Adena Hospice
A hospice in Chillicothe, Ohio 45601
2077 Western Avenue, Chillicothe, Ohio 45601. (740) 779-4663.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 4 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 8of 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?
4 deficiencies cited in the last three years
The middle of the 11 hospices serving ZIP code 45601 had 9.
The last inspection on record was on Jun 5, 2024: 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
4 deficiencies in 1 month of the last 36. Last cited Jun 2024. 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.
Jun 5, 2024: reaccreditation inspection by the Accreditation Commission for Health Care4 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 420 words
“Upon patient record review, 6 of 19 records reviewed (Patient #1, #4, #7, #9, #10, #12) 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 #1: During the home visit the medication administration record indicated the patient should be receiving Oxygen 2LPM via NC continuously. The patient was not wearing her oxygen, the concentrator was in the corner of her room in a stored capacity (it was dusty) along with a portable tank that was also dusty. The oxygen tubing was covered with dust and coiled under the concentrator. The patient confirmed she did not feel she needed oxygen. COS. Patient #4: During the home visit the medication administration record indicated the patient was taking Donepezil 10mg po daily for memory loss. There was no evidence of the medication in the home. The son confirmed she had not been taking this since her start of care to hospice on 3/20/24. COS. Patient #7: The MAR indicated NTG 1 tablet take every 5 minutes as needed for chest pain for a maximum of 3 doses. The MAR did not indicate what action should be taken if the chest pain is not relieved after the max dose is given. In addition, the record indicated to apply lidocaine one dose topically to the affected area every 4 hours as needed for pain. There was no evidence as to where to apply the lidocaine and how much to apply. COS. Patient #9: The MAR indicated Lidocaine 5% topical ointment apply a small amount to the affected area twice daily as needed for pain. There was no evidence as to where to apply the Lidocaine. In addition, Sodium Chloride 5% ophthalmic one drop 3 times daily for glaucoma was indicated. There was no evidence on the MAR as to which eye or eye(s) to administer the drops. COS. Patient #10: The MAR indicated zinc oxide 22% topical cream one application as needed twice daily for skin. There was no evidence as to where to apply the zinc. COS. Patient #12: The MAR indicated Nystatin 100,000 Units/gram topical powder small amount to the affected area twice daily as needed for skin rash. There was no evidence of the specific site location. COS.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 302 words
“Upon patient record review, 3 of 19 records reviewed (Patient #4, #7, #10) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient #4: The record indicated a nurses communication note on 5/31/24 Nystatin Powder applied under Breast and left groin sprayed with Zinc, there was no evidence in the Physicians order for these medications. COS. Patient #7: The MD order for NTG indicated to take 1 tablet take every 5 minutes as needed for chest pain for a maximum of 3 doses. The MD order did not indicate what action should be taken if the chest pain is not relieved after the max dose is given. In addition, the record indicated to apply lidocaine one dose topically to the affected area every 4 hours as needed for pain. There was no evidence as to where to apply the lidocaine and how much to apply. COS. Patient #9: The MD order for Lidocaine 5% topical ointment indicated to apply a small amount to the affected area twice daily as needed for pain. There was no evidence as to where to apply the Lidocaine. In addition, Sodium Chloride 5% ophthalmic one drop 3 times daily for glaucoma was ordered. There was no evidence from the MD order as to which eye or eye(s) to administer the drops. COS. Patient #10: The MD order indicated zinc oxide 22% topical cream one application as needed twice daily for skin. There was no evidence as to where to apply the zinc. COS. Patient #12: The MD order indicated Nystatin 100,000 Units/gram topical powder small amount to the affected area twice daily as needed for skin rash. There was no evidence of the specific site location. COS.”
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Coordination of services (42 CFR 418.56(e)(2))
“Upon client record review, 1 of 19 (Patient #1) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #1: The record indicated the Chaplain Frequency ordered on 5/14/24 was for 2 x M. There was no evidence of two chaplain visits from 5/14/24 to 5/30/24.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
“Upon patient record review 1 of 19 records reviewed (Patient #11) 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 #11: The record indicated an MD order for the hospice aide on 4/1/24 for 2XW for 9W. There was no evidence of a second visit from 4/1/24 to 4/6/24.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 5, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 4 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 11, 1996.
- 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): 12 nurse care minutes per routine home care day, 6.4% of skilled nursing minutes at weekends and a visit near death for 95.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 85% at home, 5% in a nursing facility, 8% in a skilled nursing facility, 1% in a hospital.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.0 min |
| Skilled nursing minutes at weekends | 6.4% |
| Visits near death | 95.5% of patients who died |
Who owns it?
- Adena Health System owns an unstated share directly since Aug 1, 2011.
- 6 owners or officers are people: James Mcmanus (corporate director); Everett Neal (corporate officer); Katherine A Dye (corporate officer); Katherine A Dye (corporate director); Jennifer Bandy (managing employee (on the payroll)); David Kessler (managing employee (on the payroll), 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 |
|---|---|---|---|
| Adena Home Health and Hospice | Owns 5% or more through other companies | 100% | Feb 1, 2026 |
| Alternate Solutions Holdings Inc. | Owns 5% or more through other companies | 60% | Feb 1, 2026 |
| Ashn Midco LLC | Owns 5% or more through other companies | 60% | Feb 1, 2026 |
| Alternate Solutions Health Network LLC | Owns 5% or more through other companies | 60% | Feb 1, 2026 |
| Alternate Solutions Healthcare Chillicothe LLC | Owns 5% or more through other companies | 60% | Feb 1, 2026 |
| ASHN Holdings LLC | Owns 5% or more through other companies | 60% | Feb 1, 2026 |
| The Warren D. Ganzsarto Amended Revocable Living Trust | Owns 5% or more through other companies | 28.27% | Feb 1, 2026 |
| General Atlantic (As) Collections LP | Owns 5% or more through other companies | 22.9% | Feb 1, 2026 |
| Adena Health System | Owns 5% or more directly | Aug 1, 2011 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 87% rated it 9 or 10 out of 10, and 88% would definitely recommend it.
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.63% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 75.4% 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 | 8 of 10 |
How does it compare nearby?
- Of the 11 hospices CMS’s data show serving patients in ZIP code 45601, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 9; this one had 4.
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 |
|---|---|
| Adena Hospice This hospice | 4 |
| National Church Residences Home and Community Serv | Not given |
| Hospice of Dayton | 7 |
| Somc Hospice | 9 |
| Nationwide Children’s Hospital Homecare | Not given |
| Heartland Hospice | 40 |
| Heartland Hospice | 25 |
| Gentiva | 15 |
| Buckeye Hospice and Palliative Care Services | 5 |
| Echo Hospice of Ohio LLC | 12 |
| Ahc Home Health of Cincinnati 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.