Compassus - Western Ohio
A hospice in Dayton, Ohio 45459
7755 Paragon Rd, Suite 106, Dayton, Ohio 45459. (937) 226-8611.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 3 deficiencies cited in the last three years
- Not rated family caregiver rating
- 10of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean2
- 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?
3 deficiencies cited in the last three years
The middle of the 21 hospices serving ZIP code 45459 had 5.
The last inspection on record was on May 8, 2025: a reaccreditation inspection by the Community Health Accreditation Partner.
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
3 deficiencies in 1 month of the last 36. Last cited May 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.
May 8, 2025: reaccreditation inspection by the Community Health Accreditation Partner3 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 237 words
“It is required that the comprehensive assessment includes an initial bereavement assessment of the needs of the patient’s family and other individuals, focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient’s death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and considered in the bereavement plan of care. This standard was not met as evidenced by clinical record review and interview. Agency policy and procedure #HOS-C_19A, stated in part, “A Bereavement Risk assessment is completed upon admission by the Social Worker as part of their initial assessment. A Spiritual Counselor or RN Case Manager may be asked to complete the assessment if the Social Worker is not able to complete the assessment timely.” In 1 of 19 (5%) clinical records reviewed, the agency did not ensure that the comprehensive assessment included an initial bereavement assessment of the needs of the patient’s family and other individuals. Clinical Record 4: The patient elected hospice care on 04/17/2025. A clinical record review, including a review of the Registered Nurse (RN), Chaplain (SC), and Social Worker’s (SW) initial assessments dated between 04/17/2025 and the review date on 05/06/2025, revealed no evidence that an initial bereavement assessment was completed. The Hospice Area Executive confirmed the findings during a joint review of clinical records and an interview on 05/07/2025. No further information was provided before the exit conference.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 199 words
“It is required that each patient’s individualized written plan of care: reflects patient and family goals; [and] identifies planned interventions based on problems identified in the initial and updated comprehensive assessments. This standard was not met as evidenced by clinical record review, document review, and interview. Agency policy # HOS-C_09A “Individualized Plan of Care” (dated 01/01/2024) stated in part, “ The content of the plan includes at minimum: An assessment of the patient and family’s needs and goals...An identification of the services to be provided, including management of symptoms...i. Treatments, drugs, biologicals, and other interventions...” In 1 of 19 (5%) clinical records reviewed, the agency did not ensure that the patient’s individualized plan of care included planned interventions based on problems identified in the initial and updated comprehensive assessments. Clinical Record 2: The patient elected hospice care on 11/03/2023 with a diagnosis of cerebral vascular disease (CVA). The initial assessment, dated 11/03/2023, and the updated assessment, dated 11/04/2023, documented that the patient had dysphagia. The plan of care did not identify planned interventions or goals related to dysphagia. The findings were confirmed with the Hospice Area Executive of Clinical Operations during a joint review of clinical records on 05/07/2025.”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 182 words
“It is required that the hospice follows accepted standards of practice to prevent the transmission of infections and communicable disease, including the use of standard precautions, such as: hand hygiene. This standard was not met as evidenced by document review, interview, and observation. Agency policy and procedure #IPC.11_A2. “Hand Hygiene- Hand Washing” stated in part, “ Once patient care has started, do not reach into the bag without performing hand hygiene.” In 1 of 4 (25%) home visits observed, the agency did not ensure that hand hygiene was performed when indicated according to the agency’s policy. Home Visit 2: The patient elected hospice care on 11/23/2023. During the home visit with the Registered Nurse (RN) [Personnel Record 5] on 05/06/2025, the RN touched their tablet, then reached into their equipment bag to obtain their equipment to complete their assessment. The RN did not sanitize their hands after touching their tablet before reaching into their equipment bag per the agency’s policy. This finding was confirmed by the Hospice Area Executive of Clinical Operations during the joint home visit with the RN on 05/06/2025.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 8, 2025 | Reaccreditation inspection by the Community Health Accreditation Partner | 3 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jan 4, 2007.
- 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): 13.7 nurse care minutes per routine home care day, 4.8% of skilled nursing minutes at weekends and a visit near death for 94.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 38% at home, 17% in assisted living, 40% in a nursing facility, 4% 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 | 13.7 min |
| Skilled nursing minutes at weekends | 4.8% |
| Visits near death | 94.5% of patients who died |
Who owns it?
- Compassus OP Holding of Ohio LLC owns 100% directly since Jan 1, 2017.
- Community Hospices of America, LLC. runs it.
- 8 owners or officers are people: Russell G Adkins (corporate officer); Russell G Adkins (runs it (operational or managerial control)); Jennifer Milroy (managing employee (on the payroll)); Milla Karev (managing employee (under contract)); Laura A Templeton (corporate officer); Laura A Templeton (runs it (operational or managerial control)); Michael Asselta (corporate officer); Michael Asselta (runs it (operational or managerial control)).
- 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 |
|---|---|---|---|
| Compassus Parent, Inc. | Owns 5% or more through other companies | 100% | Dec 31, 2019 |
| Fc Compassus LLC | Owns 5% or more through other companies | 100% | Jan 1, 2017 |
| Compassus Holdings, L.P. | Owns 5% or more through other companies | 100% | Dec 31, 2019 |
| Compassus OP Holdings I LLC | Owns 5% or more through other companies | 100% | Jan 1, 2017 |
| Compassus OP Holdings II LLC | Owns 5% or more through other companies | 100% | Jan 1, 2017 |
| Compassus Intermediate, Inc. | Owns 5% or more through other companies | 100% | Dec 31, 2019 |
| Compassus OP Holding of Ohio LLC | Owns 5% or more directly | 100% | Jan 1, 2017 |
| Ti V Asc Compassus Investment Aggregator, L.P. | Owns 5% or more through other companies | 99% | Dec 31, 2019 |
| Ascension Towerbrook Healthcare Opportunities LP | Owns 5% or more through other companies | 49.5% | Dec 31, 2019 |
| Ti V Compassus Investment Aggregator, L.P. | Owns 5% or more through other companies | 49.5% | Dec 31, 2019 |
| Ascension Health Alliance | Owns 5% or more through other companies | 49.48% | Dec 31, 2019 |
| Ascension Capital LLC | Owns 5% or more through other companies | 49.48% | Dec 31, 2019 |
| Towerbrook Investors V (Onshore) LP | Owns 5% or more through other companies | 29.75% | Dec 31, 2019 |
| Towerbrook Investors V (892), L.P. | Owns 5% or more through other companies | 14.14% | Dec 31, 2019 |
| Washington State Investment Board | Owns 5% or more through other companies | 5.24% | Dec 31, 2019 |
| Community Hospices of America, LLC. | Runs it (operational or managerial control) | Jan 1, 2017 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 69% rated it 9 or 10 out of 10, and 71% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 97.62% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 75.2% 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 | Not rated |
| 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 21 hospices CMS’s data show serving patients in ZIP code 45459, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 3.
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 |
|---|---|
| Compassus - Western Ohio This hospice | 3 |
| Hospice of Dayton | 7 |
| Crossroads Hospice of Dayton, LLC | 6 |
| Vitas Healthcare Corporation of Ohio | 4 |
| Heartland Hospice | 7 |
| Ohio Living Hospice Greater Columbus | Not given |
| Gentiva | 15 |
| Grand Lake Hospice | 0 |
| Bella Care Hospice | 0 |
| Ohio Valley Hospice | 7 |
| Ohio Living Village Hospice | 4 |
| Queen City Hospice | 17 |
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.