Gentiva
A hospice in Reno, Nevada 89521
9484 Double R Boulevard, Ste. A, Reno, Nevada 89521. (775) 825-5008.
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The short answer
Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.
- 6 deficiencies 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?
6 deficiencies cited in the last three years
The middle of the 13 hospices serving ZIP code 89521 had 6.
The last inspection on record was on Feb 6, 2025: a reaccreditation 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
6 deficiencies in 1 month of the last 36. Last cited Feb 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.
Feb 6, 2025: reaccreditation inspection by the Accreditation Commission for Health Care6 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 117 words
“Upon patient record review, 1 of 19 (Patient 9) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient #9: Medication order for comfort medications are not included on the medication profile to include special instructions for what comfort medication to give for effectiveness: Morphine Instructions: Use second for SOB if Oxygen is ineffective after 5 minutes. Call Hospice if ineffective after 30 minutes”
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Review of the plan of care (42 CFR 418.56(d))
“Upon patient record review, 1 of 19 (Patient #8) did not have evidence that a revised plan of care includes information from the patient’s updated comprehensive assessment and must note the patient’s progress towards outcome/goals from the plan of care. Patient #8: SW and SC were declined however there are interventions and goals on POC without current orders for those disciplines”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 166 words
“Upon patient record review, 5 of 19 (Patient #6,7,10,12,18) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #6 1/2/25 order states “TB test to be drawn”, no evidence that nursing performed test nor collected findings. Patient #7 SN order effective 12/12/24 1w1, 2w2, 4 prn, Visits 12/12/24, 12/19, 12/22- no second visit performed in week #2 no evidence of a missed visit. Patient #10 MSW is ordered effective 11/18/24, 1m1, 3m1, 2m1 visits occurred 11/8/24, missed visit-11/23, 12/23, missed visit-12/31, 1/15. MSW did not perform a third visit for Dec. No evidence of missed visits. Patient #12 On SN visit 11/9/24, 11/13, 11/20 no vital signs were documented or O2 sat noted. POC dated 11/8/24 orders SN to collect pulse ox q visit Patient #18 SC order effective 1/24/25 1m1, 2m1 however SC did the January visit on 1/20/25 and did not denote a missed visit after 1/24/25 for January visit.”
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Coordination of services (42 CFR 418.56(e)(4))
“Upon patient record review, 2 of 19 (Patient #7,9) did not have evidence that the IDG documents the sharing of information between all disciplines providing care and services in all settings, whether the care and services are provided directly or under arrangement. Patient #7 12/19/24 SNV denoted patient refused care, no notice to MD. Patient #9 1/23/25 SNV documented observation of patient with hematoma to forehead. SN notified son, no documentation in SN note that physician was notified or new orders obtained”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 179 words
“Upon patient record review 5 of 19 (Patient #6,11,12,13,15) 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 #6 Aide order effective 12/12/24 2w1, 4w2, 2w1 only one visit performed first week on 12/12/24 no evidence of missed visit Patient #11 On 1/21/25, 1/23, 1/28, 2/4 aide did not perform shaving that is assigned q visit on aide care plan dated 1/4/24 Patient #12 On aide visits 1/29/25 and 1/31 linens were changed but aide care plan dated 1/29/25 assigns change once week therefore aide performed too frequently. Patient #13 On aide visit 11/2/25 aide did not perform shower, shampoo or hair care but it was on aide care plan dated 10/25/24 Patient #14 On aide visit 11/26/24 aide did not perform shower, shampoo or hair care with is assigned q visit on aide care plan dated 9/16/24”
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Supervision of hospice aides (42 CFR 418.76(h)(1))
“Upon patient record review 1 of 19 (Patient #6) did not have evidence documentation in the patient record that a Registered Nurse made an on-site visit to the patient’s home no less frequently than every 14 days to assess the quality of care and services provided by the hospice aide and to ensure that services ordered by the hospice interdisciplinary group meet the patient’s needs. Patient #6: RN supervision of the aide not timely 12/12/24 then 12/27/24 which is 15 days.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 6, 2025 | Reaccreditation inspection by the Accreditation Commission for Health Care | 6 deficiencies cited |
| Jul 30, 2024 | Complaint inspection by the state | No deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 12, 1998.
- 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): 11.1 nurse care minutes per routine home care day, 9.1% of skilled nursing minutes at weekends and a visit near death for 92.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 39% at home, 57% in assisted living, 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 | 11.1 min |
| Skilled nursing minutes at weekends | 9.1% |
| Visits near death | 92.5% of patients who died |
Who owns it?
- Vistacare LLC owns 100% directly since May 28, 1998.
- 9 owners or officers are people: Michelle Bailey (managing employee (on the payroll), 0%); Ronald C Lazas (corporate officer, 0%); Ronald C Lazas (corporate director, 0%); David Robinson Arnold (corporate officer, 0%); Thomas Joseph Dolan (corporate officer, 0%); David Allen Causby (corporate officer, 0%); David Allen Causby (corporate director, 0%); Janet L Combs (corporate officer, 0%); Nita Sandhu Schwartz (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% | Mar 1, 2022 |
| Ch Services Group Holdings, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Curo Health Services Holdings, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Odyssey Healthcare Inc. | Owns 5% or more through other companies | 100% | Mar 6, 2008 |
| 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% | Mar 1, 2022 |
| Curo Health Services LLC | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Odyssey Healthcare Holding Company | Owns 5% or more through other companies | 100% | Mar 6, 2008 |
| Kah Hospice Company, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Ch Services Holdings, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Vistacare LLC | Owns 5% or more directly | 100% | May 28, 1998 |
| 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 88% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.21% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 70% 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 13 hospices CMS’s data show serving patients in ZIP code 89521, 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 |
|---|---|
| Gentiva This hospice | 6 |
| Summit View Hospice, LLC | 1 |
| Renown Hospice Care | 7 |
| Advanced Home Health and Hospice of Reno | 5 |
| St Mary’s Hospice of Northern Nevada | 6 |
| Circle of Life Hospice | 7 |
| Eden Hospice | 9 |
| Infinity Hospice Care of Reno, LLC | 0 |
| A+ Hospice Care | 8 |
| Compassioncare Hospice of Reno | 5 |
| Oasis Hospice | 37 |
| Hospice Services of Reno | 12 |
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.