Traditions Health of Elk City
A hospice in Elk City, Oklahoma 73644
212 S Jefferson Avenue, Elk City, Oklahoma 73644. (580) 243-5000.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 6 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?
6 deficiencies cited in the last three years
The middle of the 10 hospices serving ZIP code 73644 had 6.
The last inspection on record was on Apr 22, 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
6 deficiencies in 1 month of the last 36. Last cited Apr 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.
Apr 22, 2026: recertification inspection by the state6 deficiencies
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Develop EP Plan, Review and Update Annually (42 CFR 418.113(a))
“Based on record review and interview, the agency failed to ensure that the plan for Emergency Preparedness was updated for all current patients and staff. Findings:A review of the Emergency Preparedness document “Continuity of Operations Business Plan” was not updated after the appointment of a new administrator, and Healthcare Coalitions Readiness and Response Coordinator for Region 1 did not list the current person holding that position.04/22/26 at 4:22 p.m., Staff B stated the “Continuity of Operations Business Plan” needed to be updated.”
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Timeframe for completion of assessment (42 CFR 418.54(b))
The inspectors’ words, 99 words
“Based on record review and interview, the hospice failed to ensure the initial social work assessment was completed within five days for one (Pt #5) of fourteen patients. Findings:Pt #5A review of the initial nursing start of care assessment was dated 02/02/26 with a POC dated 02/02/26 - 05/02/26. The initial psycho-social assessment was completed by the social worker on 02/10/26. The clinical record showed no patient refusal or physician’s order to extend the date of the assessment.On 04/22/26 at 3:50 p.m., Staff A stated the initial social work assessment was not completed until the ninth day after admission.”
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
The inspectors’ words, 182 words
“Based on record review and interview, the agency failed to ensure a home health aide supervisory visit was completed every 14 days for one (Patient #5) of fourteen patients. Findings:Patient #5A plan of care dated 04/21/26 to 04/22/26 showed orders for aide visits once a week for one week beginning 02/08/26 for twelve weeks. A review of the clinical record showed during the weeks of:02/08/26 - 02/14/26 home health aide visit was 02/11/26.02/15/26 - 02/21/26 home health aide visit was 02/17/26.02/22/26 - 02/28/26 home health aide visit was 02/24/26. 03/01/26 – 03/07/26 home health aide visit was 03/04/26. 03/08/26 – 03/14/26 home health aide visit was 03/11/26. 03/15/26 – 03/21/26 home health aide visit was 03/19/26. 03/22/26 – 03/28/26 home health aide visit was 03/26/26. 03/29/26 – 04/04/26 home health aide visit was 04/02/26. 04/05/26 - 04/11/26 home health aide visit was 04/09/26. 04/12/26 - 04/18/26 home health aide visit was 04/19/26. The clinical record showed supervisory visits on 03/04/26 and 03/27/26 (23 days between supervisory visits).On 04/22/26 at 3:50 p.m., Staff A stated the supervisory visit was not completed by 03/18/26.”
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Cost saving (42 CFR 418.78(d))
The inspectors’ words, 142 words
“Based on record review and interview, the hospice failed to ensure volunteer services met hospice program requirements in calendar years 2024, 2025, and January 2026 for all patients, caregivers, and staff. Findings:A review of volunteer records showed the hospice program had the following utilization of volunteer personnel:January 2024 - 1.28%February 2024 - .94%March 2024 - 1.36%April 2024 - 1.70%May 2024 - 1.94%June 2024 - 2.36%July 2024 - 1.76%August 2024 - 1.26%September 2024 - .31%October 2024 - .42%November 2024 - 1.44%December 2024 - 1.77%Yearly total of 1.35%January 2025 - 1.51%February 2025 - 1.60%March 2025 - 1.24%April 2025 - 1.57%May 2025 - 1.28%June 2025 - 2.28%July 2025 - 1.66%August 2025 - 3.37%September 2025 - 2.12%October 2025 - 1.15%November 2025 - 1.92%December 2025 - 2.07%Yearly total of 1.77%January 2026 - 2.54%On 04/22/26 at 1:50 p.m., Staff A stated they did not meet volunteer hour requirements.”
