Chautauqua Hospice and Palliative Care
A hospice in Lakewood, New York 14750
20 West Fairmount Avenue, Lakewood, New York 14750. (716) 338-0033.
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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?
The last inspection on record was on May 22, 2024: a recertification inspection by the state.
1 deficiency cited in the last three years.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited May 2024. 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.
May 22, 2024: recertification inspection by the state1 deficiency
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Coordination of services (42 CFR 418.56(e)(3))
The inspectors’ words, 285 words
“Based on clinical record review and interview with agency staff, for one (1) of five (5) patients (Patient #2), the agency failed to ensure that the care and services provided is based on all assessments of the patient and family needs. Failure to ensure that care and services are provided based on patient/family needs has the potential to result in unmet patient needs. The hospice failed to ensure that the care and services provided to patients were based on all the assessments made of the patient and family need as evidenced by the following: Patient #2 – This 66-year-old patient with the terminal diagnosis of chronic obstructive pulmonary disease was admitted to the hospice on 05/02/2024. Review of the Registered Nurse Comprehensive Visit Note dated 05/13/2024 revealed the Registered Nurse documented the patient had moderate to severe dyspnea with exertion and a pulse rate of 131. Review of the Registered Nurse Comprehensive Visit Note dated 05/20/2024 revealed the Registered Nurse documented the patient had moderate to severe dyspnea with exertion and a pulse rate of 133. The Registered Nurse documented that the patients spouse reported the patients pulse has been elevated, and that she will notify the physician. Review of the clinical record lacks documentation of notification to the physician. Review of the Interdisciplinary Group Assessment Meeting dated 05/21/2024 revealed the Registered Nurse documented and reported the following: “Patients heart rate has been elevated to 130 over the last week. During interview on 05/22/2024 at 10:40 AM, the Chief of Clinical Operations stated that the Registered Nurse was unavailable for interview. The Chief of Clinical Operations added that the Registered Nurse did notify the physician, but accidentally documented the wrong date in the clinical records.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 22, 2024 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Apr 15, 1993.
- 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): 18.6 nurse care minutes per routine home care day, 16% of skilled nursing minutes at weekends and a visit near death for 94.7% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 72% at home, 1% in assisted living, 19% in a skilled nursing facility, 8% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 18.6 min |
| Skilled nursing minutes at weekends | 16% |
| Visits near death | 94.7% of patients who died |
Who owns it?
- 28 owners or officers are people: Michael Testa (corporate officer, 100%); Michael Testa (managing employee (on the payroll), 100%); Michael Testa (runs it (operational or managerial control), 100%); Kenneth Morris (corporate director); Emily Morse (managing employee (on the payroll)); Emily Morse (runs it (operational or managerial control)); Judith Horowitz (corporate director); Joy Bilharz (corporate director); Hosham Bahgat (corporate director); David Dengler (corporate director); Carolyn Wood (managing employee (on the payroll)); Carolyn Wood (runs it (operational or managerial control)); Benjamin Probst (managing employee (on the payroll)); Benjamin Probst (runs it (operational or managerial control)); Thomas A Putnam (managing employee (on the payroll)); Lori Thierfeldt (corporate director, 0%); Zachary Agett (managing employee (on the payroll)); Zachary Agett (runs it (operational or managerial control)); Carmen Hlosta (corporate director, 0%); Ann M Eckman (corporate director, 0%); Ellen Luczkowiak (corporate director); Christina Anderson (managing employee (on the payroll)); Christina Anderson (runs it (operational or managerial control)); Susan Sosinski (corporate director); Wendy Munella (corporate director); Gary Kindberg (corporate director, 0%); Matthew D Wehr (corporate director, 0%); Jacqueline Zentz (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.
What do families say?
- Family caregivers rate it 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 89% rated it 9 or 10 out of 10, and 93% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.45% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 69% 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?
- There aren’t enough hospices serving patients in ZIP code 14750 to compare.
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 |
|---|---|
| Chautauqua Hospice and Palliative Care This 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 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.