Hearth Record

Signature Healthcare at Home

A hospice in Lincoln City, Oregon 97367

794 SE Highway 101, Lincoln City, Oregon 97367. (541) 264-7823.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited Jun 2026. Most serious: Standard-level. Every month

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?

1 deficiency cited in the last three years

The middle of the 2 hospices serving ZIP code 97367 had 6.

The last inspection on record was on Sep 9, 2026: a complaint inspection by the state.

Source:

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

1 deficiency in 1 month of the last 36. Last cited Jun 2026. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

1 deficiency by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Jun 24, 2026: recertification inspection by the state1 deficiency

  • Timeframe for completion of assessment (42 CFR 418.54(b))

    The inspectors’ words, 178 words

    “Based on patient record review, it was determined that the agency failed to complete a bereavement assessment, which is part of the initial comprehensive assessment, in the timeframe as stipulated in the requirements of this standard. Findings:Review of 19 patient medical records revealed that 5 patient records (#2, #4, #11, #17, and #18) lacked documentation of a bereavement assessment completed with the initial comprehensive assessment.Review of Patient medical record #2 with an election of hospice care date of 04/16/2026, revealed the bereavement assessment was not completed until 04/23/2026, which exceeds the 5 calendar days after the election of hospice care.Review of Patient medical record #4 with an election of hospice care date of 06/03/2026, revealed the bereavement assessment was not completed until 06/09/2026, which exceeds the 5 calendar days after the election of hospice care.Review of Patient medical record #11 with an election of hospice care date of 05/25/2026, revealed the bereavement assessment was not completed until 06/04/2026, which exceeds the 5 calendar days after the election of hospice care.Similar findings were identified for Patients #17 and #18.”

    Rule L0523. Standard-level.

All 3 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Sep 9, 2026Complaint inspection by the stateNo deficiencies cited
Jun 24, 2026Recertification inspection by the state1 deficiency cited
Jun 24, 2026Complaint inspection by the stateNo deficiencies cited

Is it certified?

  • Medicare-certified hospice since Dec 13, 2022.
  • CMS doesn’t list its type of ownership.
  • No deficiency or on record in the last three years.
Source:

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.
Source:

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): 14.3 nurse care minutes per routine home care day, 8.9% of skilled nursing minutes at weekends and a visit near death for 86.4% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 66% at home, 14% in assisted living, 20% elsewhere.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day14.3 min
Skilled nursing minutes at weekends8.9%
Visits near death86.4% of patients who died

Who owns it?

  • Cornerstone Healthcare Inc. owns 100% directly since May 1, 2025.
  • 7 owners or officers are people: Travis Wood (managing employee (on the payroll), 0%); Brent Mills (corporate officer, 0%); Karen T Kahn (managing employee (on the payroll), 0%); Brent Guerisoli (corporate director, 0%); John Gochnour (corporate officer, 0%); Amber L Tueller (corporate officer, 0%); Elliot Mcmillan (corporate officer, 0%).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
Cornerstone Healthcare Inc.Owns 5% or more directly100%May 1, 2025
The Pennant Group Inc.Owns 5% or more through other companies100%May 1, 2025

What do families say?

  • CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
  • In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 79% rated it 9 or 10 out of 10, and 78% would definitely recommend it.
  • CMS’s Hospice Care Index: 9 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); 48.2% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5Not 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 threshold9 of 10

How does it compare nearby?

  • Of the 2 hospices CMS’s data show serving patients in ZIP code 97367, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 1.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

The 2 hospices CMS lists serving ZIP code 97367
PlaceDeficiencies, 3 years
Signature Healthcare at Home This hospice1
Samaritan Evergreen Hospice11

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

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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