Adoration Home Health & Hospice Care East Tennesse
A hospice in Cleveland, Tennessee 37312
2765 Executive Park Drive, Cleveland, Tennessee 37312. (423) 479-4581.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
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 7 hospices serving ZIP code 37312 had 7.
The last inspection on record was on Aug 29, 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 Aug 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.
Aug 8, 2024: recertification inspection by the state2 deficiencies
-
Rights of the patient (42 CFR 418.52(c)(2))
The inspectors’ words, 400 words
“Based on policy review, medical record review and interview, the agency failed to clarify a DNR (Do Not Resuscitate) status for 1 patient (#11) out of 13 patients reviewed. The findings included: Review of the agencys policy “Advance Directives,” revised 5/11/2020, revealed “;...The hospice recognizes that all adult persons have a fundamental right to make decisions relating to their own medical treatment, including the right to accept or refuse medical care...Upon admission, the clinician/technician will provide information regarding a patients right to make decisions concerning health care, which include the right to accept or refuse medical or surgical treatment, even if that treatment is life-sustaining...” Review of the agencys policy “Bill of Rights,” revised 5/11/2024, revealed “;...Self-determination, which encompasses the right to make choices regarding life-sustaining treatment, including resuscitative services. The right of self-determination may be effectuated by an advanced directive...” Medical record review revealed Patient #11 was admitted to the agency on 7/05/2024 with diagnoses including Malignant Neoplasm of Left Lower Limb and Secondary Malignant Neoplasm of Right Lung. Medical record review of Patient #11s Tennessee Physician Orders for Scope of Treatment (POLST) dated 7/10/2024, revealed “;...this is a Physicians Order Sheet based on the medical conditions and wishes of the person identified. Any section not completed indicates full treatment for that action...” Continued review revealed the section regarding Cardiopulmonary Resuscitation (CPR) had not been completed by the patient. Further review revealed the patient initiated this POLST form and had not completed this section. Continued review revealed since section not filled out by the patient the patient was to receive CPR (Cardiopulmonary Resuscitation). Medical record review of the Hospice Certification and Plan of Care dated 7/05/2024 -10/02/2024 revealed the patient was a Do Not Resuscitate (DNR) and not to receive CPR (Full Code). Further review revealed the DNR status on the plan of care did not match with the POLST form which was completed by the patient. Medical record review of physicians orders dated 7/05/2024-7/16/2024 revealed no orders were obtained by the agency to change the patient’s DNR status from DNR to Full Code status. Medical record review of a Client Coordination Note Report dated 7/16/2024 revealed the patient revoked his hospice benefit as the patient was “;...not ready for hospice...” During an interview on 8/7/2024 at 2:15 PM, the Executive Director confirmed the POLST form completed by the patient was not reflected on the patient’s plan of care.”
-
Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 211 words
“Based on agency policy review, medical record review and interview, the agency failed to implement a bowel regimen protocol for 1 patient (#1) who received opioids (pain medication) of 13 patients reviewed. The findings include: Review of the agency policy, “;Comprehensive Assessment,” revised 2019 revealed “;...An assessment of the need for a bowel regimen when the patient has been prescribed opioids...” Review of the Physician Standing Orders showed patients prescribed opioids are to receive constipation medications. Medical record review revealed Patient #1 was admitted to the agency on 7/11/2024 with diagnoses including Cerebral Atherosclerosis, Vascular Dementia, and Depression. Medical record review of the Comprehensive Assessment and Plan of Care dated 7/11/2024, revealed “...Instruct Bowel Protocol...” Medical record review of a Physician Order dated 7/13/2024, showed Patient #1 had been ordered Morphine Concentrate (an opioid used to treat pain) 0.25 milliliters (ML) 100 milligrams (MG)/5 ML every 2 hours for pain or dyspnea (shortness of breath). Medical record review of the medication profile summary showed Patient #1 had not been ordered medications for constipation. During an interview on 8/7/2024 at 2:18 PM, the Executive Director confirmed the agency failed to follow the agency policy for Patient #1 who received opioids and had not been placed on a bowel regimen protocol for constipation.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 29, 2024 | Recertification inspection by the state | No deficiencies cited |
| Aug 8, 2024 | Recertification inspection by the state | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jan 17, 1995.
- 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): 13.1 nurse care minutes per routine home care day, 5.9% of skilled nursing minutes at weekends and a visit near death for 94.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 71% at home, 16% 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 | 13.1 min |
| Skilled nursing minutes at weekends | 5.9% |
| Visits near death | 94.5% of patients who died |
Who owns it?
- Adoration Health CARE Holdings LLC owns 100% directly since May 17, 2019.
- 7 owners or officers are people: Jennifer Phipps (corporate officer); Allison Brown (corporate officer); Margaret Sherry Pemberton (corporate director); Cindy Smith (managing employee (on the payroll)); Elizabeth Robinson (corporate officer); Elizabeth Robinson (corporate director); Stacey Cloninger (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 |
|---|---|---|---|
| Adoration Home Health & Hospice Inc. | Owns 5% or more through other companies | 100% | May 17, 2019 |
| Brightspring Health Holdings Corp | Owns 5% or more through other companies | 100% | May 17, 2019 |
| Phoenix Guarantor Inc. | Owns 5% or more through other companies | 100% | May 17, 2019 |
| Res-Care Inc. | Owns 5% or more through other companies | 100% | May 17, 2019 |
| Adoration Health CARE Holdings LLC | Owns 5% or more directly | 100% | May 17, 2019 |
| Phoenix Intermediate Holdings Inc. | Owns 5% or more through other companies | 100% | May 17, 2019 |
| Brightspring Health Services Inc. | Owns 5% or more through other companies | 100% | May 17, 2019 |
| Rescare Holdings Inc. | Owns 5% or more through other companies | 100% | May 17, 2019 |
| Kkr Phoenix Aggregator L.P. | Owns 5% or more through other companies | 68% | May 17, 2019 |
| Kkr Americas Fund Xii LP | Owns 5% or more through other companies | 68% | May 17, 2019 |
| Walgreen Co | Owns 5% or more through other companies | 29% | May 17, 2019 |
| Walgreens Holding Company | Owns 5% or more through other companies | 29% | May 17, 2019 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 85% rated it 9 or 10 out of 10, and 88% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.7% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 64.6% 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 | 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 7 hospices CMS’s data show serving patients in ZIP code 37312, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; 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 |
|---|---|
| Adoration Home Health & Hospice Care East Tennesse This hospice | 2 |
| Gentiva I | 7 |
| Hospice of Chattanooga Holdings, LLC | 14 |
| Amedisys Hospice, An Adventa Company | 10 |
| University of TN Medical Center Home Care Services | 3 |
| Caris Healthcare | 1 |
| Hearth 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
-
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).
-
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).
-
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).
-
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).
-
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).
-
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.