Crossroads Hospice of Cleveland, LLC
A hospice in Valley View, Ohio 44125
9775 Rockside Road, Suite 270, Valley View, Ohio 44125. (216) 654-9300.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency cited in the last three years
- 3of 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?
1 deficiency cited in the last three years
The middle of the 31 hospices serving ZIP code 44125 had 1.
The last inspection on record was on Jun 5, 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
1 deficiency in 1 month of the last 36. Last cited Jun 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.
Jun 5, 2025: reaccreditation inspection by the Community Health Accreditation Partner1 deficiency
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
The inspectors’ words, 585 words
“It is required that hospice aides are supervised by a registered nurse who makes an on-site visit to the patient’s home no less frequently than every 14 days to assess the quality of care and services provided by the hospice aide and ensure that services ordered by the hospice Interdisciplinary Group (IDG) meet the patient’s need. This standard was not met as evidenced by clinical record review and interview. In 7 of 16 (44%) clinical records reviewed of patients receiving hospice aide services, it was revealed that the agency did not ensure the hospice aide was supervised by a registered nurse no less frequently than every 14 days. CLINICAL RECORD 4: The aide visit frequency order was two (2) times per week. The record was reviewed for aide supervisory visits between the initial nursing assessment dated 01/06/2024 through 06/04/2025. There was evidence of aide supervisory visits completed on: 01/19/2024, 01/25/2024, 11/25/2024, 01/03/2025, 01/07/2025, 01/16/2025, 01/21/2025, 03/25/2025, 04/23/2025, and 05/06/2025. There was no additional documentation to address the gaps in documented aide supervision. CLINICAL RECORD 6: The aide visit frequency order was one (1) time per week. The record was reviewed for aide supervisory visits between the initial nursing assessment dated 04/10/2025 through 06/04/2025. There was evidence of aide supervisory visits completed on: 02/07/2025, 03/20/2025 (which is 48 days), and 04/03/2025. (No other supervisory visits were documented and there was no additional documentation to address the gaps in documented aide supervision. CLINICAL RECORD 7: The aide visit frequency order was two (2) times per week. The record was reviewed for aide supervisory visits between the initial nursing assessment dated 04/02/2025 through 06/04/2025. There was evidence of aide supervisory visits completed on: 05/13/2025 (which is 35 days from the first aide visit on 04/08/2025) and 05/27/2025. There was no additional documentation to address the gaps in documented aide supervision. CLINICAL RECORD 9: The aide visit frequency order was one (1) time per week. The record was reviewed for aide supervisory visits between the initial nursing assessment dated 02/06/2025 through 06/04/2025. There was evidence of aide supervisory visits completed on: 04/03/2025, 04/22/2025, 05/13/2025, and 05/27/2025. There was no additional documentation to address the gaps in documented aide supervision. CLINICAL RECORD 10: The aide visit frequency order was two (2) times per week. The record was reviewed for aide supervisory visits between the initial nursing assessment dated 04/09/2025 through 06/04/2025. There was evidence of aide supervisory visits completed on: 04/29/2025 (which was 20 days after the first aide visit), 05/13/2025, and 06/03/2025. There was no additional documentation to address the gaps in documented aide supervision. CLINICAL RECORD 17: The aide visit frequency order was one (1) time per week. The record was reviewed for aide supervisory visits between the initial nursing assessment dated 10/24/2024 through 12/19/2024. There was no evidence of aide supervisory visits being completed. There was no additional documentation to address the lack of documented aide supervision. CLINICAL RECORD 18: The aide visit frequency order was two (2) times per week. The record was reviewed for aide supervisory visits between the initial nursing assessment dated 11/06/2024 through 02/03/2025. There was evidence of aide supervisory visits completed on: 11/25/2024, 12/16/2024, and 01/15/2025. There was no additional documentation to address the gaps in documented aide supervision. This was shared with leadership on 06/03/2025, and in an interview on the same day with the Director of Nursing, she stated, “She has already identified this as a problem and had an active performance improvement project in place to monitor the progress”.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 5, 2025 | Reaccreditation inspection by the Community Health Accreditation Partner | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Feb 16, 2011.
