Kindred Hospice
A hospice in Cookeville, Tennessee 38501
750 E Spring St Ste B1, Cookeville, Tennessee 38501. (931) 528-5133.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency cited in the last three years
- 5of 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?
1 deficiency cited in the last three years
The middle of the 5 hospices serving ZIP code 38501 had 2.
The last inspection on record was on Apr 16, 2024: a complaint and 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
1 deficiency in 1 month of the last 36. Last cited Mar 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.
Mar 21, 2024: complaint and recertification inspection by the state1 deficiency
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 507 words
“Based on medical record review and interview, the agency failed to obtain physician orders for wound care for 1 patient (#7) of 13 patients reviewed. The findings included: Patient #7 was admitted to the agency on 3/8/2024 with diagnoses including Anoxic Brain Damage and Unspecified Convulsions. Medical record review of the Hospice Certification and Plan of Care dated 3/8/2024 to 6/5/2024 revealed skilled nursing (SN) visits at 3 times a week. SN was ordered to measure the wound weekly. SN was to document characteristic, integrity and signs/symptoms of infection of the wound weekly. Continued review revealed wound care was not ordered on admission. Medical record review of the SN visit note dated 3/8/2024 revealed a Pressure Ulcer, Stage 2 on the coccyx (wound #1). The wound was measured and assessed. Wound care was not provided secondary to the caregiver provided the wound care. Continued review revealed a Unstaged Pressure Ulcer on the anterior edge of right foot (wound #2). The area was measured and assessed. Wound care was not provided secondary to the caregiver provided the wound care. Further review revealed wound care orders had not been obtained from the physician. Medical record review of a physician’s order dated 3/11/2024 revealed an order for wound care for wound #1 was obtained. Continued review revealed an order for wound #2 had not been obtained from the physician. Medical record review of SN note dated 3/11/2024 revealed the wound care was not provided to wound #1 due to ordered supplies were not delivered to the home. Further review revealed the area was “left open to air”. Continued review revealed wound care was not provided to wound #2 due to the patient’s caregiver provided the wound care. Further review revealed order for wound care to wound #2 was not obtained from the physician. Medical record review of SN visit note dated 3/13/2024 revealed wound care was provided to wound #1 as ordered by the physician. Continued review revealed wound care was provided to wound #2. Further review revealed no documentation the physician ordered the wound care for wound #2. The wound care provided to the area was “...cleaned with soap and water. Patted dry with gauze. Applied Iodine. Covered with Optifoam (foam wound dressing).” Medical record review of the SN visit note dated 3/14/2024 revealed the caregiver provided wound care to both wounds #1 and #2. Medical record review of the SN visit note dated 3/18/2024 revealed wound #1 was healed. Continued review revealed wound care not provided to wound #2 due to “not ordered this visit.” Interview with the Area Director of Clinical Operation on 3/20/2024 at 12:45 PM, in the social worker’s office, revealed wound care orders were received on 3/8/2024 for wounds #1 and #2. Continued interview confirmed the plan of care was not updated with the wound care orders on 3/8/2024. Further interview revealed the plan of care was updated with wound care orders for wound #1 on 3/11/2024, but was not updated with wound care orders for wound #2 at the time of the survey.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 16, 2024 | Complaint and recertification inspection by the state | No deficiencies cited |
| Mar 21, 2024 | Complaint and recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Nov 28, 1989.
- 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.
- 1 deficiency cited in the last three years came from an inspection 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): 13.4 nurse care minutes per routine home care day, 7.5% of skilled nursing minutes at weekends and a visit near death for 93.6% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 68% at home, 19% in assisted living, 12% in a nursing facility, 1% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 13.4 min |
| Skilled nursing minutes at weekends | 7.5% |
| Visits near death | 93.6% of patients who died |
Who owns it?
- Horizon Health Network, LLC owns 100% directly since Jun 1, 2006.
- Curo Health Services LLC runs it.
- 7 owners or officers are people: Ronald C Lazas (corporate officer, 0%); David Robinson Arnold (corporate officer, 0%); Thomas Joseph Dolan (corporate officer, 0%); David Allen Causby (corporate officer, 0%); Janet L Combs (corporate officer, 0%); Keith R Hill (managing employee (under contract), 0%); Sarah Ann Hawn (managing employee (on the payroll), 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 |
|---|---|---|---|
| Ch Services Midco Holdings Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Curo Health Services Holdings, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Wiregrass Hospice Care LLC | Owns 5% or more through other companies | 100% | Jun 1, 2006 |
| Charlotte Midco, LLC | Owns 5% or more through other companies | 100% | Aug 11, 2022 |
| Falcon Hospice, LP | Owns 5% or more through other companies | 100% | Aug 11, 2022 |
| Charlotte Buyer, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Kah Hospice Company, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Horizon Health Network, LLC | Owns 5% or more directly | 100% | Jun 1, 2006 |
| Ch Services Group Holdings Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Ch Services Holdings Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Cd&r Falcon Holdings, LP | Owns 5% or more through other companies | 60% | Aug 11, 2022 |
| Kentucky Homecare Parent Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Kentucky Homecare Holdings, Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Humana Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Centerwell Health Services Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Curo Health Services LLC | Runs it (operational or managerial control) | Jul 11, 2018 |
What do families say?
- Family caregivers rate it 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 87% 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).
- 99.48% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 67.6% 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 | 5 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 5 hospices CMS’s data show serving patients in ZIP code 38501, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2; this one had 1.
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 |
|---|---|
| Kindred Hospice This hospice | 1 |
| Hospice of Chattanooga Holdings, LLC | 14 |
| Gentiva | 20 |
| Caris Healthcare | 2 |
| Quality Hospice | 0 |
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).
-
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.