Cleveland Clinic Hospice
A hospice in Independence, Ohio 44131
6801 Brecksville Road, Suite 10, Independence, Ohio 44131. (216) 444-9819.
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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
- 9of 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 30 hospices serving ZIP code 44131 had 1.
The last inspection on record was on Nov 14, 2025: a reaccreditation inspection by The Joint Commission.
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 Nov 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.
Nov 14, 2025: reaccreditation inspection by The Joint Commission6 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6)(i))
The inspectors’ words, 105 words
“Observed in Patient Home. In 2 of 2 home visits conducted, where medication reconciliation was completed, the organization failed to perform a medication reconciliation per policy. During home visits for HOSRRHV#1 and HOSRRHV#2, the Hospice Nurse Surveyor observed the policy stated the nurses would compare the home list and/ or the bottles with the EMR. During HOSRRHV#1, the nurse looked at the home list briefly but did not compare dose, route etc. with what was in the EMR. For HOSRRHV#2, the nurse did not use the home medication list or the bottles with the EMR. This was discussed and reviewed with the Hospice Leadership Team.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 187 words
“Observed in Record Review. In 3 of 20 patient records reviewed, the organization failed to assess. During record review for HOSRRHV#4, HOSRRNHV#1 and HOSRRNHV#3, the Hospice Nurse Surveyor observed not all assessments were completed within the required timeframe. For example in HOSRRHV#4, neither the psychosocial or spiritual comprehensive assessments had been completed. The patient had been on hospice for three months. In HOSRRNHV#1, the bereavement assessment was completed two months after the start of care. In HOSRRNHV#3, the bereavement assessment had not been completed. This was discussed and reviewed with the Hospice Leadership Team. Observed in Record Review. In 2 of 5 patient records reviewed, the hospice surveyor noted that the organization did not make sure that a patient-specific comprehensive assessment evaluated bereavement assessment needs. For example, in HOSRRNHV#10, the MSW did not contact the patient until 11 days after start of care to conduct the assessment. The assessment was then conducted 25 days after the start of care. In HOSRRNHV#13, the MSW visit to assess bereavement needs was not conducted until 16 days after the start of care. This was discussed with the assistant nurse manager.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 171 words
“Observed in Record Review. In 4 of 5 patient records reviewed, the hospice surveyor noted that the organization did not provide the patient treatment, or services according to the patient’s individualized plan of care. For example, in HOSRRNHV#10, the patient went 2 months without the monthly MSW visit as ordered by the physician. There was no documentation that explained why the visit was missed. The nurse missed 1 home visit that was ordered with a visit frequency of 2 times weekly. There was no documentation that explained why the visit was missed. In HOSRRNHV#11, the home health aide missed 1 home visit that was ordered weekly with no documentation for why the visit was missed. In HOSRRNHV#13, the patient went 2 months without the monthly MSW visit as ordered by the physician. There was no documentation that explained why the visit was missed. In HOSRRHV#14, the hospice aide missed 2 home visits without documentation to explain why the visits were missed. This was reviewed and discussed with the assistant nurse manager.”
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Coordination of services (42 CFR 418.56(e)(4))
The inspectors’ words, 139 words
“Observed in Patient Home. In 1 of 6 home visits conducted, the organization failed to provide interdisciplinary, collaborative care, treatment, or services. During the home visit for HOSRRHV#6, the Hospice Nurse Surveyor observed the patient advised the SW that she had a fall 1 week prior to our visit. The SW stated both she and the RN were unaware of the fall. She also stated that the physician had come the same day and that he was aware of the fall. Upon review of the physicians note, he had documented that the patient had a fall but there was no documentation that he had informed the IDG. The IDG meeting was the day following the physician visit and there was also no documentation that it was discussed during IDG. This was discussed and reviewed with the Hospice Leadership Team.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 135 words
“Observed in Record Review. In 3 of 10 patient records reviewed, the organization failed to plan the patient’s care. During record review for HOSRRHV#2, HOSRRHV#3, and HOSRRNHV#1, the Hospice Nurse Surveyor observed the aide care plan’s did not contain all needed items. For example in all three records there was no precautions for fall and all three patients were a high fall risk. This was reviewed and discussed with the Hospice Leadership Team. Observed in Patient Home. In 1 of 1 home visits conducted, with hospice aide, the organization failed to plan the patient’s care. During the home visit for HOSRRHV#4, the Hospice Nurse Surveyor observed the aide plan of care did not contain precautions for bleeding. The patient was on Eliquis, a blood thinner. This was discussed and confirmed with the Hospice Leadership Team.”
