Hearth Record

Roper St Francis Hospice

A hospice in Ladson, South Carolina 29456

8536 Palmetto Commerce Pkwy Ste 207b, Ladson, South Carolina 29456. (843) 402-3260.

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 3 deficiencies in 1 month of the last 36. Last cited Jan 2025. Most serious: Standard-level. Every month

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?

3 deficiencies cited in the last three years

The middle of the 19 hospices serving ZIP code 29456 had 7.

The last inspection on record was on Mar 14, 2025: a follow-up inspection by The Joint Commission.

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

3 deficiencies in 1 month of the last 36. Last cited Jan 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

3 deficiencies 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.

Jan 30, 2025: reaccreditation inspection by The Joint Commission3 deficiencies
  • Initial & comprehensive assessment of patient (42 CFR 418.54)

    “Observed in Patient Home. In 1 of 4 home visits, surveyor noted that the nurse did not perform a complete assessment of patient’s skin per the organization’s policy for comprehensive and subsequent routine visit reassessments to identify all potential areas of skin breakdown. For example, the nurse assessed patient’s sacral area, however, the anterior portion of patient’s body from patient’s shoulders down to patient’s toes and patient’s posterior lower extremities were not assessed for potential skin breakdown. This was reviewed with the QAPI Nurse Leader/Clinical Manager.”

    Rule L0520. Standard-level.

  • Content of plan of care (42 CFR 418.56(c))

    The inspectors’ words, 104 words

    “Observed in Record Review. In 4 of 14 records reviewed, surveyor noted that the plan of care was not individualized based on the patients’ needs with measurable goals and appropriate timeframes for goal attainment. For example, In HV#2, NHV#1, NHV#4 the goal for the problem of pain stated patient will experience effective relief from pain control measures as evidenced by deceased/stable pain level, in NHV#1 the goal for the problem of constipation stated patient’s constipation is controlled, and in NHV#2 the goal for the problem of anxiety stated patient’s stress and anxiety will be reduced or eliminated This was reviewed with the Clinical Manager.”

    Rule L0545. Standard-level.

  • Recruiting and retaining (42 CFR 418.78(c))

    “Observed in Tracer Activities. During an interview with the organization’s volunteer coordinator and in review of the documentation provided for that program, the hospice pharmacist surveyor noted that the organization did not currently consistently document ongoing efforts to recruit volunteers for the hospice program as required. This omission was validated with the volunteer cordinator at then time of then survey.;”

    Rule L0645. Standard-level.

All 2 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Mar 14, 2025Follow-up inspection by The Joint CommissionNo deficiencies cited
Jan 30, 2025Reaccreditation inspection by The Joint Commission3 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Jul 27, 2012.
  • Ownership: other.
  • 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): 19.2 nurse care minutes per routine home care day, 11.3% of skilled nursing minutes at weekends and a visit near death for 96% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 82% at home, 8% in assisted living, 2% in a nursing facility, 4% in a skilled nursing facility, 1% in a hospital, 1% in an inpatient hospice, 1% elsewhere.
Source:

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

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day19.2 min
Skilled nursing minutes at weekends11.3%
Visits near death96.0% of patients who died

Who owns it?

  • Roper St. Francis Healthcare owns 100% directly since Jul 31, 1998.
  • 16 owners or officers are people: Kevin Hoak (corporate director); Russell H Louis (corporate director); Megan K Baker (corporate director); John Buxton (corporate director); Lynne L Kerrison (corporate director); Jairy C Hunter (corporate director); Craig Andrew Mackaness (corporate director); Joseph C. Ritchie (managing employee (on the payroll)); Claudius E Watts (corporate director); Troy Powell (corporate officer); Troy Powell (corporate director); Troy Powell (managing employee (on the payroll)); Charles F Rivers (corporate director); Clary E Rawl (corporate director); Donald J Davis Jr (corporate director); Kimberly M Ralston (corporate director).
  • 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
Roper St. Francis HealthcareOwns 5% or more directly100%Jul 31, 1998
Healthspan PartnersOwns 5% or more through other companies51%Jan 2, 2020
Medical Society of S.C.Owns 5% or more through other companies49%Jul 31, 1998

What do families say?

  • Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 86% rated it 9 or 10 out of 10, and 90% would definitely recommend it.
  • CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 98.41% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 71.4% 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 54 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 threshold10 of 10

How does it compare nearby?

  • Of the 19 hospices CMS’s data show serving patients in ZIP code 29456, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 3.
Source:

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

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

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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