Caring Hospice Services of Ohio, LLC
A hospice in Independence, Ohio 44131
4700 Rockside Road Suite 435, Independence, Ohio 44131. (216) 524-5500.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 8 deficiencies cited in the last three years
- Not rated family caregiver rating
- 8of 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?
8 deficiencies cited in the last three years
The middle of the 30 hospices serving ZIP code 44131 had 1.
The last inspection on record was on Oct 2, 2025: a reaccreditation inspection by The Joint Commission.
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
8 deficiencies in 1 month of the last 36. Last cited Oct 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.
Oct 2, 2025: reaccreditation inspection by The Joint Commission8 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(5))
The inspectors’ words, 112 words
“Observed in Record Review. In 2 out of 4 applicable records, the hospice did not conduct and document wound reassessments and measurements per HCO policy, which states wounds are to be assessed by the RN every visit and measured weekly. Examples: In RRNHV#3 during the 9th benefit period, wound assessments were not documented for 2 nursing visits. Wound measurements were not completed per policy during weeks 1, 3, and 4 of the 9th benefit period. In RRNHV#6 during benefit 2 weeks# 8-11, wound assessments and care were not documented for 4 nursing visits. Wound measurements were not completed per policy during weeks 8, 10, and 11. This was confirmed with the DON.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 159 words
“Observed in Record Review. In 7 out of 7 records, there were plan of care goals that were not measurable. Examples in RRHV#1: Patient’s desired nutrition/hydration needs will be met; Patient will maintain optimal mobility Examples in RRHV2: Patient care needs will be safely met; Home environment safety concerns will be resolved. Examples in RRHV#3: Patients emotional and physical needs will be met; Patient’s desired nutrition/hydration needs will be met; Patient will remain safe in environment. Examples in RRNHV#1: Patient will feel empowered and supported during his hospice care; Provide patient/family grief support knowing realistic emotions and understanding of patient death; Create a safe, nonjudgmental environment for patient and family; Provide companionship, support and presence as patient continues hospice journey. Examples in RRNHV#2: Patient will remain safe in environment. Example in RRNHV#3: Generic integumentary goal noted for a patient with wounds: maintain current integumentary status. In RRNHV#4: Develop therapeutic relationship; Patient will find forgiveness for past decisions and relationships”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 154 words
“Observed in Tracer Visit. In 3 out of 10 records, the plan of care did not include a frequency of the services necessary to meet the patient’s needs. Example: In RRNHV#3, RRNHV#5, and RRNHV#7 wound care orders did not specify a frequency of when the care was to be provided and who would perform the wound care on days hospice did not make a visit. This was confirmed by the DON. Observed in Tracer Visit. In 4 out of 5 applicable records, the plan of care included range orders for oxygen that did not have defined parameters and indications for adjusting and/or changing the settings. Examples: In RRHV#1, RRHV#3, RRNHV#3, there were oxygen orders at 2-4 LPM without defined parameters and indications for adjusting and/or changing the settings. In RRNHV#4, there were oxygen orders at 6-10 LPM without defined parameters and indications for adjusting and/or changing the settings. This was confirmed with the DON.”
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Coordination of services (42 CFR 418.56(e))
“Observed in Tracer Visit. In 3 out of 3 records, the organization did not maintain a system of communication and integration of the provision of care. Examples: IDG meeting notes for RRHV#1, RRHV#2, and RRHV#3 did not include the integration of the Chaplain and Social Worker visit activity and findings between IDG meetings when applicable. IDG notes only included nursing activity, findings and coordination with the ALF staff. This was confirmed by the DON.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2)(i))
The inspectors’ words, 101 words
“Observed in Tracer Visit. In 1 of 1 observed aide home visit, the hospice aide did not provide services that are ordered by the physician or allowed practitioner in the plan of care. Example: In RRHV#3, the aide care plan indicated a bed bath to be provided at every visit. During the observation with Aide, the Aide informed the Surveyor that the patient receives a shower or bath 3 times per week. The aide reports that on the alternate days she assist with feedings, clean the room, and provide ADLs as needed for that day. This was confirmed with the DON.”