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Personnel qualification (42 CFR 418.114(a))
“Based on record review and interview, the hospice failed to ensure a professional’s license was available for review for one (Staff D) of one physician. Findings:Staff D A review of the personnel record showed no current professional license.On 04/22/26 at 1:50 pm, Staff A stated the hospice did not have a complete personnel record for Staff D.”
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Criminal background checks (42 CFR 418.114(d)(1))
The inspectors’ words, 91 words
“Based on record review and interview, the hospice failed to ensure OKSCREEN background checks were completed for one (Staff D) of five employees reviewed.Findings:A review of the “Long Term Care Act” documented requirements for hospices to acquire and maintain an OKSCREEN background check on all employees with access to patients and patient records and whose employment began after 06/01/14.Staff DA review of the personnel record showed no documentation of a background check through OKSCREEN.On 04/22/26 at 1:50 pm, Staff A stated the hospice did not have an OKSCREEN for Staff D.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 22, 2026 | Recertification inspection by the state | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jan 5, 2000.
- 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): 14.6 nurse care minutes per routine home care day, 5.7% of skilled nursing minutes at weekends and a visit near death for 96.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 38% at home, 9% in assisted living, 49% in a nursing facility, 1% in a skilled nursing facility, 2% in a hospital.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 14.6 min |
| Skilled nursing minutes at weekends | 5.7% |
| Visits near death | 96.4% of patients who died |
Who owns it?
- Vcg Oklahoma LLC owns 100% directly since Dec 3, 2025.
- 2 owners or officers are people: Chris Walker (corporate director); Chris Walker (managing employee (on the payroll)).
- A private-equity firm is 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 |
|---|---|---|---|
| Tvg Np Homecare Acquisition Holdings, Inc. | Owns 5% or more through other companies | 100% | Dec 3, 2025 |
| Tvg Np Homecare Acquisition Intermediate, Inc. | Owns 5% or more through other companies | 100% | Dec 3, 2025 |
| Tvg Np Homecare Acquisition, Inc. | Owns 5% or more through other companies | 100% | Dec 3, 2025 |
| Vcg Oklahoma LLC | Owns 5% or more directly | 100% | Dec 3, 2025 |
| Tvg Np Homecare Topco, LP | Owns 5% or more through other companies | 100% | Dec 3, 2025 |
| Tvg Np Homecare Sponsorco, LP | Owns 5% or more through other companies | 80.4% | Dec 3, 2025 |
| Anthony Family Investments, Ltd | Owns 5% or more through other companies | 26.8% | Dec 3, 2025 |
| Vistria Fund III LP | Owns 5% or more through other companies | 18% | Dec 3, 2025 |
| Nautic Partners Ix, LP | Owns 5% or more through other companies | 16.9% | Dec 3, 2025 |
| Kihm Holdings, Inc. | Owns 5% or more through other companies | 11.1% | Dec 3, 2025 |
| Nautic Partners Ix-A LP | Owns 5% or more through other companies | 9.9% | Dec 3, 2025 |
| Vistria Fund III (Ft) LP | Owns 5% or more through other companies | 8.8% | Dec 3, 2025 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 74% rated it 9 or 10 out of 10, and 82% 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); 62.1% 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 | 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 10 hospices CMS’s data show serving patients in ZIP code 73644, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; 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 |
|---|---|
| Traditions Health of Elk City This hospice | 6 |
| Elk City Comforting Hands Hospice LLC | 8 |
| Acg Hospice III | 5 |
| Russell-Murray Hospice, Inc. | 13 |
| Good Shepherd Hospice, Inc. | 11 |
| A Path of Care Hospice V, LLC | 3 |
| Traditions Health of Woodward | Not given |
| Lifespring Hospice | 11 |
| Shepherd Home Health & Hospice, LLC | 1 |
| Acg Hospice II | 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 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.