Elara Caring Xi
A hospice in Sallisaw, Oklahoma 74955
103 North Walnut St, Ste B, Sallisaw, Oklahoma 74955. (918) 775-9500.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 4 deficiencies cited in the last three years
- 3of 5 family caregiver rating
- 10of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- 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?
4 deficiencies cited in the last three years
The middle of the 18 hospices serving ZIP code 74955 had 6.
The last inspection on record was on Mar 5, 2026: a recertification inspection by the state.
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
4 deficiencies in 1 month of the last 36. Last cited Mar 2026. 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.
Mar 5, 2026: recertification inspection by the state4 deficiencies
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Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1))
The inspectors’ words, 126 words
“Based on administrative record review and interview, the agency failed to provide patients and caregivers accurate Oklahoma State Department of Health contact information for filing a complaint. This failed practice had the potential to prevent timely reporting of patient or caregiver complaints for all 104 patients currently on service. Review of the agency’s Admission Packet provided to each patient and caregiver included an Admission Booklet with information regarding the agency’s complaint process. The address and contact number included in the booklet was not the correct complaint information for the Oklahoma State Department of Health. During an interview on 03/05/26 at 10:30 AM, RN1 stated the agency Admission Booklet provided to all patients did not contain the current complaint information for the Oklahoma State Department of Health.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 283 words
“Based on record review and interview the IDG failed to ensure a current and accurate medication list was maintained for three (#3,#11 and #14) of nineteen (#1 - #19) records reviewed. Patient #3Review of Patient #3 for recertification period 02/26/26 to 05/26/26 showed a primary diagnosis of Hypertensive Heart Disease and orders for SN visits 2 times a week for 12 weeks.Review of SN Visit documentation stated Pt #3 was currently using Oxygen at 2 liters per nasal cannula and the IDG POC Report for 02/25/26 documented SN respiratory interventions for instructions regarding safe oxygen use and storage. The IDG Medication List failed to include Oxygen as a current medication.Patient #11Review of Patient #11 for SOC period 12/02/25 to 03/01/26 showed a primary diagnosis of Heart Failure and orders for SN visits 2 times a week for 12 weeks.Review of SN Visit documentation stated Pt#11 was currently using Oxygen 2 liters per nasal cannula and the IDG POC Report for 02/24/26 documented SN respiratory interventions for instructions regarding safe oxygen use and storage. The IDG Medication List failed to include Oxygen as a current medication.Patient #14Review of Patient #14 for recertification period 01/15/26 to 04/14/26 showed a primary diagnosis of Alzheimer’s Disease and orders for SN visits 2 times a week for 12 weeks.Further review of SN Visit documentation showed Patient #14 currently using Oxygen at 2 liters per nasal cannula. The IDG POC for 02/25/26 failed to include Oxygen safety interventions and the Medication List failed to include Oxygen as a current medication.During an interview on 03/05/26 at 10:30 AM, RN1 stated the IDG failed to include Oxygen as a current medication on the Medication List for Patients #3, #11 an #14.”
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Coordination of services (42 CFR 418.56(e)(5))
The inspectors’ words, 143 words
“Based on record review and interview, the IDG failed to provide a current hospice POC for two (#1 and #2) of two facilities visited during patient observation visits. Patient #1During an observation visit on 03/04/26 at 1:00 PM, a review of the Hospice Patient Record provided for communication between the hospice agency and the facility, included an IDG POC Update Report last dated 01/28/26. The record did not include an updated IDG POC for the month of February. Patient #2During an observation visit on 03/04/26 at 1:45 PM, a review of the Hospice Patient Record included an IDG POC Update Report last dated 01/28/26. The record did not include an updated IDG POC for the month of February. During an interview on 03/05/26 at 10:30AM, RN1 stated the IDG failed to provide the two facilities an updated IDG POC for Pt#1 and Pt#2.”
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Level of activity (42 CFR 418.78(e))
The inspectors’ words, 102 words
“Based on administrative record review and interview of the agency Volunteer program, the agency failed to achieve a 5% cost savings for Volunteer activities. This failed practice had the potential to prevent the agency from providing assistance and support to the 104 patients and families currently on service. Review of the Volunteer program activity log for 2025 showed a year end average of 1.84 % cost savings with 1 month >5%. The current cost savings log for January 2026 showed a 2.35% cost savings.During an interview on 03/05/26 at 10:30AM, RN1 stated the Volunteer program did not meet the 5% cost savings.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 5, 2026 | Recertification inspection by the state | 4 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 11, 1998.
