Hearth Record

Kindred Hospice

A hospice in Tarboro, North Carolina 27886

1712 W Howard Ave, Tarboro, North Carolina 27886. (252) 641-7518.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 9 deficiencies in 1 month of the last 36. Last cited Oct 2024. Most serious: Standard-level. Every month

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?

9 deficiencies cited in the last three years

The middle of the 12 hospices serving ZIP code 27886 had 8.

The last inspection on record was on Oct 18, 2024: a reaccreditation inspection by the Accreditation Commission for Health Care.

Source:

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 Oct 2024. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

9 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Oct 18, 2024: reaccreditation inspection by the Accreditation Commission for Health Care9 deficiencies
  • Content of comprehensive assessment (42 CFR 418.54(c))

    “Upon patient record review 1 of 19 (Patient #4) did not have evidence in the patient record that the comprehensive assessment identifies the physical, psychosocial, emotional, and spiritual needs related to the terminal illness that must be addressed in order to promote the hospice patient’s well-being, comfort, and dignity throughout the dying process. Patient 4 admitted 3/14/23, no evidence of an initial spiritual assessment.”

    Rule L0524. Standard-level.

  • Content of comprehensive assessment (42 CFR 418.54(c)(6))

    “Upon patient record review, 1 of 19 (Patient #10) 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 10 medication profile included Naloxone 4mg 1 spray as needed, no evidence of a frequency.”

    Rule L0530. Standard-level.

  • Plan of care (42 CFR 418.56(b))

    The inspectors’ words, 120 words

    “Upon patient record review, 5 of 19 (Patient #1, 2, 5, 6, 7) did not have evidence that each patient and family received education and training provided as appropriate to their responsibilities for the care and services identified in the plan of care. Patient 1 no evidence of education provided on the following medications: Tylenol, Levsin, lorazepam, and ondansetron. Patient 2 no evidence of education provided for tramadol. Patient 5 no evidence of education provided on the following medications: oxycodone, Bisacodyl, fleet enema, ondansetron, Compazine, and Seroquel. Patient 6 no evidence of education provided for mirtazapine. Patient 7 no evidence of education provided on the following medications: hydrocortisone, nystatin, Anbesol, lorazepam, Tamsulosin, Debrox, amlodipine, milk of magnesium, hyoscyamine, and ondansetron.”

    Rule L0544. Standard-level.

  • Content of plan of care (42 CFR 418.56(c))

    The inspectors’ words, 136 words

    “Upon patient record review, 4 of 19 (Patient #4, 5, 6, 8) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient 4 and 8 nursing documentation documents evidence of high risk for aspiration, no evidence of aspiration precautions. Patient 5 Nursing visits document N/V and medications for nausea and vomiting, no evidence of a care plan for nausea and vomiting. Patient 6 mechanical soft diet and nursing visits document high risk for aspiration. No evidence of aspiration precautions.”

    Rule L0545. Standard-level.

  • Content of plan of care (42 CFR 418.56(c)(4))

    The inspectors’ words, 92 words

    “Upon patient record review, 2 of 19 (Patient #7, 10) 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 7 initial plan of care included order for 20fr foley with 10ml balloon, within the same care plan the interventions included 16-18fr foley with 10ml balloon. Order is not clear as to the size of the foley. Patient 10 order for Naloxone 4mg 1 spray as needed, no evidence of a frequency.”

    Rule L0549. Standard-level.

  • Review of the plan of care (42 CFR 418.56(d))

    “Upon patient record review, 1 of 19 (Patient #3) 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 3 initial plan of care included orders for oxygen DME and a care plan for oxygen however no orders for oxygen, the patient had refused the oxygen and the orders for the DME and care plan for oxygen were not needed.”

    Rule L0553. Standard-level.

  • Coordination of services (42 CFR 418.56(e)(2))

    The inspectors’ words, 119 words

    “Upon client record review, 2 of 19 (Patient #1, 12) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 1 initial plan of care included order to check pulse ox upon admission and at recertification. There is a pulse ox documented on 9/3/24. No evidence of a pulse ox documented for the 6/28/24 or 8/27/24 recertifications. Patient 12 admitted on 7/29/24. Initial plan of care included order for SW 1m1 eval, then order on 8/1/24 for SW frequency effective 8.2.24 of 1m1, 2m2 and 3prn. No evidence of a SW visit in July and SW visit completed on 8/1/24 without an order for this visit.”

