VNA Home Health and Hospice Services, Inc.
A hospice in Manchester, New Hampshire 03109
1070 Holt Ave Ste 1400, Manchester, New Hampshire 03109. (603) 622-3781.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency 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?
1 deficiency cited in the last three years
The middle of the 9 hospices serving ZIP code 03109 had 3.
The last inspection on record was on Dec 2, 2024: a recertification inspection by the state.
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 Nov 2024. 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.
Nov 7, 2024: recertification inspection by the state1 deficiency
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 518 words
“Based on interview and record review, it was determined that the hospice agency failed to ensure that the plan of care for visit frequencies was followed as ordered for 5 of 16 charts reviewed in a final sample of 19 patients (Patient Identifiers are #2, #6, #8, #9 and #14). Findings include: Resident #2 Review on 11/5/24 of Patient #2’s Hospice Plan of Care, dated 3/15/24, revealed a physician’s order for Physical Therapy (PT) 1 time every 14 days starting 3/18/24 and for a Hospice Aide (HA) starting 3/17/24 for 5 times a week. Review on 11/5/24 of Patient #2’s visits for the certification period of 3/15/24 to 4/26/24 revealed on 3/26/24 there was a missed PT visit that was not rescheduled during the 14 days. Further review revealed a missed HA visit on 4/4/24 resulting in only 4 days of HA that week. There was no notification to the practitioner about the missed visits. Interview on 11/5/24 at 1:15 p.m. with Staff A (Clinical Supervisor) confirmed the above findings. Resident #6 Review on 11/6/24 of Patient #6’s Hospice Plan of Care, dated 8/13/24, revealed a physician’s order for HA 3 visits every week for 12 weeks. Review on 11/6/24 of Patient 6’s visits for the certification period of 8/13/24 to 11/6/24 revealed there were missed HA visits on 8/28/24, 10/3/24 and 10/22/24, resulting in not receiving the ordered HA visits per week. There was no documentation that the practitioner was notified about the missed visits. Interview on 11/6/24 at 8:30 a.m. with Staff A confirmed the above findings. Patient #8 Review on 11/6/24 of Patient #8’s Hospice Plan of Care, dated 8/20/24, revealed a physician’s order for HA 1 visit every week for 13 weeks. Review on 11/6/24 of Patient #8’s visits for the certification period of 8/20/24 to 11/6/24 revealed there were missed HA visits on 9/3/24 and 9/12/24, resulting in not having HA during those weeks. There was no documentation that the practitioner was notified of the missed visits. Interview on 11/6/24 at 9:20 a.m. with Staff A confirmed the above findings. Patient #9 Review on 11/6/24 of Patient #9’s Hospice Plan of Care, dated 10/27/24, revealed a physician’s order for HA 3 visit every week for 13 weeks. Review on 11/6/24 of Patient #9’s visits for the certification period of 10/27/24 to 12/25/24 revealed there was a missed HA visit on 10/28/24, resulting in only 2 HA visits that week. There was no documentation that the practitioner was notified of this missed visit. Interview on 11/6/24 at 9:25 a.m. with Staff A confirmed the above findings. Patient #14 Review on 11/6/24 of Patient #14’s Hospice Plan of Care, dated 6/28/24, revealed a physician’s order for HA 3 visits every week for 12 weeks. Review on 11/6/24 of Patient #14’s visits for the certification period of 6/28/24 to 9/28/24 revealed there were missed HA visits on 8/14/24, 8/10/24, 9/2/24 and 9/20/24, resulting in only 2 HA visits those weeks. There was no documentation that the practitioner was notified of these missed visits. Interview on 11/6/24 at 11:45 a.m. with Staff A confirmed the above findings.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 2, 2024 | Recertification inspection by the state | No deficiencies cited |
| Nov 7, 2024 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Aug 23, 1990.
- 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): 12.6 nurse care minutes per routine home care day, 8.4% of skilled nursing minutes at weekends and a visit near death for 96.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 45% at home, 5% in assisted living, 50% in a nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.6 min |
| Skilled nursing minutes at weekends | 8.4% |
| Visits near death | 96.1% of patients who died |
Who owns it?
- Elliot Health System owns 100% directly since Oct 23, 2000.
- Visiting Nurse Association of Manchester and Southern New Hampshire in runs it.
- 23 owners or officers are people: Owen M Scollan (corporate director); Charles S Goodwin (corporate director); Donna M Frizzell (managing employee (on the payroll)); Dorothy S Kelley (corporate director); Catherine J Frasco (corporate director); Catherine J Frasco (managing employee (on the payroll)); Catherine J Frasco (runs it (operational or managerial control)); Linda Kornfeld (corporate officer); Linda Kornfeld (corporate director); Sheila A Evjy (corporate director); Elaine M Michaud (corporate director); Ryan J Cashin (corporate director); Charles S Mills (managing employee (under contract)); Debra Achramowicz (corporate officer); Debra Achramowicz (corporate director); Michelle M Lambert (corporate director); Michelle Gray (corporate director, 0%); Sheila M Lambert (corporate officer); Sheila M Lambert (corporate director); Sean Doherty (corporate officer); Sean Doherty (corporate director); Stephanie Hewett (corporate director, 0%); Pamela A Preston (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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Visiting Nurse Association of Manchester and Southern New Hampshire in | Runs it (operational or managerial control) | 100% | Jan 1, 1986 |
| Elliot Health System | Owns 5% or more directly | 100% | Oct 23, 2000 |
| Solutionhealth | Owns 5% or more through other companies | 100% | Jun 6, 2018 |
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 90% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.26% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 75.3% 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 9 hospices CMS’s data show serving patients in ZIP code 03109, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; 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 |
|---|---|
| VNA Home Health and Hospice Services, Inc. This hospice | 1 |
| Tufts Medicine Care at Home | 11 |
| Granite VNA, Inc. | Not given |
| Home Health & Hospice Care | 11 |
| Amedisys Hospice Care | 0 |
| Compassus - Greater Manchester | 2 |
| Brookhaven Hospice of New Hampshire LLC | 14 |
| Bayada Hospice | 1 |
| Pathways Healthcare, LLC | 4 |
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.