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N/a (42 CFR 418.110(d)(1)(i))
The inspectors’ words, 93 words
“Observed in Building Tour. Observed above the ceiling items draped over sprinkler lines in the following areas 1) bundle of cables and ductwork by room 135 and Soiled Room; 2) bundle of cables and flex conduit by room 129; and 3) bundle of cables and cables zip tied to sprinkler by the nurse’s station. This was confirmed by the Senior Compliance Manager. This finding was observed during survey activity, but corrected onsite prior to the surveyor’s departure. The corrective action taken needs to be included in the organization’s Evidence of Standards Compliance submission.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Nov 14, 2025 | Reaccreditation inspection by The Joint Commission | 6 deficiencies cited |
| Mar 6, 2024 | Complaint inspection by the state | No deficiencies cited |
Is it certified?
- Medicare-certified hospice since Feb 15, 1991.
- 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): 20.2 nurse care minutes per routine home care day, 14.6% of skilled nursing minutes at weekends and a visit near death for 96.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 73% at home, 4% in assisted living, 11% in a skilled nursing facility, 5% in a hospital, 7% in an inpatient hospice.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 20.2 min |
| Skilled nursing minutes at weekends | 14.6% |
| Visits near death | 96.4% of patients who died |
Who owns it?
- The Cleveland Clinic Foundation owns 100% directly since Sep 23, 1992.
- The Cleveland Clinic Foundation runs it.
- 20 owners or officers are people: Katherine Hancock (corporate director); David Rowan (corporate officer); David Rowan (corporate director); Dennis L Laraway (corporate officer, 0%); Dennis L Laraway (corporate director, 0%); Timothy L. Longville (corporate officer); Timothy L. Longville (managing employee (on the payroll)); Jill Susan Dunaway (managing employee (on the payroll), 0%); Jill Susan Dunaway (runs it (operational or managerial control)); Beri M Ridgeway (corporate officer); Beri M Ridgeway (corporate director); Donald Carroll (managing employee (on the payroll)); Donald Carroll (runs it (operational or managerial control)); Donald A Malone (corporate officer); Donald A Malone (corporate director); William Peacock (corporate officer); William Peacock (corporate director); Laura J Hoeksema (managing employee (on the payroll), 0%); Laura J Hoeksema (runs it (operational or managerial control), 0%); Robert Oblander (corporate officer, 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 |
|---|---|---|---|
| The Cleveland Clinic Foundation | Owns 5% or more directly | 100% | Sep 23, 1992 |
| The Cleveland Clinic Foundation | Runs it (operational or managerial control) | Apr 1, 2009 |
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 84% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.19% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 65.6% 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 | 9 of 10 |
How does it compare nearby?
- Of the 30 hospices CMS’s data show serving patients in ZIP code 44131, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 1; 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 |
|---|---|
| Visting Nurse Association of Cleveland Hospice | 9 |
| Cleveland Clinic Hospice This hospice | 6 |
| Heartland Hospice | 21 |
| Compassus - Greater Ohio | 2 |
| Caring Hospice Services of Ohio, LLC | 8 |
| Kindred Hospice | 13 |
| Adoration Hospice Care Ohio LLC | 1 |
| Echo Hospice of Cleveland LLC | 5 |
| Suncrest Hospice Cleveland LLC | 1 |
| Cadre Hospice - Ohio LLC | 2 |
| Hospice of the Western Reserve, Inc. | 0 |
| Southwest General Hospice | 6 |
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.