Wesley Hospice, LLC
A hospice in New Albany, Ohio 43054
4588 Wesley Woods Blvd, Suite 2a, New Albany, Ohio 43054. (614) 451-6700.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 23, 2026.
- 9 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?
9 deficiencies cited in the last three years
The middle of the 23 hospices serving ZIP code 43054 had 5.
The last inspection on record was on Jul 18, 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
9 deficiencies in 1 month of the last 36. Last cited Jul 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.
Jul 18, 2024: reaccreditation inspection by the Accreditation Commission for Health Care9 deficiencies
-
EP Training Program (42 CFR 418.113(d)(1))
The inspectors’ words, 121 words
“Upon personnel record review, 2 of 13 (Personnel #4,6) did not have evidence Emergency Preparedness training including: Personnel 4 and 6: The personnel files did not contain evidence of: • Initial training in emergency preparedness policies and procedures to all new and existing hospice employees, and individuals providing services under arrangement, consistent with their expected roles • Demonstrate staff knowledge of emergency procedures • Provide emergency preparedness training at least annually • Periodically review and rehearse its emergency preparedness plan with hospice employees (including nonemployee staff), with special emphasis placed on carrying out the procedures necessary to protect patients and others • Maintain documentation of all emergency preparedness training Corrected on site. The agency performed the education during survey via Zoom.”
-
Notice of rights and responsibilities (42 CFR 418.52(a)(3))
“Upon patient record review, 14 of 14 (Patient #1,2,3,4,5,6,7,8,9,10,11,12,13,14) did not have evidence that the hospice obtained the patient’s or representative’s SIGNATURE confirming that they received a copy of the Patient’s Rights and Responsibilities. The nurse Initial Assessment documents that the information was provided to the patient/family prior to SOC, however: no signature was obtained.”
-
Content of comprehensive assessment (42 CFR 418.54(c)(6))
“Upon patient record review, 3 of 14 (#4,6,12) 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 limit Patients 4,6,12: The medication profiles contain incomplete orders for ‘MiraLAX oral powder for reconstitution; administer 17gm orally once daily for constipation” with no evidence of directions for reconstitution. Corrected on site.”
-
Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 123 words
“Upon patient record review, 2 of 14 (#4,13) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient #4,13: oral anticoagulation medication ordered on POC with no Nursing Care Plan with problems, goals and interventions for of risk for bleeding/anticoagulation therapy measures. Corrected on site. Patient #13: Pt has a diagnosis of Aspiration and Dysphagia, no aspiration risk problems goals or intervention on nursing care plan.”
-
Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 3 of 14 (Patient #4,6,12) 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. Patients 4,6,12: The POC’s contain incomplete orders for ‘MiraLAX oral powder for reconstitution; administer 17gm orally once daily for constipation” without evidence of directions for reconstitution. Corrected on site.”
-
Competency evaluation (42 CFR 418.76(c))
“Upon personnel record review, 1 of 13 (Personnel #5) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) Personnel 5: The aide competency did not contain evidence of the following tasks: Normal range of motion and positioning, Appropriate and safe techniques in personal hygiene and grooming that include--Sponge and tub bath, and Shampoo, sink, tub, and bed.”
-
Hospice aide assignments and duties (42 CFR 418.76(g)(2))
“Upon patient record review 13 of 14 (Patient #1,2,3,4,6,7,8,9,10,11,12,13,14) did not have evidence documentation in the patient record that a hospice aide provides services that are: Patient #1,2,3,4,6,7,8,9,10,11,12,13,14: There were no aide frequencies on the aide written instructions or frequencies on each individual task. Corrected on site.”
-
Training (42 CFR 418.100(g)(3))
“Upon personnel record review, 2 of 13 (Personnel #4,6) did not have evidence that a skills competency assessment, specific to each discipline had been conducted for all personnel including volunteers initially during orientation. Personnel 4,6: The personnel files did not contain a skills competency.”
-
Authentication (42 CFR 418.104(b))
The inspectors’ words, 143 words
“Upon patient client record review, 14 of 14 (#1,2,3,4,5,6,7,8,9,10,11,12,13,14) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patients 1,2,3,4,5,6,7,8,9,10,11,12,13,14: The CTI’s written by the medical director were all hand written and illegible. Patient 9: The SN documented 7/15/24 “Wound care performed by: Clinician” and “Care performed: Independently”. There is no evidence the nurse followed the POC as the nurse did not document details of wound care provided. The SN documented on 7/12/24 Wound care: completed and performed wound care/dressing change: completed. There is no evidence the nurse followed the POC as the nurse did not document details of wound care provided.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 18, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 1, 2012.
- 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): 11 nurse care minutes per routine home care day, 6.3% of skilled nursing minutes at weekends and a visit near death for 95.8% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 12% at home, 57% in assisted living, 31% in a nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 11.0 min |
| Skilled nursing minutes at weekends | 6.3% |
| Visits near death | 95.8% of patients who died |
Who owns it?
- 15 owners or officers are people: Lance Debenedictis (corporate director); Sandra East (corporate director); Celia Conlon (corporate director); Robyn Hildal (corporate director); Philip Present (corporate director); James Bowersox (corporate officer); Mark Palmer (corporate director); Larry Brueshaber (corporate director); Latasha Goodwin (managing employee (on the payroll)); Mary Short (corporate director); Thomas Kahle (corporate director); Kenneth Mcdonald (managing employee (on the payroll)); Scott M Mcquinn (corporate officer); Todd Anderson (corporate director); Thomas Edward Mceldowney (managing employee (under contract)).
- 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.
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): 90% rated it 9 or 10 out of 10, and 85% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 95.7% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 70.1% 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 23 hospices CMS’s data show serving patients in ZIP code 43054, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5; this one had 9.
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 |
|---|---|
| Wesley Hospice, LLC This hospice | 9 |
| Ohiohealth Hospice With Compassus | 8 |
| Mount Carmel Hospice | 13 |
| Hospice of Central Ohio | 0 |
| Lifecare Hospice | 6 |
| Vitas Healthcare Corporation of Ohio | 4 |
| Gentiva I | 13 |
| Zusman Community Hospice | 0 |
| Southern Care Youngstown | 9 |
| Heartland Hospice | 25 |
| Ohio Living Hospice Greater Columbus | Not given |
| National Church Residences H&c Services Central Ohio 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
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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.