Bristol Hospice Oregon LLC
A hospice in Clackamas, Oregon 97015
12550 SE 93rd Avenue, Suite 200, Clackamas, Oregon 97015. (503) 698-8911.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 2 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?
2 deficiencies cited in the last three years
The middle of the 25 hospices serving ZIP code 97015 had 5.5.
The last inspection on record was on Oct 1, 2025: a complaint inspection by the Community Health Accreditation Partner.
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
2 deficiencies in 1 month of the last 36. Last cited Jul 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.
Jul 18, 2024: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 197 words
“It is required that each patient’s individualized written plan of care reflects patient and family goals and identifies planned interventions based on problems identified in the initial and updated comprehensive assessments. This standard was not met as evidenced by clinical record review and interview. In 1 of 19 (5%) clinical records reviewed, the agency did not ensure that the plan of care (POC) identified planned interventions based on problems identified in the initial and updated comprehensive assessments. Clinical Record 8: The patient elected hospice care on 06/17/2024 with a diagnosis of metabolic encephalopathy. The initial nursing comprehensive assessment dated 06/17/2024 documented, “Hospice Mental Status... noted increase confusion, noncompliance with care, yelling telling nurse to go away, and facility reports patient is at his norm.” The initial social work assessment dated 06/17/2024 documented, “Mental health history...severe with agitation ...Orientation/Behavior... Patient Affect - Angry...Patient Attitude - Hostile.” The POC dated 06/17/2024 did not document planned interventions and goal(s) to address the patient’s identified problem with agitation. During an interview on 07/17/2024, the Executive Director, Director of Patient Care Services, and Clinical Supervisor confirmed that the POC did not include interventions based on problems identified in the initial comprehensive assessment.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 310 words
“It is required that hospice aides are assigned to a specific patient by a registered nurse who is a member of the Interdisciplinary Group. Written patient care instructions for a hospice aide are prepared by a RN who is responsible for the supervision of the hospice aide. This standard was not met as evidenced by clinical record review and interview. In 2 of 14 (14%) clinical records reviewed for patients that received Hospice Aide (HA) services, the agency did not ensure that the HA received patient-specific written care instructions from the Registered Nurse (RN). Clinical Record 1: The patient elected hospice care on 03/01/2024 with a diagnosis of metabolic encephalopathy. The plan of care (POC) dated 05/30/2024 ordered skilled nursing for wound care to the patient’s “right heel.” The HA care plan dated 05/30/2024 did not provide the HA with specific written instructions for how to manage and what to report related to the wound area on the patient’s “Right heel” while giving the assigned bed bath. The HA visit notes dated 06/05/2024 and 06/12/2024 did not document how the HA managed the “right heel” wound while performing the assigned bed bath. Clinical Record 3: The patient elected hospice care on 06/10/2024 with a diagnosis of acute and chronic respiratory failure with hypoxia. The POC 06/10/2024 ordered: “Oxygen 3 - 5 liter/min both nostrils continuous for comfort with shortness of breath.” The HA care plan dated 06/10/2024 did not provide the HA with specific written instructions for managing the oxygen while giving the assigned seated shower. The HA visit notes dated 06/26/2024 and 07/03/2024 did not document how the HA managed the oxygen while giving the assigned seated shower. During an interview on 07/17/2024, the Executive Director, Director of Patient Care Services, and Clinical Supervisor stated that the RN had provided the aide with clear and accurate written care instructions.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 1, 2025 | Complaint inspection by the Community Health Accreditation Partner | No deficiencies cited |
| Jul 18, 2024 | Reaccreditation inspection by the Community Health Accreditation Partner | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Nov 20, 2012.
- 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): 10.6 nurse care minutes per routine home care day, 10.3% of skilled nursing minutes at weekends and a visit near death for 90.6% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 36% at home, 37% in assisted living, 27% 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 | 90.6% of patients who died |
Who owns it?
- Bristol Hospice and Homecare-Northwest LLC owns 100% directly since Sep 26, 2011.
- 12 owners or officers are people: Alex Edward Mauricio (corporate officer, 0%); Alex Edward Mauricio (corporate director, 0%); Alex Edward Mauricio (runs it (operational or managerial control), 0%); John Charles Garbarino (corporate officer, 0%); John Charles Garbarino (corporate director, 0%); Michael Derrick (corporate officer, 0%); Betty J Brennan (corporate director, 0%); Dana Miller (managing employee (on the payroll), 0%); Hyrum Kirton (corporate director, 0%); Jordan Nagle (managing employee (under contract), 0%); David A Malm (corporate officer, 0%); David A Malm (corporate director, 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 |
|---|---|---|---|
| Bristol Hospice Holdings Inc. | Owns 5% or more through other companies | 100% | Dec 1, 2017 |
| Bristol Ultimate Holdco, LP | Owns 5% or more through other companies | 100% | Jan 13, 2023 |
| Bristol Hospice, L.L.C. | Owns 5% or more through other companies | 100% | Sep 26, 2011 |
| Bristol Hospice and Homecare-Northwest LLC | Owns 5% or more directly | 100% | Sep 26, 2011 |
| Bristol Hospice Topco Inc. | Owns 5% or more through other companies | 100% | Dec 1, 2017 |
| Webster Equity Partners Bristol Cf LP | Owns 5% or more through other companies | 69.8% | Jan 13, 2023 |
| Aware Super Pty, Ltd. | Owns 5% or more through other companies | 8.28% | Jan 1, 2022 |
| Webster Equity Partners IV Bristol Cf LP | Owns 5% or more through other companies | 5.72% | Jan 13, 2023 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 79% rated it 9 or 10 out of 10, and 83% 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); 38.6% 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 25 hospices CMS’s data show serving patients in ZIP code 97015, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5.5; this one had 2.
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 |
|---|---|
| Bristol Hospice Oregon LLC This hospice | 2 |
| Agape Hospice NW | 10 |
| Heart N Home Hospice & Palliative Care | 5 |
| Providence Hospice | 6 |
| Kaiser Permanente Continuing Care Services Hospice | Not given |
| Mt. Hood Hospice, Inc. | 0 |
| Legacy Hospice Services | 3 |
| Adventist Health Hospice | 2 |
| CARE Partners | 2 |
| Traditions Health | 11 |
| Northwest Hospice, LLC | 0 |
| Serenity Hospice | 8 |
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.