Sincere Hospice LLC
A hospice in North Randall, Ohio 44128
20265 Emery Road, North Randall, Ohio 44128. (216) 245-9636.
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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
- 6of 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 28 hospices serving ZIP code 44128 had 2.
The last inspection on record was on Feb 6, 2024: an initial 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 Feb 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.
Feb 6, 2024: initial 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, 106 words
“Upon patient record review, 2 of 9 (Patients #1,2) 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 #1: The record reflected patient was using oxygen. This is not listed on med profile or as an order. Patient #2: Miralax 17 gm powder with no diluent included on med profile or order.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 168 words
“Upon patient record review, 5 of 9 (Patients #1,2,4,7,9) 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: The Initial Bereavement Risk Assessment was not timely. SOC 10/24/23. Bereavement Risk Assessment completed on 11/2/23. Patient #2: The Initial Bereavement Risk Assessment has not been completed to date. Patient #4: The Initial Bereavement Risk Assessment has not completed to date. The Post Bereavement Risk Assessment had been completed only after death. Patient #7: The Initial/Post Death Bereavement Risk Assessment was not completed to date. Patient #9: The Initial Bereavement Risk Assessment has not completed to date. The Post Bereavement Risk Assessment had been completed only after death.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 2 of 9 (Patients #1,2) 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 #1: The record reflected patient was using oxygen. This is not listed on med profile or as an order. Patient #2: Miralax 17 gm powder with no diluent included on med profile or POC order.”
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Content of plan of care (42 CFR 418.56(c)(5))
The inspectors’ words, 103 words
“Upon patient record review, 3 of 9 (Patients #1,2,6) 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 equipment and supply needs. Patient #1: This patient had a bed, bedside table, O2 concentrator and fall mat. These were not included on the Plan of Care. Patient #2: This patient had an APP mattress. This item was not included on the Plan of Care. Patient #6: The record reflected that this patient had oxygen 2l/min order. The O2 equipment was not included on the Plan of Care.”
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Competency evaluation (42 CFR 418.76(c))
“Upon personnel record review, 1 of 11 (Personnel #8) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: ·Nail and skin care Personnel #8: Did not have nail/skin care checked off on skills competency form as observed/demonstrated. The agency indicated they did this on 10/19/23 per signature & date at bottom of form. However, specific tasks were not checked off in body of form. The space next to these tasks for initial and date were not filled in.”
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Content (42 CFR 418.104(a)(2))
“Upon patient client record review, 3 of 9 (Patient #1,2,6) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patient #1: The Hospice SOC was 10/24/23. The EOB form indicated SOC of 10/25/23. Patient #2: The Hospice SOC was 12/4/23. The EOB form indicated SOC 11/30/23 Patient #6: The EOB form indicated SOC “TBD on hospital D/C”. There was not a start date in space provided on form.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 6, 2024 | Initial inspection by the Accreditation Commission for Health Care | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Feb 15, 2024.
- CMS doesn’t list its type of ownership.
- 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): 10.6 nurse care minutes per routine home care day, 10.3% of skilled nursing minutes at weekends and a visit near death for 69.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 100% 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 | 10.6 min |
| Skilled nursing minutes at weekends | 10.3% |
| Visits near death | 69.4% of patients who died |
Who owns it?
- Sincere Opco LLC owns 100% directly since Mar 8, 2023.
- 3 owners or officers are people: Mayer Guttman (owns 5% or more through other companies); Mayer Guttman (corporate officer); Mayer Guttman (managing employee (on the payroll)).
- 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 |
|---|---|---|---|
| Sincere Opco LLC | Owns 5% or more directly | 100% | Mar 8, 2023 |
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: 6 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 82.98% 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 | 6 of 10 |
How does it compare nearby?
- Of the 28 hospices CMS’s data show serving patients in ZIP code 44128, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2; 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 |
|---|---|
| Sincere Hospice LLC This hospice | 6 |
| 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 |
| Elara Caring | 20 |
| Menorah Life Hospice LLC | Not given |
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.