Compassus - Greater Manchester
A hospice in Bedford, New Hampshire 03110
1 Bedford Farms Dr, Bedford, New Hampshire 03110. (603) 606-7974.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 2 deficiencies cited in the last three years
- 3of 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?
2 deficiencies cited in the last three years
The middle of the 10 hospices serving ZIP code 03110 had 2.
The last inspection on record was on Sep 19, 2025: a reaccreditation inspection by the Community Health Accreditation Partner.
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
2 deficiencies in 1 month of the last 36. Last cited Sep 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
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.
Sep 19, 2025: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 240 words
“It is required that the hospice follows accepted standards of practice to prevent the transmission of infections and communicable disease, including the use of standard precautions, such as: hand hygiene. This standard was not met as evidenced by clinical record review, document review, interview, and observation. Agency policy #IPC.11_A2 “Infection Control: Bag Technique and Hand Hygiene with Competency” stated in part, “When to use hand gel (sanitizer) before direct patient contact and after patient contact, after contact with inanimate objects in the patient’s environment.” In 1 of 4 (25%) home visits observed, the agency did not ensure that hand hygiene was performed when indicated per the agency’s policy. HOME VISIT 2/CLINICAL RECORD 2: This patient elected the hospice benefit on 06/08/2025 with a terminal diagnosis of cerebral atherosclerosis. During the home visit with the Hospice Aide (HA) [Personnel Record 2] on 09/17/2025, the HA was observed providing a bed bath for the patient. During the bed bath, the HA reached into the patient’s drawer to obtain an item, then continued the patient’s bath without changing gloves or sanitizing their hands. During an interview, the Hospice Area Executive of Clinical Services, who was present for the home visit, confirmed the finding and stated that the HA should have removed her gloves and sanitized her hands before reaching into the patient’s drawer. A plan of correction was written, and the staff was re-educated on the infection control policy during the site visit.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 317 words
“It is required that hospice aides are assigned to a specific patient by a registered nurse who is a member of the Interdisciplinary Group. Written patient care instructions for a hospice aide are prepared by a RN who is responsible for the supervision of the hospice aide. This standard was not met as evidenced by clinical record review and interview. In 1 of 14 (7%) clinical records reviewed of patients who received Hospice Aide (HA) services, the agency did not ensure that the HA received written patient care instructions to meet the patient’s needs. CLINICAL RECORD 8: The patient elected the hospice benefit on 04/01/2025 with a terminal diagnosis of cerebrovascular disease with chronic dysphagia. The Registered Nurse (RN) initial comprehensive assessment dated 04/01/2025 documented that the patient had chronic dysphagia with a recent hospitalization for aspiration pneumonia, and that the patient received regular foods with thickened fluids as per the patient’s daughter and the facility staff. The plan of care dated 04/01/2025 ordered “instruct on ordered nutritional diet” and “thickened liquids, regular diet.” A review of the HA care plans for the dates 04/01/2025 through 09/17/2025 revealed that the HA care plan dated 04/03/2025 assigned the HA the relevant task to provide “intake fluids every visit,” and the HA care plan dated 06/18/2025 assigned the HA to “assist with breakfast and lunch.” The HA care plans did not document instructions for the patient to receive thickened fluids as per the hospice plan of care. In an interview and a joint record review on 09/17/2025, the Hospice Area Executive of Clinical Operations and Director of Quality Outcomes confirmed that the Hospice Aide care plan did not include instructions for thickened liquids for the patient. They stated that the HA care plan would be updated to include instructions for thickened fluids. A plan of correction was written, and the agency’s clinical staff was re-educated during the site visit.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 19, 2025 | Reaccreditation inspection by the Community Health Accreditation Partner | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 21, 2007.
- 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): 9.5 nurse care minutes per routine home care day, 8.6% of skilled nursing minutes at weekends and a visit near death for 93% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 9% at home, 32% in assisted living, 55% in a nursing facility, 3% 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 | 9.5 min |
| Skilled nursing minutes at weekends | 8.6% |
| Visits near death | 93.0% of patients who died |
Who owns it?
- National Hospice Holdings of New Hampshire LLC owns 100% directly since Jul 31, 2013.
- 9 owners or officers are people: Russell G Adkins (corporate officer); Russell G Adkins (runs it (operational or managerial control)); Russell G Adkins (other role (CMS gives no detail)); Laura A Templeton (corporate officer); Lauren K Beckman (managing employee (on the payroll)); Jatinder Aujla (managing employee (under contract)); Otillie K Dean (managing employee (on the payroll)); Michael Asselta (corporate officer); Michael Asselta (runs it (operational or managerial control)).
- 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 |
|---|---|---|---|
| Compassus Parent, Inc. | Owns 5% or more through other companies | 100% | Dec 31, 2019 |
| Fc Compassus LLC | Owns 5% or more through other companies | 100% | Dec 22, 2014 |
| Compassus Holdings, L.P. | Owns 5% or more through other companies | 100% | Dec 31, 2019 |
| National Hospice Holdings of New Hampshire LLC | Owns 5% or more directly | 100% | Jul 31, 2013 |
| Fc Compassus Sub LLC | Owns 5% or more through other companies | 100% | Dec 22, 2014 |
| Compassus Intermediate, Inc. | Owns 5% or more through other companies | 100% | Dec 31, 2019 |
| Ti V Asc Compassus Investment Aggregator, L.P. | Owns 5% or more through other companies | 99% | Dec 31, 2019 |
| Ascension Towerbrook Healthcare Opportunities LP | Owns 5% or more through other companies | 49.5% | Dec 31, 2019 |
| Ti V Compassus Investment Aggregator, L.P. | Owns 5% or more through other companies | 49.5% | Dec 31, 2019 |
| Ascension Capital, LLC | Owns 5% or more through other companies | 49.48% | Dec 31, 2019 |
| Ascension Health Alliance | Owns 5% or more through other companies | 49.48% | Dec 31, 2019 |
| Towerbrook Investors V (Onshore) LP | Owns 5% or more through other companies | 29.75% | Dec 31, 2019 |
| Towerbrook Investors V (892), L.P. | Owns 5% or more through other companies | 14.14% | Dec 31, 2019 |
| Washington State Investment Board | Owns 5% or more through other companies | 5.24% | Dec 31, 2019 |
| Community Hospices of America, LLC. | Other role (CMS gives no detail) | Feb 28, 2020 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 77% rated it 9 or 10 out of 10, and 77% 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); 75.7% 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 | 3 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 10 hospices CMS’s data show serving patients in ZIP code 03110, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2; this one had 2.
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 |
|---|---|
| Amedisys Hospice Care | 0 |
| Compassus - Greater Manchester This hospice | 2 |
| Brookhaven Hospice of New Hampshire LLC | 14 |
| Lilycare of New Hampshire LLC | 2 |
| Granite VNA, Inc. | Not given |
| Home Health & Hospice Care | 11 |
| VNA Home Health and Hospice Services, Inc. | 1 |
| Harborside Hospice LLC | Not given |
| 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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.