Visiting Nurse Home Care&hospice of Carroll County
A hospice in North Conway, New Hampshire 03860
1529 White Mountain Highway PO Box 432, North Conway, New Hampshire 03860. (603) 447-6766.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 4 deficiencies cited in the last three years
- Not rated family caregiver rating
- 10of 10 CMS’s Hospice Care Index
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?
4 deficiencies cited in the last three years
The middle of the 3 hospices serving ZIP code 03860 had 2.
The last inspection on record was on Jun 9, 2025: 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
4 deficiencies in 1 month of the last 36. Last cited Apr 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.
Apr 23, 2025: recertification inspection by the state4 deficiencies
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Roles Under a Waiver Declared by Secretary (42 CFR 418.113(b)(6)(C)(iv))
The inspectors’ words, 108 words
“Based on interview and review of the Emergency Preparedness Plan (E.P.P.), it was determined that the facility failed to ensure a policy for use of the 1135 waiver process during a declared public emergency. Review of the Emergency Preparedness Program (E.P.P.) during survey on 4/22/25 between 8:00 a.m. and 10:00 a.m. with Staff A (Executive Director) revealed the facility failed to include the process and procedures to include the 1135 waiver act for provisions of care and treatment at an alternative care site identified by emergency management officials.Interview on 4/22/25 with Staff A confirmed the above findings and the failure to include the 1135 waiver policies and procedures.”
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Program data (42 CFR 418.58(b)(1))
The inspectors’ words, 166 words
“Based on record review and interview, it was determined that the Hospice Agency failed to have a Quality Improvement and Performance Improvement (QAPI) program that used quality indicator data, including patient care, and other relevant data, in the design of its program. Review on 4/23/25 of Quality Assurance and Performance Improvement records revealed QAPI meetings in January 2025, October 2024, and July 2024 showed minutes that included a review of pain, general inpatient stays, bowel management, and satisfaction. Further review showed there was no documentation of aggregated data or analysis of data that included all patient services and all activities that may impact patient/family care. There was no documentation of the following services or activities in the QAPI minutes: physician services, medical social services, counseling services, clinical records, infection control, patient rights, administrative services, contract services, volunteers, and hospice aides. There was no evidence that data was used to identify and prioritize opportunities for improvement. Interview on 4/23/25 at approximately 11:00 a.m. confirmed the above findings.”
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Counseling services (42 CFR 418.64(d)(1))
The inspectors’ words, 130 words
“Based on record review and interview it was determined that the hospice agency failed to ensure that counseling services included bereavement services for 1 of 2 patients in the survey sample. (Patient identifier is #4.)Findings include: Review on 4/22/25, of the medical record of Patient #4 revealed that they were accepted onto hospice on 7/24 and the family had accepted bereavement services. Further review of Patient #4’s medical record revealed that he/she passed away 8 days later. Interview on 4/22/25 at approximately 11:00 a.m. with Staff A (Clinical Services Director) and Staff B (Administrator), confirmed that the family did not have any bereavement counseling follow up after Patient #4’s death. Staff A and Staff B confirmed that no phone calls, offer of support, or letters were sent to the family.”
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Training (42 CFR 418.100(g)(3))
The inspectors’ words, 165 words
“Based on interview and record review, it was determined that the facility failed to ensure skills and competence were evaluated annually for 7 out of 11 employee files reviewed. Review on 4/22/25 of Employee Files revealed:Staff G (Speech Therapist), hire date 7/8/13, last annual evaluation done on 9/26/23Staff E (Licensed Nursing Assistant, hire date 11/30/15, last annual evaluation on 9/22/23Staff C (Registered Nurse), hire date 6/13/16, last annual evaluation on 3/3/24Staff A (Volunteer Coordinator) hire date 2/12/18, last annual evaluation on 8/29/19Staff F (Occupational Therapist) hire date 12/14/17, last annual evaluation on 9/26/23Staff D (Medical Social Worker) hire date 8/2/18. last annual evaluation on 12/15/19Staff H (Physical Therapy Assistant) hire date 3/31/15, last annual evaluation 4/26/23Interview on 4/22/25 at approximately 12:15 p.m. with Staff B (Human Resources) confirmed the above findings.Review on 4/22/25 of the facility policy titled, Performance Evaluations, undated revealed: … Procedures… 3. Formal performance evaluations are scheduled every 12 months, coinciding generally with the anniversary of the employee’s original date of hire….”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 9, 2025 | Recertification inspection by the state | No deficiencies cited |
| Apr 23, 2025 | Recertification inspection by the state | 4 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 15, 1995.
- 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): 9.4 nurse care minutes per routine home care day, 7.9% of skilled nursing minutes at weekends and a visit near death for 84.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 86% at home, 13% in a nursing facility, 1% in a hospital.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 9.4 min |
| Skilled nursing minutes at weekends | 7.9% |
| Visits near death | 84.4% of patients who died |
Who owns it?
- 14 owners or officers are people: Jennifer Clark (corporate officer); Rachel R. Hamilton (managing employee (under contract), 0%); Dawn Morrison (corporate director); Evan Fritz (corporate officer); Caleb Gilbert (corporate officer); Andrea Masters (corporate officer); Nancy Leyla Lohmiller (corporate director); James Love (corporate officer); Myles Crowe (corporate officer); Jessalynn Geerdes (corporate officer); Jessalynn Geerdes (managing employee (on the payroll)); Kimberly D Desanctis (managing employee (on the payroll)); Patricia Mason (corporate director); Gail Paine (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?
- 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): 85% rated it 9 or 10 out of 10, and 89% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 92.78% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 41.8% 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 | Not 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 threshold | 10 of 10 |
How does it compare nearby?
- Of the 3 hospices CMS’s data show serving patients in ZIP code 03860, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2; this one had 4.
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 |
|---|---|
| Visiting Nurse Home Care&hospice of Carroll County This hospice | 4 |
| Compassus - Greater Manchester | 2 |
| Quality Care Home Health & Hospice | 1 |
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.