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Level of activity (42 CFR 418.78(e))
“Observed in Record Review. Volunteer staff did not provide day-to-day administrative or direct patient care in an amount that equals 5% of the total patient care hours of all paid hospice employees and contract staff. Example: Current year to date average is less than 2%. This was confirmed with the DON.”
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Content (42 CFR 418.104(a)(3))
“Observed in Tracer Visit. In 2 out of 10 records, the medication profile in the medical record was inaccurate. Example: In RRHV#1, the medication profile in the medical record listed Oxygen at 2-4 LPM continuous. The patient who resides within an ALF was only using the oxygen PRN. In RRNHV#4, the medication profile in the medical record listed the Oxygen at 6-10 LPM Daily. The DON verified that the frequency was continuous not daily. Both findings were confirmed by the DON.”
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Discharge or transfer of care (42 CFR 418.104(e)(2))
“Observed in Record Review. In 1 out of 2 applicable discharge records, the hospice did not provide the patient’s attending physician with a copy of the hospice discharge summary after the patient revoked or transferred hospice services. Examples: A discharge summary was not sent to the attending physician in RRDC#1 who revoked services. This was confirmed by the Office Manager.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 2, 2025 | Reaccreditation inspection by The Joint Commission | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since May 15, 2013.
- 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): 15.9 nurse care minutes per routine home care day, 6.3% of skilled nursing minutes at weekends and a visit near death for 88.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 21% at home, 13% in assisted living, 66% 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 | 15.9 min |
| Skilled nursing minutes at weekends | 6.3% |
| Visits near death | 88.5% of patients who died |
Who owns it?
- 20 owners or officers are people: Sara Rosenbaum (owns 5% or more directly, 10%); Shome Kohn (owns 5% or more directly, 10%); David Rosenbaum (owns 5% or more directly, 10%); Eliyohu Hirschfeld (owns 5% or more directly, 5%); Akiva Olshin (owns 5% or more directly, 5%); Elkie Landerer (owns 5% or more directly, 5%); Nathan Klein (owns 5% or more directly, 5%); Yaakov Kokis (owns 5% or more directly, 5%); Leah Stern (owns 5% or more directly, 5%); Chana Klein (owns 5% or more directly, 5%); Chaim Landerer (owns 5% or more directly, 5%); Yocheved Hirschfeld (owns 5% or more directly, 5%); Menachem Tauber (owns 5% or more directly, 5%); Tziviah Kokis (owns 5% or more directly, 5%); Batsheva Tauber (owns 5% or more directly, 5%); Pinchus Stern (owns 5% or more directly, 5%); Rachel Olshin (owns 5% or more directly, 5%); Randolph L Brown (managing employee (on the payroll)); Carla Marusa (managing employee (on the payroll)); Morgan Koepke (managing employee (under contract), 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.
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- CMS’s Hospice Care Index: 8 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); 67.4% 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 | 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 | 8 of 10 |
How does it compare nearby?
- Of the 30 hospices CMS’s data show serving patients in ZIP code 44131, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 1; this one had 8.
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 |
|---|---|
| Visting Nurse Association of Cleveland Hospice | 9 |
| Cleveland Clinic Hospice | 6 |
| Heartland Hospice | 21 |
| Compassus - Greater Ohio | 2 |
| Caring Hospice Services of Ohio, LLC This hospice | 8 |
| Kindred Hospice | 13 |
| Adoration Hospice Care Ohio LLC | 1 |
| Echo Hospice of Cleveland LLC | 5 |
| Suncrest Hospice Cleveland LLC | 1 |
| Cadre Hospice - Ohio LLC | 2 |
| Hospice of the Western Reserve, Inc. | 0 |
| Southwest General Hospice | 6 |
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.