    Rule L0555. Standard-level.

  • Hospice aide assignments and duties (42 CFR 418.76(g)(1))

    The inspectors’ words, 214 words

    “Upon patient record review, 6 of 19 (Patient #1, 3, 4, 9, 11, 12) 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, 3, 12 plan of care includes aspiration precautions, no evidence of aspiration precautions on the aide care plan. Patient 4 nursing documentation of aspiration risk, no evidence of aspiration precautions on the aide care plan. Patient 9 plan of care includes aspiration precautions and patient is on Eliquis, no evidence of aspiration or bleeding precautions on the aide care plan. Patient 11 plan of care includes aspiration and fall precautions, no evidence of aspiration or fall precautions on the aide care plan.”

    Rule L0625. Standard-level.

  • Hospice aide assignments and duties (42 CFR 418.76(g)(2))

    “Upon patient record review 1 of 19 (Patient #2) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient 2 aide care plan 9/13/24 included bed bath weekly. Aide visits on September 10, 13, 17, 20, 24, 27, 30, and October 4, 8, 11 all document bed bath performed.”

    Rule L0626. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Oct 18, 2024Reaccreditation inspection by the Accreditation Commission for Health Care9 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Mar 21, 2000.
  • Ownership: for-profit.
  • No deficiency or on record in the last three years.
Source:

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.
Source:

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, 6.6% of skilled nursing minutes at weekends and a visit near death for 96.9% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 60% at home, 12% in assisted living, 27% in a nursing facility, 2% in a skilled nursing facility.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day12.2 min
Skilled nursing minutes at weekends6.6%
Visits near death96.9% of patients who died

Who owns it?

  • Curo Community Hospice, LLC owns 100% directly since Mar 22, 2012.
  • 7 owners or officers are people: Brittany Mccullough (managing employee (on the payroll), 0%); Ronald C Lazas (corporate officer); David Robinson Arnold (corporate officer, 0%); David Robinson Arnold (runs it (operational or managerial control), 0%); Thomas Joseph Dolan (corporate officer); David Allen Causby (corporate officer); Janet L Combs (corporate officer).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
Ch Services Midco Holdings Inc.Owns 5% or more through other companies100%Nov 21, 2014
Curo Community Hospice, LLCOwns 5% or more directly100%Mar 22, 2012
Curo Health Services Holdings, Inc.Owns 5% or more through other companies100%Nov 9, 2011
Charlotte Midco, LLCOwns 5% or more through other companies100%Mar 1, 2022
Falcon Hospice, LPOwns 5% or more through other companies100%Aug 11, 2022
Charlotte Buyer, Inc.Owns 5% or more through other companies100%Apr 19, 2018
Curo Health Services LLCOwns 5% or more through other companies100%Nov 18, 2011
Kah Hospice Company, Inc.Owns 5% or more through other companies100%Mar 1, 2022
Ch Services Group Holdings Inc.Owns 5% or more through other companies100%Nov 21, 2014
Ch Services Holdings Inc.Owns 5% or more through other companies100%Nov 21, 2014
Cd&r Falcon Holdings, LPOwns 5% or more through other companies60%Aug 11, 2022
Kentucky Homecare Parent Inc.Owns 5% or more through other companies40%Aug 11, 2022
Kentucky Homecare Holdings, Inc.Owns 5% or more through other companies40%Aug 11, 2022
Humana Inc.Owns 5% or more through other companies40%Aug 11, 2022
Centerwell Health Services Inc.Owns 5% or more through other companies40%Aug 11, 2022

What do families say?

  • CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
  • In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 88% rated it 9 or 10 out of 10, and 86% would definitely recommend it.
  • 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); 66.1% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5Not 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 threshold10 of 10

How does it compare nearby?

  • Of the 12 hospices CMS’s data show serving patients in ZIP code 27886, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; this one had 9.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

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

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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