Prisma Health Hospice and Palliative Care
A hospice in Maryville, Tennessee 37804
1095 East Lamar Alexander Parkway, Maryville, Tennessee 37804. (865) 977-5702.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 11 deficiencies cited in the last three years
- 5of 5 family caregiver rating
- 9of 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?
11 deficiencies cited in the last three years
The middle of the 11 hospices serving ZIP code 37804 had 6.
The last inspection on record was on Apr 17, 2025: a follow-up inspection by The Joint Commission.
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
11 deficiencies in 1 month of the last 36. Last cited Mar 2025. 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 7, 2025: reaccreditation inspection by The Joint Commission11 deficiencies
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Rights of the patient (42 CFR 418.52(c)(1))
“Observed in Tracer Visit. In 1 of 4 home visits conducted, It was noted during hospice home visit #1 the registered nurse did not conduct a pain assessment. The patient had recently had an increase in dosage of pain medication and stated she was taking that medication, hydrocodone/apap, every 4 hours while awake. This was observed by the hospice staff member on site during visit and the hospice director.”
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Rights of the patient (42 CFR 418.52(c)(2))
The inspectors’ words, 113 words
“Observed in Tracer Visit. In 1 of 4 home visits conducted, it was noted during hospice home visit #1 that the hospice organization did not involve the patient in developing the plan of care when there was a change in service delivery. For example, the patient was normally visited on Monday and Thursday to set up medication boxes, however patient and family member stated that for the last 3 weeks there was no visit made on Monday, they were not notified of the change and therefore the medication box was not filled in a timely manner. This was observed by the hospice staff present on the visit and discussed with the hospice director.”
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Timeframe for completion of assessment (42 CFR 418.54(b))
“Observed in Record Review. In 1 of 16 patient records reviewed, it was noted in record review for hospice home visit #2 that the chaplain did not complete the assessment until 6 days after the election of benefit. There was no other documentation in the record to explain the delay in service. This was confirmed by the intake coordinator assisting with record review.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 115 words
“Observed in Record Review. In 3 of 6 patient records reviewed, with volunteer services it was noted that the orders for visit frequency in record reviews #1, #2, and #3 were open ended PRN visits stated as 4 PRN, 11 PRN, etc. although the patient had agreed to have this service provided. This was confirmed by the intake coordinator assisting with record review. Observed in Record Review. In 2 of 6 patient records reviewed, with volunteer services it was noted that there were no orders for visit frequency for this discipline. This was noted in record review for hospice home visit #2 and #3. This was confirmed by the intake coordinator assisting with record review.”
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Content of plan of care (42 CFR 418.56(c)(3))
The inspectors’ words, 175 words
“Observed in Record Review. In 16 of 16 patient records reviewed, it was noted in record review that goals were not measurable or timed. For example, in record review for hospice home visit #2 all of the goals were stated to be met at the end of the certification period or 90 days. In record review for home visit #3 all of the goals were stated to be met at the end of the certification period or 60 days. For example, pt and caregiver will verbalize understanding of measure to manage cardiac symptoms with a stated date of three months later. Additionally, goals were not measurable, for example, a goal for respiratory issues was stated as changes in respiratory status will be identified and managed, Pt. care needs will be safely met, Pt desired nutrition/hydration needs will be met, Pt will remain safe in environment and Changes in cardiac status will be identified and managed. This was noted in all records review and was confirmed with the intake coordinator for hospice assisting with record review.”
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Coordination of services (42 CFR 418.56(e)(4))
“Observed in Record Review. In 1 of 6 patient records reviewed, with volunteer services ordered it was noted that volunteer services were started however the volunteer coordinator did not document a volunteer assignment sheet until three days after the visit. This was confirmed by the hospice intake coordinator assisting with record review.”