- Ownership: other.
- 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): 12.2 nurse care minutes per routine home care day, 11.9% of skilled nursing minutes at weekends and a visit near death for 91.6% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 47% at home, 12% in assisted living, 39% in a 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 | 12.2 min |
| Skilled nursing minutes at weekends | 11.9% |
| Visits near death | 91.6% of patients who died |
Who owns it?
- CAR Holdings LLC owns 19% directly since Aug 5, 2009; G Perry Farmer Jr Irrevocable Trust owns 11.09% directly since Sep 14, 2023; Perry&jessica Farmer Investments Flp owns 9.5% directly since Aug 5, 2009; George Farmer Rvoc Tr owns 6.33% directly since Nov 10, 2022; Farmer - Lee Family Trust Dated December 20, 2018 owns 6.33% directly since Nov 10, 2022; Read & Melissa Pearson Family Trust owns 5% directly since Oct 8, 2021; Jessica L Farmer Irrevocable Trust owns 4.75% directly since Sep 14, 2023.
- Carrefour Associates, LLC runs it.
- 14 owners or officers are people: George Perry Farmer (owns 5% or more through other companies, 19%); Raymond Freeman (owns 5% or more directly, 19%); Jamie Tower (owns 5% or more directly, 9.5%); Jimmie Ray Breashears (owns 5% or more directly, 9.5%); Kerrie Lynn David (managing employee (under contract), 0%); George Perry Farmer (corporate director); Deanna Looper (managing employee (on the payroll)); Samuel Lockhart (managing employee (on the payroll)); Clayton Lee Farmer (corporate director); Clayton Lee Farmer (runs it (operational or managerial control)); Leigh Walden (managing employee (on the payroll)); Laura Buxton (managing employee (on the payroll)); Raymond Freeman (corporate director); Jimmie Ray Breashears (corporate director).
- 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 |
|---|---|---|---|
| CAR Holdings LLC | Owns 5% or more directly | 19% | Aug 5, 2009 |
| G Perry Farmer Jr Irrevocable Trust | Owns 5% or more directly | 11.09% | Sep 14, 2023 |
| Perry&jessica Farmer Investments Flp | Owns 5% or more directly | 9.5% | Aug 5, 2009 |
| George Farmer Rvoc Tr | Owns 5% or more directly | 6.33% | Nov 10, 2022 |
| Farmer - Lee Family Trust Dated December 20, 2018 | Owns 5% or more directly | 6.33% | Nov 10, 2022 |
| Read & Melissa Pearson Family Trust | Owns 5% or more directly | 5% | Oct 8, 2021 |
| Jessica L Farmer Irrevocable Trust | Owns 5% or more directly | 4.75% | Sep 14, 2023 |
| Carrefour Associates, LLC | Runs it (operational or managerial control) | 0% | Jan 1, 1990 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 77% rated it 9 or 10 out of 10, and 82% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 67.8% 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 | 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 | 10 of 10 |
How does it compare nearby?
- Of the 31 hospices CMS’s data show serving patients in ZIP code 44125, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 1; this one had 1.
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 |
|---|---|
| Crossroads Hospice of Cleveland, LLC This hospice | 1 |
| Northeast Ohio Hospice, Inc. | 0 |
| Hospice of the Western Reserve, Inc. | 0 |
| Southwest General Hospice | 6 |
| Visting Nurse Association of Cleveland Hospice | 9 |
| Cleveland Clinic Hospice | 6 |
| Emunah Hospice LLC | 60 |
| Heartland Hospice | 21 |
| Compassus - Greater Ohio | 2 |
| Traditions Health | 1 |
| Miracle City Hospice, LLC | 9 |
| Holy Family Hospice | 0 |
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.