Heartland Hospice
A hospice in Fremont, Ohio 43420
907 West State Street, Suite A, Fremont, Ohio 43420. (419) 355-9209.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 7 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?
7 deficiencies cited in the last three years
The middle of the 9 hospices serving ZIP code 43420 had 9.
The last inspection on record was on Jul 30, 2025: 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
7 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 28, 2024: reaccreditation inspection by the Accreditation Commission for Health Care7 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
“Upon patient record review, 1 of 19 (Patient #11) 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. Patient #11-The medication profile included Sarnna 1% lotion, apply to affected area 4 x daily for itching. The entry did not include a specified site for application.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 110 words
“Upon patient record review, 5 of 19 (Patient #3,5,8,9,10) 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 Patient #3,8,9- The initial plan of care included order for SW and Chaplain 1PRN with no defined frequency ordered. Patient #5- The initial plan of care included order for SW 1PRN with no defined frequency ordered. Patient #10- The initial plan of care included order for Chaplain 1PRN with no defined frequency ordered.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 1 of 19 (Patient #11) 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 #11-The record included an order dated 6/11/24 for Sarnna 1% lotion, apply to affected area 4 x daily for itching. The order did not include a specified site for application.”
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Coordination of services (42 CFR 418.56(e)(2))
“Upon client record review, 1 of 19 (Patient #13) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #13- The record included an order for chaplain to evaluate dated 6/21/24. There was no evidence of an evaluation completed to date.”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 117 words
“Upon home visit, 2 of 4( Patient 3, 6) there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. Patient #3- The aide did not wash or sanitize hands prior to physical contact with the patient in order to provide care. Patient #6- The SN placed clean equipment from nursing bag directly on a table surface prior to use without first cleaning the surface, equipment was then used on patient and returned to the same area of the table. Nursing bag was left unzipped during visit. Equipment was immediately placed back in the nursing bag after cleaning the equipment without allowing equipment to dry.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 234 words
“Upon patient record review 5 of 19 (Patient #7,8,10,12,14) 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 Patient #7- The aide care plan included the assignment: Monthly weight the 1st visit of the month. Visits 5/16/24 and 6/6/24 were the 1st visit of the month and tasks were not documented as completed. The note reflected “not needed” and “already done”. Patient #8- The aide care plan included the assignment: Monthly weight the 1st visit of the month. Visit 6/8/24 was the 1st visit of the month and task was not documented as completed. The note reflected “not needed”. Patient #10- The aide care plan included the assignment: Monthly weight the 1st visit of the month. Visit 6/3/24 was the 1st visit of the month and task was not documented as completed. The note reflected “already completed”. Patient #12- The aide care plan included the assignment: Monthly weight the 1st visit of the month. Visit 5/14/24 was the 1st visit of the month and task was not documented as completed. The note reflected “already completed”. Patient #14- The aide care plan included the assignment: Monthly weight the 1st visit of the month. Visit 6/4/24 was the 1st visit of the month and task was not documented as completed. The note reflected “not required”.”
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Content (42 CFR 418.104(a)(2))
“Upon patient client record review, 1 of 19 (Patient #2) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patient #2- The patient/ representative requested the notice of non-covered items, services and drugs at the time of election. There was no evidence in the record to demonstrate the notice had been provided.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 30, 2025 | Complaint inspection by the state | No deficiencies cited |
| Jun 28, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 1, 1996.
- 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): 13.6 nurse care minutes per routine home care day, 9.4% 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): 38% at home, 21% in assisted living, 39% in a nursing facility, 2% 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 | 13.6 min |
| Skilled nursing minutes at weekends | 9.4% |
| Visits near death | 95.5% of patients who died |
Who owns it?
- Odyssey Healthcare LP, LLC owns 99% directly since Jul 1, 2001.
- 7 owners or officers are people: Ann Wright (managing employee (on the payroll), 0%); Ronald C Lazas (corporate officer, 0%); David Robinson Arnold (corporate officer, 0%); David Robinson Arnold (runs it (operational or managerial control), 0%); Thomas Joseph Dolan (corporate officer, 0%); David Allen Causby (corporate officer, 0%); Janet L Combs (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 |
|---|---|---|---|
| Ch Services Midco Holdings Inc. | Owns 5% or more through other companies | 100% | Feb 5, 2015 |
| Curo Health Services Holdings, Inc. | Owns 5% or more through other companies | 100% | Jun 6, 2014 |
| Odyssey Healthcare Inc. | Owns 5% or more through other companies | 100% | Jul 1, 2001 |
| 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% | Jul 11, 2018 |
| Curo Health Services LLC | Owns 5% or more through other companies | 100% | Jul 11, 2018 |
| Odyssey Healthcare Holding Company | Owns 5% or more through other companies | 100% | Jul 1, 2001 |
| Kah Hospice Company, 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% | Feb 5, 2015 |
| Ch Services Holdings Inc. | Owns 5% or more through other companies | 100% | Jun 6, 2014 |
| Odyssey Healthcare LP, LLC | Owns 5% or more directly | 99% | Jul 1, 2001 |
| Odyssey Healthcare LP, LLC | Limited partner | 99% | Jul 1, 2001 |
| 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% | Dec 22, 2022 |
| Odyssey Healthcare Gp, LLC | General partner | 1% | Jul 1, 2001 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 86% rated it 9 or 10 out of 10, and 87% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 96.77% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 70.8% 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 9 hospices CMS’s data show serving patients in ZIP code 43420, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 9; this one had 7.
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 |
|---|---|
| Heartland Hospice This hospice | 7 |
| Hospice of Northwest Ohio | 9 |
| Bridge Home Health and Hospice | 10 |
| Stein Hospice Services, Inc. | 0 |
| Heartland Hospice (Sylvania) | 20 |
| Southern Care Youngstown | 9 |
| Elara Caring | 20 |
| Buckeye Hospice and Palliative Care Services | 5 |
| Ohio Living Hospice - Greater Toledo | 4 |
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.