Affinity Hospice - Anderson
A hospice in Greenville, South Carolina 29615
3441 Pelham Road Suite 101, Greenville, South Carolina 29615. (864) 990-5604.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 13 deficiencies cited in the last three years
- Not rated family caregiver rating
- 10of 10 CMS’s Hospice Care Index
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?
13 deficiencies cited in the last three years
The middle of the 26 hospices serving ZIP code 29615 had 6.
The last inspection on record was on May 14, 2026: a reaccreditation inspection by the Accreditation Commission for Health Care.
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
13 deficiencies in 1 month of the last 36. Last cited May 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.
May 14, 2026: reaccreditation inspection by the Accreditation Commission for Health Care13 deficiencies
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 104 words
“Upon patient record review, 1 of 14 (Patient #4) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient #4, No evidence of goals and interventions based on patients full code status. Care plan states will discuss patient code status without identifying patient is a full code.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 115 words
“Upon patient record review, 1 of 14 (Patient #3) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient’s plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patient #3, The second certification period frequency for social worker was ordered as PRN. No evidence of scope and frequency.”
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Review of the plan of care (42 CFR 418.56(d))
“Upon patient record review, 2 of 14 (Patient #7, 9) did not have evidence that a revised plan of care includes information from the patient’s updated comprehensive assessment and must note the patient’s progress towards outcome/goals from the plan of care. Patient #7, No evidence of goals and interventions identifying patient uses oxygen 3-7L/NC using 10 liter concentrator. Patient #9, No evidence of goals and interventions related to suprapubic catheter. Care plan identifies urinary incontinence.”
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Prevention (42 CFR 418.60(a))
“Upon observation and home visits 1 of 3 (Patient #5), there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. Patient #5, Per policy, the staff will have a clean and dirty area. Upon observation the RN used the clean blood pressure cuff and returned to clean area instead of a separated dirty area.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 146 words
“Upon patient record review, 1 of 14 (Patient #3) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient #3, Aide care plan frequency for Aide was not updated from first certification of 1w1, 2w12, current frequency is 1w13.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 270 words
“Upon patient record review 6 of 14 (Patient #1,3,5,7,8,10) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient #1, No evidence aide followed RN directed care plan. Aide visit 4/28/26, transfer to bed, documented as NO, not required Assist to toilet, documented as NO, not required, Shave, documented as NO, not required. Assist with feeding, documented NO, not required, visit completed 1130 to 1 pm. Patient #3, No evidence aide followed RN directed care plan. Aide visit 4/21/26, Shampoo, documented as NO, not required. Patient #5, No evidence aide followed RN directed care plan. Aide visit 4/6/26, assist with bedpan, documented as NO, not required. Aide visit 4/13/26, assist with feeding, documented as NO, not required. Visit time 145pm to 250pm. Aide visit 4/24/26, assist with bedpan, documented as NO, not required, Assist with feeding documented already completed, visit made 120pm to 250pm. Aide visit 5/4/26, Assist with feeding, documented as No, not required. Visit completed 839 to 10 am. Aide visit 5/6/26, Assist with bedpan documented as NO, not required. Assist with feeding, documented NO, already completed, visit time 310 to 425pm. Patient #7, No evidence aide followed RN directed care plan. Aide visit 5/11/26, assist with nail care, documented No, not required. Patient #8, No evidence aide followed RN directed care plan. Aide visit 5/9/26, assist with feeding documented NO, not required. Visit made 1022am to 1205pm.”
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Level of activity (42 CFR 418.78(e))
“Upon observation, there was no evidence the annual report documents the use of volunteers providing day to day administrative and/or direct patient care services in an amount that, at a minimum, equals 5 percent of the total patient care hours of all paid hospice employees and contract personnel.”
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Governing body and administrator (42 CFR 418.100(b))
“Upon personnel record review, 1 of 14 (Personnel #1) did not have evidence that the administrator is a hospice employee and possesses the education and experience required by the governing body. Personnel #1, Job description identified employee would have a bachelors degree, with an RN degree preferably included on job description. The Administrator does not have a degree.”
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Governing body and administrator (42 CFR 418.100(b))
“Upon personnel record review, 1 of 14 (Personnel #2) did not have evidence the alternate administrator’s personnel record verifies that: • The employee has appropriate education and experience requirements • There is a signed job description for this role • The employee has been orientated to this role Personnel #2, No signed job description for this role.”