- 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 nurse care minutes per routine home care day, 6.2% of skilled nursing minutes at weekends and a visit near death for 92% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 59% at home, 5% in assisted living, 35% 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 | 12.0 min |
| Skilled nursing minutes at weekends | 6.2% |
| Visits near death | 92.0% of patients who died |
Who owns it?
- Healthcare Innovations Private Services Inc. owns 100% directly since Sep 30, 2013.
- 8 owners or officers are people: Daniel R Manley (corporate officer); Ananth P Mohan (corporate officer); Ananth P Mohan (corporate director); John Mcmahon (corporate officer); Katie L Monastiere (managing employee (on the payroll)); Brandon King (managing employee (on the payroll)); Angel Stansbury (managing employee (on the payroll)); Emilie Fite (runs it (operational or managerial control), 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 |
|---|---|---|---|
| Airjaguar Holdco, Inc. | Owns 5% or more through other companies | 100% | May 15, 2018 |
| Ec Homecare Holdings, Inc. | Owns 5% or more through other companies | 100% | Jul 20, 2026 |
| Ec Homecare Holdings Buyer, Inc. | Owns 5% or more through other companies | 100% | Jul 20, 2026 |
| Airjaguar Acquisition, LLC | Owns 5% or more through other companies | 100% | May 15, 2018 |
| Ec Homecare Holdings Intermediate, Inc. | Owns 5% or more through other companies | 100% | Jul 20, 2026 |
| Ec Homecare Holdings, LP | Owns 5% or more through other companies | 100% | Jul 20, 2026 |
| HCI Holdings Corporation | Owns 5% or more through other companies | 100% | Sep 30, 2013 |
| Healthcare Innovations Private Services Inc. | Owns 5% or more directly | 100% | Sep 30, 2013 |
| Hci Parent Holdings Inc. | Owns 5% or more through other companies | 100% | Sep 30, 2013 |
| Jhh/Cima Holdings Inc. | Owns 5% or more through other companies | 100% | Sep 30, 2013 |
| Bw Nhhc Holdco, LLC | Owns 5% or more through other companies | 100% | Jul 20, 2026 |
| Acof VII Holdings, LP | Owns 5% or more through other companies | 49.3% | Jul 20, 2026 |
| Ares Corporate Opportunities Fund VII, L.P. | Owns 5% or more through other companies | 35.8% | Jul 20, 2026 |
| Davita Inc. | Owns 5% or more through other companies | 32.9% | Jul 20, 2026 |
| Total Renal Care, Inc. | Owns 5% or more through other companies | 32.9% | Jul 20, 2026 |
| Ares Corporate Opportunities Fund VII Parallel (Te), L.P. | Owns 5% or more through other companies | 9.07% | Jul 20, 2026 |
| Dawson Holdings (Armstrong), LP | Owns 5% or more through other companies | 7.8% | Jul 20, 2026 |
| Acof VII Axiom Holdings, LP | Owns 5% or more through other companies | 7.8% | Jul 20, 2026 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 80% rated it 9 or 10 out of 10, and 84% would definitely recommend it.
- CMS’s Hospice Care Index: 10 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); 63.7% 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 | 3 of 5 |
| 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 18 hospices CMS’s data show serving patients in ZIP code 74955, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 4.
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 |
|---|---|
| Northeastern Health System Sequoyah | 23 |
| Elara Caring Xi This hospice | 4 |
| Cura-Hpc Eastok, LLC | 5 |
| Mercy Hospice | 3 |
| Heart of Hospice, LLC | 10 |
| Saint Francis Hospice | 8 |
| Heart of Hospice, LLC | 3 |
| Good Shepherd Hospice, Inc. | 6 |
| Hospice of the Cherokee | 10 |
| Mays Hospice Care, Inc. | 11 |
| Cura-Hpc, LLC | 2 |
| Gentiva X | 20 |
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).
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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.