Parrish Palliative and Hospice Care of Ohio LLC
A hospice in Sylvania Township, Ohio 43617
2232 Centennial Road, Sylvania Township, Ohio 43617. (419) 537-7600.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 7 deficiencies cited in the last three years
- Not rated family caregiver rating
- 9of 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?
7 deficiencies cited in the last three years
The middle of the 12 hospices serving ZIP code 43617 had 7.5.
The last inspection on record was on Sep 11, 2024: 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
7 deficiencies in 1 month of the last 36. Last cited Sep 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.
Sep 11, 2024: reaccreditation inspection by The Joint Commission7 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 94 words
“Observed in Record Review. In 6 of 10 patient records reviewed, it was noted that the comprehensive assessment was not completed no later than five calendar days after the election of hospice care. For example, in record RRHV#3 the initial bereavement assessment was dated on day 13 of care. In records RRNHV#2 the initial bereavement assessment was dated on day 13, record RRNHV#3 day 9, record RRNHV#4 day 8, record RRNHV#5 day 16 and RRNHV#6 day 7. All with not documentation to hold assessment until later dates. This was confirmed with the owner/RN present.”
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Patient outcome measures (42 CFR 418.54(e)(2))
“Observed in Record Review. In 1 of 1 patient records reviewed, for transfer discharge, it was noted that the record was in accurate. For example in record RRDC#2 two nurse notes dated 12/7 and 12/8 both stated Patient admitted yesterday to (name) hospital. This was confirmed with the owner/RN present.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 140 words
“Observed in Record Review. In 9 of 10 patient records reviewed, it was noted that the written plan of care was not individualized. For example in record RRHV#1 Provide positive/enjoyable experiences for resident that do not involve overly demanding tasks and stress. during hospice care. and Lay a foundation for reasonable staff and family expectations concerning the resident’s capacities and needs during hospice care. In multiple records the identical goal was found Patient’s quality of life will be at an optimal level during hospice care. with no individualization of what an optimal level would be for the individual patients. Record RRHV#2, RRNHV#5 and RRNHV#4 All hospice disciplines will implement safety precautions as indicated within 60 days. and Support resident who has declined in order to lessen the likelihood of complications during hospice care. This was discussed with the owner/RN present.
”
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Content of plan of care (42 CFR 418.56(c)(2))
“Observed in Record Review. In 10 of 10 patient records reviewed, it was noted that the plan of care did not include all needed items. For example in record RRHV#3 a supplemental order read Add 10 PRN visits for change on status with no discipline stated. In records RRHV#1-3 and RRNHV#1-7 the plan of care stated Plus PRN visits for Symptom Management on all the records with no specific number of PRN visits and no discipline stated. This was discussed with the owner/RN present.”
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Prevention (42 CFR 418.60(a))
“Observed in Patient Home. In 2 of 3 home visits conducted, it was noted that the organization had not implemented infection prevention and control activities when cleaning and disinfecting equipment. For example during visit RRHV#2 and RRHV#3 the nurses placed equipment on paper towels and used the same area for both clean and dirty. Also, during RRHV#2 the nurse placed the B/P cuff back into it’s container after use then removed it, cleaned it and put back in the container. This was discussed with the owner/RN.
”
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Counseling services (42 CFR 418.64(d)(1)(iv))
“Observed in Record Review. In 2 of 2 patient records reviewed, for bereavement care it was noted that the plan of care was incomplete. For example, in records RRBR#1 and #2 bereavement interventions were documented, however there was no documentation of bereavement goals in the care plans. This was confirmed with the owner/RN present.”
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Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))
“Observed in Record Review. In 10 of 10 patient records reviewed, it was noted that the individualized emergency management plan was incomplete. For example, records RRHV#1, 2,3 and RRNHV#1-7 did not have the Individual Emergency Plan document in the record. There was a screen from the EHR that had some information, however this did not include information such as an emergency contact and alternate location. During visits RRHV#1-3 it was noted that there was not Individual Emergency Plans in the homes. This was confirmed with the owner/RN present.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 11, 2024 | Reaccreditation inspection by The Joint Commission | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 20, 2021.
- 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): 15.8 nurse care minutes per routine home care day, 3.1% of skilled nursing minutes at weekends and a visit near death for 85% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 82% at home, 4% in a nursing facility, 15% 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 | 15.8 min |
| Skilled nursing minutes at weekends | 3.1% |
| Visits near death | 85.0% of patients who died |
Who owns it?
- 4 owners or officers are people: Reneesha D Parrish-Nnaji (corporate director, 100%); Diane H Parrish (runs it (operational or managerial control), 100%); Reneesha D Parrish-Nnaji (owns 5% or more directly, 50%); Diane H Parrish (owns 5% or more directly, 50%).
- 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: 9 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).
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 | 9 of 10 |
How does it compare nearby?
- Of the 12 hospices CMS’s data show serving patients in ZIP code 43617, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7.5; this one had 7.
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 |
|---|---|
| Parrish Palliative and Hospice Care of Ohio LLC This hospice | 7 |
| Hospice of Northwest Ohio | 9 |
| Stein Hospice Services, Inc. | 0 |
| Heartland Hospice (Sylvania) | 20 |
| Heartland Hospice | 7 |
| Southern Care Youngstown | 9 |
| Residential Hospice NW Oh | 8 |
| Elara Caring | 20 |
| Ashanti Hospice and Palliative Care | 3 |
| Ohio Living Hospice - Greater Toledo | 4 |
| Care360 Hospice, LLC | 13 |
| Ohioans Home Health & 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 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.