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Discharge or transfer of care (42 CFR 418.104(e)(3))
“Upon client record review, 2 of 14 (Patient #11,12) did not have evidence that the discharge summary includes all required information. Patient #11, 12, No evidence of discharge summary included treatments, symptoms and pain management.”
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Personnel qualification (42 CFR 418.114(b)(4))
“Upon personnel record review, 1 of 14 (Personnel #14) did not have evidence that all Speech Therapy Services are provided by a qualified licensed Speech-Language Pathologist (SLP) or Audiologist in accordance with the state’s Speech-Language Pathology Practice Act and the hospice’s policies and procedures and/or job descriptions. Personnel #14, No evidence of HR file for speech pathologist”
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Personnel qualification (42 CFR 418.114(b)(5))
“Upon personnel record review, 1 of 14 (Personnel #13) did not have evidence all Occupational Therapy Services are provided by a qualified licensed Occupational Therapist (OT) in accordance with the state’s Occupational Therapy Practice Act and the hospice’s policies and procedures and/or job descriptions. Personnel #13, No evidence of HR file for occupational therapist.”
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Criminal background checks (42 CFR 418.114(d)(1))
“Upon personnel record review, 2 of 14 (Personnel #13, 14) did not have evidence the hospice obtained a criminal background check on all contracted individuals who have direct patient care and access to patient records. Personnel #13, 14, No evidence of HR file for the OT and ST.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 14, 2026 | Reaccreditation inspection by the Accreditation Commission for Health Care | 13 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 6, 2017.
- 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): 11.9 nurse care minutes per routine home care day, 7.1% of skilled nursing minutes at weekends and a visit near death for 88.6% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 57% at home, 15% in assisted living, 27% in a nursing facility, 1% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 11.9 min |
| Skilled nursing minutes at weekends | 7.1% |
| Visits near death | 88.6% of patients who died |
Who owns it?
- Affinity Hospice Holdings, LLC owns 100% directly since Dec 17, 2021.
- Affinity Hospice Holdings, LLC runs it.
- 9 owners or officers are people: Leigh Nunn (corporate officer, 100%); Thomas J Sefcik (corporate officer, 100%); Sanjeev Kumar (corporate director, 75%); Marcio Cabrera (corporate director, 50%); Jorge Rico (corporate director, 50%); Ray L Shrout (owns 5% or more through other companies, 11%); Sanjeev Kumar (managing employee (on the payroll)); Ray L Shrout (corporate officer); Jorge Rico (managing employee (on the payroll)).
- 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 |
|---|---|---|---|
| Affinity Hospice Intermediate Holdings LLC | Owns 5% or more through other companies | 100% | Dec 17, 2021 |
| Affinity Hospice Holdings, LLC | Owns 5% or more directly | 100% | Dec 17, 2021 |
| Affinity Hospice Holdings, LLC | Owns 5% or more through other companies | 100% | May 1, 2021 |
| Affinity Hospice Holdings, LLC | Runs it (operational or managerial control) | 100% | May 1, 2021 |
| Mbf Healthcare Partners II, LP | Owns 5% or more through other companies | 75.1% | Apr 30, 2021 |
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): 77% rated it 9 or 10 out of 10, and 74% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 60.87% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 38.9% 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 | Not 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 threshold | 10 of 10 |
How does it compare nearby?
- Of the 26 hospices CMS’s data show serving patients in ZIP code 29615, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 13.
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 |
|---|---|
| Medical Services of America Hospice of the Upstate | Not given |
| Affinity Hospice | Not given |
| Affinity Hospice - Anderson This hospice | 13 |
| Hospice & Palliative Care Palmetto Region- Greenville County | 16 |
| Interim Healthcare of the Upstate Hospice | 16 |
| Family Hospice of Greenville LLC | Not given |
| Pathway Hospice LLC | 0 |
| Spartanburg Regional Med Ctr Hospice | 13 |
| Hospice of the Upstate, Inc. | Not given |
| Prisma Health Hospice of the Foothills | 2 |
| Open Arms Hospice | 1 |
| Lutheran Hospice | 11 |
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.