Community Home Care of Vance County
A hospice in Henderson, North Carolina 27536
946 W Andrews Ave Suite S, Henderson, North Carolina 27536. (252) 972-2200.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency 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?
1 deficiency cited in the last three years
The middle of the 8 hospices serving ZIP code 27536 had 11.5.
The last inspection on record was on Jan 30, 2026: a complaint 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
1 deficiency in 1 month of the last 36. Last cited Dec 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.
Dec 9, 2025: complaint inspection by the state1 deficiency
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Hospice plan of care (42 CFR 418.112(d)(3))
The inspectors’ words, 636 words
“Based on agency policy, clinical record review, and staff interviews, the agency failed to notify a patient’s legal representative before making changes to the plan of care for 1 of 3 discharged patients (patient #2).Findings included: A policy, Patient Bill of Rights (revised 11/17/2025) received on 12/09/2025 at 2:20 PM from the executive director stated, “A patient may designate someone to act as his/her representative. The representative, on behalf of the patient, may exercise any of the rights provided by the hospice… Be advised in advance of the rights to participate in planning the care or service and in the planning changes in the care and service; have the right to refuse care or treatment… The family or guardian may exercise the patient’s rights when a patient is incompetent…”A policy, The Plan of Care (revised 11/05/2025) received on 12/09/2025 at 2:21 PM from the executive director stated, “The plan of care will be reviewed and revised as frequently as deemed necessary… by the interdisciplinary group with input from the attending physician, the patient and family/caregiver…”Patient #2 was admitted on 09/09/2025 with diagnoses of chronic obstructive pulmonary disorder (progressive lung condition causing an airflow blockage) and dementia (progressive loss of brain function). Patient #2 resided at a facility. The plan of care for 09/09/2025-11/15/2025 included orders for Chaplain visits 1 time a month and skilled nurse visits (SN) 2 times a week, medical social work visits 2 times a month, and “SN to develop and maintain a hospice patient plan of care in collaboration with facility staff, any applicable surrogate, caregiver, and physicians.”A review of the clinical record revealed that patient #2’s son completed the admission documentation on 09/09/2025 due to the patient having “confusion”. Further review revealed the following:During the spiritual evaluation on 09/17/2025 the Chaplain initiated a plan of care that included Chaplain visits 1 time a month. There was no documentation of the legal representative being notified of the changes to the plan of care.During the registered nurse (RN) visit on 09/19/2025 RN #5 documented, “Verbalized his anxiety increases with his SOB [shortness of breath]. Discussed with Med Tech [facility staff] administering Ativan [anti-anxiety medication].” There was no documentation of the legal representative being notified.During the medical social workers (MSW) visit on 09/23/2025 MSW #3 documented, “POC [plan of care] reviewed with Med Tech.” There was no documentation of the plan of care being reviewed with the legal representative. During the RN visit on 10/02/2025 RN #2 documented, “Reports increased anxiety… states he feels “air hunger [shortness of breath]’ all day… New orders received from MD [physician]…” There was no documentation of the legal representative being notified of the change to the plan of care.During the RN visit on 10/13/2025 RN #2 documented, “Increased confusion… increased anxiety… new orders received from MD…” There was no documentation of the legal representative being notified of new orders.During the RN visit on 11/09/2025 RN #7 documented, “Orders please [sic] for stool softener laxative [induces bowel movement]. Orders change for lorazepam [anti-anxiety medication] scheduled and PRN [as needed] …” There was no documentation of the legal representative being notified of the medication changes.An interview conducted with the Chaplain on 12/09/2025 at 2:03 PM revealed that they were not aware that they needed to contact the legal representative when implementing a plan of care.An interview conducted on 12/09/2025 at 2:08 PM with RN#2 revealed that they were not contacting the legal representative when changes where made to the plan of care.During an interview conducted on 12/09/2025 at 2:43 PM MSW #3 stated, “I did call him [legal representative] … I always call at admission.”During an interview on 12/09/2025 at 3:04 PM RN #7 stated, “He never answers his phone…”During an interview on 12/09/2025 at 2:27 PM the agency director stated, “They should call [the legal representative] after each visit.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 30, 2026 | Complaint inspection by the Accreditation Commission for Health Care | No federal deficiencies cited (only the accreditor’s own standards) |
| Dec 9, 2025 | Complaint inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Sep 14, 2004.
- Ownership: for-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.
- 1 deficiency cited in the last three years came from an inspection 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 nurse care minutes per routine home care day, 9.9% of skilled nursing minutes at weekends and a visit near death for 94.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 46% at home, 44% in assisted living, 6% in a nursing facility, 4% 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 | 11.0 min |
| Skilled nursing minutes at weekends | 9.9% |
| Visits near death | 94.4% of patients who died |
Who owns it?
- Curo Community Hospice, LLC owns 100% directly since Jun 1, 2012.
- 8 owners or officers are people: Ronald C Lazas (corporate officer, 0%); David Robinson Arnold (corporate officer, 0%); David Robinson Arnold (runs it (operational or managerial control), 0%); Thomas Joseph Dolan (corporate officer, 0%); David Allen Causby (corporate officer, 0%); Janet L Combs (corporate officer, 0%); Crystal Hash (managing employee (on the payroll), 0%); Matthew Stephen Higgins (managing employee (under contract), 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 |
|---|---|---|---|
| Ch Services Midco Holdings Inc. | Owns 5% or more through other companies | 100% | Feb 5, 2015 |
| Curo Community Hospice, LLC | Owns 5% or more directly | 100% | Jun 1, 2012 |
| Curo Health Services Holdings, Inc. | Owns 5% or more through other companies | 100% | Jun 1, 2012 |
| Charlotte Midco, LLC | Owns 5% or more through other companies | 100% | Aug 11, 2022 |
| Falcon Hospice, LP | Owns 5% or more through other companies | 100% | Aug 11, 2022 |
| Charlotte Buyer, Inc. | Owns 5% or more through other companies | 100% | Jul 11, 2018 |
| Curo Health Services LLC | Owns 5% or more through other companies | 100% | Jun 1, 2012 |
| Kah Hospice Company, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Ch Services Group Holdings Inc. | Owns 5% or more through other companies | 100% | Feb 5, 2015 |
| Ch Services Holdings Inc. | Owns 5% or more through other companies | 100% | Feb 5, 2015 |
| Cd&r Falcon Holdings, LP | Owns 5% or more through other companies | 60% | Aug 11, 2022 |
| Kentucky Homecare Parent Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Kentucky Homecare Holdings, Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Humana Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Centerwell Health Services Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
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 85% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 98.93% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 67.8% 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 8 hospices CMS’s data show serving patients in ZIP code 27536, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 11.5; this one had 1.
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 |
|---|---|
| Community Home Care of Vance County This hospice | 1 |
| Duke Hospice | 12 |
| Amedisys Hospice | 10 |
| Liberty Home Care and Hospice | 11 |
| Continuum Home Care & Hospice | 8 |
| Heartland Hospice (Raleigh ) | 14 |
| Pruitthealth Hospice - Rocky Mount | 20 |
| Kindred Hospice | 15 |
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.