Avalon Hospice
A hospice in Cincinnati, Ohio 45241
4010 Executive Park Drive, Cincinnati, Ohio 45241. (513) 904-6189.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 6 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?
6 deficiencies cited in the last three years
The middle of the 22 hospices serving ZIP code 45241 had 4.5.
The last inspection on record was on Jan 25, 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
6 deficiencies in 1 month of the last 36. Last cited Jan 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.
Jan 25, 2024: reaccreditation inspection by the Accreditation Commission for Health Care6 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 103 words
“Upon patient record review, 1 of 14 (Patient #9) 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 limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient 9: Paxlovid 150mg-100mg tablet 2 times daily for 5 days ordered on 12/07/2023. No evidence that a stop date was entered on the MAR. Drug remains active on the current MAR.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 145 words
“Upon patient record review, 6 of 14 (Patient #1,2,3,6,7,10) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes 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 is considered in the bereavement plan of care. Patient 1: Bereavement risk assessment completed on 01/11/2024. Patient admitted on 12/15/2023. Patient 2: Bereavement risk assessment completed on 01/11/2024. Patient admitted on 08/22/2023. Patient 3: Bereavement risk assessment completed during survey process. Patient admitted on 11/30/2023. Patient 6: Bereavement risk assessment completed on 01/17/2024. Patient admitted on 12/19/2023. Patient 7: Bereavement risk assessment completed during survey process Patient 10: Bereavement risk assessment completed during survey process”
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Approach to service delivery (42 CFR 418.56(a)(1))
The inspectors’ words, 109 words
“Upon patient record review, 1 of 14 (Patient #4) did not have evidence that a Registered Nurse is designated to ensure continuous assessment of the patient and family’s needs and to coordinate activities with other members of the interdisciplinary group (IDG). The IDG must work together and is responsible for supervision of the care and service for each patient and family. Patient 4: No evidence that the hospice nurse measured the wound at the time that the wound was reported on 12/13/2023. No evidence that the wound was measured weekly as ordered/per Gentiva policy during the following weeks of 12/17-12/23, 12/24-12/30, 12/31-01/04, and 01/14-01/20 at the time of survey.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 170 words
“Upon patient record review, 4 of 14 (Patient #1,2,3,7) 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 • The IDG demonstrates a proactive approach in developing each patient’s plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patient 1: SW and SC only have PRN orders on initial POC. No evidence of routine visits on plan of care. Patient 2: SC was declined however 2 PRN visits were ordered for 4th BP. Patient 3: SW and SC only have PRN orders on initial POC. No evidence of routine visits on plan of care. Patient 7: SW only have PRN orders on initial POC. No evidence of routine visits on plan of care.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 1 of 14 (Patient #6) 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 6: Patient had a wound on admit that was inactivated on 12/27/2023 on the wound care chapter. Wound care orders remain active at the time during. Corrected during survey.”
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Coordination of services (42 CFR 418.56(e)(2))
“Upon client record review, 1 of 14 (Patient #9) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient 9: Patient had developed a wound on 12/27/2023. Wound care orders were entered to for the Hospice nurse to assess and measure the wound once weekly. No evidence of charting to support that the wound was assessed or measured during at that time or during the weeks to follow.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 25, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Mar 9, 2018.
- 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): 12.1 nurse care minutes per routine home care day, 5.2% of skilled nursing minutes at weekends and a visit near death for 93.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 52% at home, 28% in assisted living, 20% 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 | 12.1 min |
| Skilled nursing minutes at weekends | 5.2% |
| Visits near death | 93.3% of patients who died |
Who owns it?
- Southerncare, Inc. owns 100% directly since Apr 1, 2017.
- 7 owners or officers are people: Ronald C Lazas (corporate officer, 0%); David Robinson Arnold (corporate officer, 0%); Thomas Joseph Dolan (corporate officer, 0%); Vincent K Chu (managing employee (under contract), 0%); Sarah Gulley (managing employee (on the payroll), 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% | Apr 1, 2017 |
| Curo Health Services Holdings, Inc. | Owns 5% or more through other companies | 100% | Mar 27, 2018 |
| Curo Hospice SC LLC | Owns 5% or more through other companies | 100% | Apr 1, 2017 |
| Ksoc Holdings, Inc. | Owns 5% or more through other companies | 100% | Apr 1, 2017 |
| Southerncare Holdings, Inc. | Owns 5% or more through other companies | 100% | Apr 1, 2017 |
| 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% | Apr 1, 2017 |
| Kah Hospice Company, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Southerncare, Inc. | Owns 5% or more directly | 100% | Apr 1, 2017 |
| Ch Services Group Holdings Inc. | Owns 5% or more through other companies | 100% | Apr 1, 2017 |
| Ch Services Holdings Inc. | Owns 5% or more through other companies | 100% | Apr 1, 2017 |
| 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% | Aug 11, 2022 |
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: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 88.33% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 59.1% 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 22 hospices CMS’s data show serving patients in ZIP code 45241, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4.5; this one had 6.
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 |
|---|---|
| Avalon Hospice This hospice | 6 |
| Hospice of Cincinnati, Inc. | 16 |
| Heartland Hospice (Cincinnati) | 12 |
| Vitas Healthcare Corporation of Ohio | 4 |
| Crossroads Hospice of Cincinnati, LLC | Not given |
| Hospice of Southwest Ohio, Inc. | 0 |
| Ohio Living Village Hospice | 4 |
| Crossbridge Hospice | 5 |
| Ahc Home Health of Cincinnati LLC | 3 |
| Northstar Home Hospice LLC | 2 |
| Hospice Care of St Elizabeth Healthcare | 9 |
| Hospice of Dayton | 7 |
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.