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In-service training (42 CFR 418.76(d))
“Observed in HR File Review. In 2 of 2 HR/Competency files of hospice aides reviewed, only 10 of the required 12 hours of in-service training were documented for calendar year 2024. Discussion with hospice leadership indicated that planned 1 hour training for the months of February and August of 2024 had not been provided to the two aides.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
“Observed in Record Review. In 1 of 16 patient records reviewed, it was noted in record review for hospice home visit #3 that the aide assignment sheet did not contain any information regarding the wounds to the patient’s buttocks, coccyx and legs. This was confirmed by the hospice intake coordinator who assisted with record review.”
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Content (42 CFR 418.104(a)(3))
The inspectors’ words, 143 words
“Observed in Tracer Visit. In 1 of 4 home visits conducted, It was noted during home visit #1 during medication reconciliation that the medication profile did not accurately reflect what the patient was taking. For example, pepcid and tylenol were listed on hospice medication profile, however the patient stated that she had not taken the pepcid for 3 months and was no longer taking the tylenol due to regular usage of hydrocodone/apap. This was observed by the staff present on the visit and discussed with hospice director. Observed in Tracer Visit. In 1 of 4 home visits conducted, it was noted in hospice home visit #2 that the current medication sheet listed Lorazepam as a not yet activated medication however the patient was currently using this medication. This was observed by the hospice staff present on the visit and discussed with hospice director.”
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Discharge or transfer of care (42 CFR 418.104(e)(3)(i))
The inspectors’ words, 116 words
“Observed in Record Review. In 2 of 2 patient records reviewed, it was noted in hospice discharged record review #1 who was transferred to another hospice and in hospice discharged record review #2, a revocation that the discharge summary did not include a summary of the patient’s hospice care to include treatments, symptoms, etc. Record review #1 was on hospice services for 8 days and record review #2 was on hospice services for 7 months however both discharge summaries simply stated hospice care provided by multi-disciplines to care for patient, instruct caregivers and facilitate symptom management and comfort care during the patient’s time on hospice. This was confirmed by the intake coordinator assisting with record reviews.”
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Inpatient care provided under arrangements (42 CFR 418.108(c)(6))
“Observed in Document Review. In 1 of 5 contracts reviewed, the surveyor noted that while written expectations for the provider had been developed and communicated, the organization was unable to provide documentation of monitoring and evaluation of the provider’s compliance with the expectations. This pertained to the durable medical equipment (DME) contracted provider. The issue was discussed with hospice leadership.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 17, 2025 | Follow-up inspection by The Joint Commission | No deficiencies cited |
| Mar 7, 2025 | Reaccreditation inspection by The Joint Commission | 11 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Nov 14, 1991.
- Ownership: government.
- 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): 18 nurse care minutes per routine home care day, 7% of skilled nursing minutes at weekends and a visit near death for 98.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 87% at home, 4% in assisted living, 7% in a nursing facility, 3% 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 | 18.0 min |
| Skilled nursing minutes at weekends | 7% |
| Visits near death | 98.5% of patients who died |
Who owns it?
- 6 owners or officers are people: Kristi A Lawrence (corporate director); Kristi A Lawrence (runs it (operational or managerial control)); Teresa M Salazar-Catron (managing employee (on the payroll)); Polly H Miller (corporate director); Polly H Miller (runs it (operational or managerial control)); Rachel Overton (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.
What do families say?
- Family caregivers rate it 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 90% rated it 9 or 10 out of 10, and 90% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 98.01% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 82.6% 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 | 9 of 10 |
How does it compare nearby?
- Of the 11 hospices CMS’s data show serving patients in ZIP code 37804, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 11.
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 |
|---|---|
| Prisma Health Hospice and Palliative Care This hospice | 11 |
| Amedisys Hospice An Adventa Company | 7 |
| Covenant Hospice | 6 |
| Gentiva | 20 |
| University of TN Medical Center Home Care Services -Knoxville TN | 0 |
| Smoky Mountain Home Health and Hospice, I N C | 1 |
| Suncrest Hospice | 4 |
| University of TN Medical Center Home Care Services | 3 |
| Caris Healthcare | 6 |
| Hearth Hospice | 11 |
| Shalom Hospice of Greater Knoxville LLC | 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).
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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.