Ennoble Care
A hospice in Hackettstown, New Jersey 07840
700 Grand St, Unit 5b, Hackettstown, New Jersey 07840. (973) 435-9463.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 6 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?
6 deficiencies cited in the last three years
The middle of the 15 hospices serving ZIP code 07840 had 6.
The last inspection on record was on May 6, 2026: a complaint 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
6 deficiencies in 1 month of the last 36. Last cited Dec 2023. 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 15, 2023: reaccreditation inspection by the Accreditation Commission for Health Care6 deficiencies
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 181 words
“Upon patient record review, 4 of 23 (Patient #5, 7, 8, 16) 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 #5: Admitted with Foley catheter. No related problems, goals, interventions. Updated during survey Patient #7: Admitted with Lewy Bodies, history of constipation, initial medication orders including stool softener, laxative, suppository and enemas as needed, but no related problems, goals, interventions. Updated IDG plan of care prior to end of survey. Patient #8: Initial med order. Dulcolax 10 mg daily as needed for constipation. No related problems, goals, interventions. Patient #16 with history of hospitalization for fecal impaction. Has no related problems, goals, interventions. Patient medications include Fentanyl. Bowel regiment includes Dulcolax suppository daily as needed. Updated care plan before end of survey.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 195 words
“Upon patient record review, 2 of 23 (Patient #1, 2) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient’s plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patient #1: 11/18/23 POC SC frequency 3 PRN; PRN visits for spiritual and emotional care needs. Start date 11/18/23. End date 1/16/24. Chaplain 1-2 m 2 m; one or two visits every eight weeks for Chaplain to provided spiritual and emotional support. Start Date: 12/1/23. End Date 1/16/24. Corrected before end of survey Patient #2: 11/1/23 POC SC frequency 3 PRN; PRN visits for spiritual and emotional care needs. Start date 11/1/23. End date 12/30/24. Chaplain 1-2 m 2 m; one or two visits every eight weeks for Chaplain to provided spiritual and emotional corrected before end of survey”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 95 words
“Upon client record review, 2 of 23 (Patient #13, 17) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #13: Admitted 10/10/23. 12/11/23 SN note - documents wound care provide to right heel. There is no MD order for wound care identified in EMR. Orders updated 12/14/23 prior to end of survey. Patient #17. Patient admitted 10/10/23. Foley present at time of admission from hospital. Initial order to change monthly. No documented evidence changed in November notes. Documented as changed 12/7/23.”
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Counseling services (42 CFR 418.64(d)(1))
The inspectors’ words, 95 words
“Upon patient record review, 2 of 23 (Patient #21, 23) did not have evidence the hospice offers bereavement counseling that includes: • Development of a bereavement plan of care that notes the kind of bereavement services to be offered and the frequency of service delivery Patient #21: Patient passed away 8/16/23. Bereavement phone call 8/21/23. No answer. No other attempts documented. Patient #23: Patient passed away 12/22/22. Initial assessment visit by SC was 1/4/23. Documented plan to follow up phone call 2/4/23 (phone or letter). No further documentation of phone calls until 9/21/23 phone call.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 130 words
“Upon patient record review 4 of 23 (Patient #1, 4, 5, 18) 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 #1: HA Assignment sheet 3/23/23 has HA frequency of 7 days week. Tasks for shampoo and linen assigned weekly. HA documented as done daily 11/19 (Sun) thru 11/26/23 (Sat) Patient #4: HA Assignment for weight 1x/month. “Done” every day week of 11/20-11/23/23. Patient #5: HA Assignment for weight 1x/month. “Done” 11/30, 12/1, 12/2/23. Patient #18 HHA shampoo 3x wk. Documented as “Done” 11/26, 11/27, 11/28, 11/30, 12/1, 12/2/23.”
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Content (42 CFR 418.104(a)(6))
“Upon patient client record review, 2 of 23 (Patient #19, 20) did not have evidence that each patient record contains Advance Directives. Patient #19, 20: Clinical record did not include information regarding presence of Advance Directives and/or end of life decisions.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 6, 2026 | Complaint inspection by the state | No deficiencies cited |
| Dec 15, 2023 | Reaccreditation inspection by the Accreditation Commission for Health Care | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 28, 2017.
- 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.
- 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): 12.3 nurse care minutes per routine home care day, 5.4% of skilled nursing minutes at weekends and a visit near death for 93.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 39% at home, 37% in assisted living, 24% 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 | 12.3 min |
| Skilled nursing minutes at weekends | 5.4% |
| Visits near death | 93.4% of patients who died |
Who owns it?
- Ennoble Hospice NJ Holdings LLC owns 100% directly since Jan 9, 2026.
- 6 owners or officers are people: Kushabhadra Das (owns 5% or more through other companies, 100%); Kushabhadra Das (managing employee (on the payroll), 100%); Kushabhadra Das (corporate officer); Michelle Rene Reisner (managing employee (on the payroll)); Vijay K Acharya (corporate officer); Vijay K Acharya (managing employee (on the payroll)).
- 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 |
|---|---|---|---|
| Ennoble Hospice NJ Holdings LLC | Owns 5% or more directly | 100% | Jan 9, 2026 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 83% rated it 9 or 10 out of 10, and 81% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.6% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 64.6% 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 15 hospices CMS’s data show serving patients in ZIP code 07840, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 6.
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 |
|---|---|
| Ennoble Care This hospice | 6 |
| Atlantic Visiting Nurse | 0 |
| Karen Ann Quinlan Hospice | 11 |
| Hospice of New Jersey, LLC | 18 |
| Ascend Hospice | 5 |
| Visiting Nurse Association of Northern New Jersey | 0 |
| Grace Healthcare Services LLC | 6 |
| Compassus-Greater New Jersey | 0 |
| Compassionate Care Hospice of Northern NJ, LLC | 7 |
| Serenity Hospice Care | 11 |
| Fellowship Village Inc. | 5 |
| Affinity Care of NJ, LLC | 3 |
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.