Hospice of West Tennessee
A hospice in Jackson, Tennessee 38305
1804 Hwy 45 Bypass Duffy Towers Suite 100, Jackson, Tennessee 38305. (731) 664-4220.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 2 deficiencies cited in the last three years
- 4of 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 9 hospices serving ZIP code 38305 had 3.
The last inspection on record was on Jul 2, 2024: 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
2 deficiencies in 1 month of the last 36. Last cited May 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.
May 8, 2024: recertification inspection by the state2 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 134 words
“Based on policy review, medical record review and interview, the facility failed to ensure an initial bereavement risk assessment was performed per facility policy for 1 of 10 (Patient #3) sampled active patients. The findings included: 1. Review of the facility’s “BEREAVEMENT SERVICES” policy revealed, “...A bereavement risk assessment will be completed by the hospice social worker at the time of admission to hospice...” 2. Medical record review for Patient #3 revealed a Start of Care (SOC) date of 11/20/2023. Review of Social Work visit notes beginning 11/20/2023 through 5/6/2024 revealed the initial bereavement risk assessment was not performed until 4/17/2024, 5 months after the patient’s admission to hospice services. In an interview on 5/8/2024 at 10:38 AM, the facility’s Director of Hospice verified the initial bereavement risk assessment was not performed until 4/17/2024.”
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Plan of care (42 CFR 418.56(b))
The inspectors’ words, 340 words
“Based on policy review, medical record review and interview, the facility failed to follow the plan of care (POC) for 4 of 10 (Patients #1,3, 5, and 10) active patients reviewed. The findings included: 1. Review of the facility’s “THE PLAN OF CARE” policy revealed, “...The care provided to the patient must be in accordance with the plan of care...The written plan of care will contain, but will not be limited to, the following...Frequency of services...” 2. Medical record review for Patient #1 revealed a POC dated 3/15/2024 through 5/13/2024 with diagnoses that included Malignant Neoplasm of pelvic bones, sacrum and coccyx. Review of 3/15/2024 POC Chaplain orders revealed visit frequency of 1 visit monthly through 4/30/2024. Review of Chaplain visits beginning 3/15/2024 through 4/30/2024 revealed no Chaplain visit documented in the month of April. 3. Medical record review for Patient #3 revealed a POC dated 2/18/2024 through 5/17/2024 with diagnoses that included Alzheimer’s Disease and Heart Failure. Review of 3/1/2024 Social Work orders revealed visit frequency of 1 visit monthly for 3 months. Review of Social Work visits beginning 3/1/2024 through 5/7/2024 revealed no Social Work visit documented in the month of March. 4. Medical record review for Patient #5 revealed a POC dated 2/2/2024 through 5/1/2024 with diagnoses that included Vascular Dementia. Review of 3/1/2024 Social Work orders revealed visit frequency of 1 visit monthly for 3 months. Review of Social Work visits beginning 3/1/2024 through 5/1/2024 revealed no Social Work visit documented in the month of March. 5. Medical record review for Patient #10 revealed a POC dated 3/8/2024 through 5/6/2024 with diagnoses that included Congestive Heart Failure. Review of Home Health Aide (HHA) orders beginning week of 3/10/2024 revealed visit frequency of two visits weekly. Review of HHA visits beginning week of 3/10/2024 through 5/6/2024 revealed no HHA visits documented week of 3/24/2024, and only 1 HHA visit documented week of 3/31/2024. In an interview on 5/8/2024 at 10:38 AM, the Director of Hospice verified the visits were not performed as ordered per the patients’ POC.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 2, 2024 | Recertification inspection by the state | No deficiencies cited |
| May 8, 2024 | Recertification inspection by the state | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 24, 1988.
- Ownership: non-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): 10.3 nurse care minutes per routine home care day, 7.3% of skilled nursing minutes at weekends and a visit near death for 90.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 72% at home, 9% in assisted living, 16% in a nursing facility, 3% in a hospital.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 10.3 min |
| Skilled nursing minutes at weekends | 7.3% |
| Visits near death | 90.1% of patients who died |
Who owns it?
- Jackson Madison County General Hospital owns 100% directly since Jan 1, 1986.
- 3 owners or officers are people: Jeffrey D Blankenship (managing employee (on the payroll)); Tina Prescott (corporate officer); Tina Prescott (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 |
|---|---|---|---|
| Jackson Madison County General Hospital | Owns 5% or more directly | 100% | Jan 1, 1986 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 84% rated it 9 or 10 out of 10, and 86% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 97.95% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 37.9% 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 | 4 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 9 hospices CMS’s data show serving patients in ZIP code 38305, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; 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 |
|---|---|
| Hospice of West Tennessee This hospice | 2 |
| Tennessee Quality Care - Hospice | 22 |
| Gentiva | 20 |
| Hospice Compassus - the Highland Rim | 6 |
| Baptist Memorial Home Care & Hospice | 3 |
| Beacon Hospice | 4 |
| Accentcare Hospice & Palliative Care of Nashville. | 3 |
| Caris Healthcare | 0 |
| Arden Hospice of Southern Tennessee, LLC | 3 |
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.