Johnston Health Home Care and Hospice
A hospice in Smithfield, North Carolina 27577
514 N Brightleaf Blvd Suite 1502, Smithfield, North Carolina 27577. (919) 938-7505.
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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.
- 5 deficiencies cited in the last three years
- 5of 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?
5 deficiencies cited in the last three years
The middle of the 12 hospices serving ZIP code 27577 had 8.5.
The last inspection on record was on Jan 30, 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
5 deficiencies in 1 month of the last 36. Last cited Jan 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.
Jan 30, 2026: reaccreditation inspection by The Joint Commission5 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
The inspectors’ words, 113 words
“Observed in Record Review. In 4 of 17 patient records reviewed, the Hospice Nurse Surveyor noted the chaplain failed to complete their initial assessments within five days after the election of hospice (EOHB). For example, in HOSRRHV2, the Chaplain had not reached out to schedule initial visit until 6 days post EOHB. In HOSRRNHV1, the Chaplain made an initial phone call to schedule a visit with the patient 6 days post election of hospice. In HOSRRNHV6, the Chaplain did not document an initial contact with the patient until 13 days post EOHB. In HOSRRNHV8, there had been no documented Chaplain contact for 9 day post EOHB. This was validated with the Quality Coordinator.”
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Content of comprehensive assessment (42 CFR 418.54(c)(5))
The inspectors’ words, 98 words
“Observed in Record Review. In 2 of 14 patient records reviewed, the Hospice Nurse Surveyor noted patient wounds had not been assessed according to agency policy which states: wounds are measured on admission and at least once a week. For example, HOSRRHV3, the patient had a documented stage 3 pressure injury receiving care; however, there had been no assessment of wound on admission to hospice nor the 3 weeks of ongoing care and service. In HOSRRNHV3, there had been no documentation of the wound assessment and measurements in 3 months. This was validated with the Director of Hospice.”
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Coordination of services (42 CFR 418.56(e)(2))
“Observed in Patient Home. In 2 of 4 home visits conducted, the Hospice Nurse Surveyor noted care had not been provided according to hospice plan of care. For example, in HOSRRHV4, the patient had orders for Peritoneal Drainage Catheter: drain 2x/week during SN visit and PRN; however, the RN had not been observed to drain the peritoneum. Per the RN, she is only draining the peritoneum weekly. This was validated with the Quality Coordinator present during the visit.”
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N/a (42 CFR 418.110(c)(1))
“Observed in Building Tour. There were two (2) H-Cylinders that were located in the bulk oxygen tank area that were not covered being protected from the elements. This was observed by the Director of Facility Engineering, the Manager of Facility Maintenance, and the Emergency Management Coordinator/Safety Officer. Observed in Building Tour. The generator was unsecured giving access to unauthorized personnel. This was observed by the Director of Facility Engineering, the Manager of Facility Maintenance, and the Emergency Management Coordinator/Safety Officer.”
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N/a (42 CFR 418.110(d)(1)(i))
“Observed in Building Tour. There was an escutcheon plate that was not properly installed leaving a gap greater than 1/8 inch from the escutcheon plate to the ceiling. This was located in the Family Living Room. This was observed by the Director of Facility Engineering, the Manager of Facility Maintenance, and the Emergency Management Coordinator/Safety Officer. This finding was observed during survey activity, but corrected onsite prior to the surveyor’s departure. The corrective action taken needs to be included in the organization’s Evidence of Standards Compliance submission.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 30, 2026 | Reaccreditation inspection by The Joint Commission | 5 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jul 22, 1992.
- Ownership: other.
- 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): 118.3 nurse care minutes per routine home care day, 27.8% of skilled nursing minutes at weekends and a visit near death for 99.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 42% at home, 58% 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 | 118.3 min |
| Skilled nursing minutes at weekends | 27.8% |
| Visits near death | 99.3% of patients who died |
Who owns it?
- University of North Carolina Health Care System owns 100% directly since Jul 5, 2025.
- 19 owners or officers are people: William Massengill (corporate director, 0%); Patricia Jones (corporate director, 0%); Kevin Cielinski (corporate officer, 0%); Kevin Cielinski (managing employee (on the payroll)); Tracey Boykin Carson (corporate officer, 0%); Jeffrey Parlier (corporate director, 0%); Robert Bradford Oakes (corporate director, 0%); David Mills (corporate director, 0%); Michael Chad Setliff (corporate director, 0%); Kyle Blake Mobley (managing employee (on the payroll), 0%); Rodney L Mccaskill (corporate director, 0%); Dennis Koffer (corporate director); Richard Alioto (corporate director, 0%); Lacey Barnes (corporate director, 0%); Teddy Gilbert Godwin (corporate director); Marilyn R Pearson (corporate director); Benjamin J Mathew (corporate director, 0%); Tommy Williams (corporate officer); Hasan Ahmad Baloch (corporate director, 0%).
- 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 |
|---|---|---|---|
| University of North Carolina Health Care System | Owns 5% or more directly | 100% | Jul 5, 2025 |
What do families say?
- Family caregivers rate it 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 93% rated it 9 or 10 out of 10, and 97% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.63% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 91.4% 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 | 10 of 10 |
How does it compare nearby?
- Of the 12 hospices CMS’s data show serving patients in ZIP code 27577, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8.5; this one had 5.
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 |
|---|---|
| Johnston Health Home Care and Hospice This hospice | 5 |
| Transitions Lifecare | 9 |
| Hospice of Wilson Medical Center | 3 |
| Liberty Home Care II, LLC | 4 |
| 3hc | 32 |
| Amedisys Hospice | 10 |
| Medi Home Health and Hospice | 6 |
| Liberty Home Care and Hospice | 11 |
| Continuum Home Care & Hospice | 8 |
| 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.