. Corrected on Site. Patient #10-4/21/25 Orders for Nystatin Powder Q12 PRN, no evidence of location to apply powder on plan of care. Corrected on Site. Patient #11-1/30/25 Acetaminophen 325mg tab, admin 2 tabs Q6 PRN and 2/12/25 Acetaminophen/Hydrocodone 325/5mg, admin 1 tab Q4 PRN exceed the maximum dosage of 4g, no evidence of maximum allowable parameters on the plan of care. Corrected on Site. Patient #16--3/17/25 Orders for Diclofenac 1% gel, apply 1 dose topically BID, no evidence of location to apply gel on the plan of care. Corrected on Site.”
-
Content of plan of care (42 CFR 418.56(c)(5))
“Upon patient record review, 1 of 21 (Patient #5) 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 equipment and supply needs. Patient #5 4/24/25 SN states a wheelchair, hospital bed and bed side table were ordered, no evidence of DME orders on the plan of care. Corrected on Site.”
-
Review of the plan of care (42 CFR 418.56(d))
“Upon patient record review, 1 of 21 (Patient #4) 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 #4 4/29/25 NP states patient has a wound, no evidence of revised plan of care to reflect wound.”
-
Coordination of services (42 CFR 418.56(e)(3))
“Upon patient record review 1 of 21 (Patient #6) 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 #6 5/12/25 SN narrative states patient/family are requesting to speak with a clinical leader, no evidence that call was made. 4/17/25 Chaplain narrative states “patient biggest concern today is constipation”, no evidence that information was shared with the SN. Corrected on Site.”
-
Authentication (42 CFR 418.104(b))
“Upon patient client record review, 1 of 21 (Patient #8) 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 #8 4/22/25 MSW visit is verbatim copy & pasted from visit on 3/25/25, no evidence of authenticate visit documentation.”
-
N/a (42 CFR 418.110(d))
“Upon observation, there was no evidence fire drills of a facility are provided consistent with the 2012 editions of the LSC of the National Fire Protection Association and NFPA 99. The provisions of the adopted edition of the Life Safety Code do not apply in a State if CMS finds that a fire and safety code imposed by State law adequately protects patients in hospices. Existing Construction No evidence of 2nd shift fire drill in Quarter 2 of 2024 and Quarter 1 of 2025.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 23, 2025 | Reaccreditation inspection by the Accreditation Commission for Health Care | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since May 1, 1991.
- 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): 9.2 nurse care minutes per routine home care day, 5.9% of skilled nursing minutes at weekends and a visit near death for 99.8% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 61% at home, 10% in assisted living, 26% in a nursing facility, 3% 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 | 9.2 min |
| Skilled nursing minutes at weekends | 5.9% |
| Visits near death | 99.8% of patients who died |
Who owns it?
- 17 owners or officers are people: Laura T. Owen (corporate officer, 100%); Laura T. Owen (managing employee (on the payroll), 60%); Lana J Riemann (managing employee (on the payroll), 40%); Debbie C, Fanary (corporate director); Michelle Murphy Cecil (corporate director); Daniel Gray James (corporate director); Tracey Richardson Carroll (corporate director); Philip W. Young (corporate director); Brooke Regan Williams (corporate director); Michelle Essick Younts (corporate director); Kenneth S Hall (corporate director); Jan Briggs (corporate director); Gina Miller Idol (corporate director); Dale James Moorefield (corporate director); Catherine Elizabeth Michael (corporate director); Karen Hege Watford (corporate director); Edwina Mcphatter Hardee (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?
- Family caregivers rate it 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 90% rated it 9 or 10 out of 10, and 95% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.08% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 76.4% 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 | 5 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 27292, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; 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 |
|---|---|
| Hospice of Davidson County/ Hinkle Hospice House This hospice | 8 |
| Trellis Supportive Care | 13 |
| Authoracare Collective | 13 |
| Hospice of the Piedmont Inc. | 12 |
| Liberty Home Care II, LLC | 4 |
| Medi Home Health and Hospice | 0 |
| Tillery Compassionate Care | 0 |
| Mountain Valley Hospice & Palliative Care | 6 |
| Amedisys Hospice | 10 |
| Gentiva | 18 |
| Community Home Care of Vance County | 1 |
| Novant Health Hospice | 3 |
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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.