Caris Healthcare
A hospice in Springfield, Tennessee 37172
2308a Memorial Blvd, Springfield, Tennessee 37172. (615) 384-3833.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 2 deficiencies cited in the last three years
- 3of 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 14 hospices serving ZIP code 37172 had 2.
The last inspection on record was on Aug 14, 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 Jul 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.
Jul 17, 2024: recertification inspection by the state2 deficiencies
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 258 words
“Based on policy review, medical record review and interview, the facility failed to address a low heart rate and update the plan of care for 1 of 14 (Patient #10) active patients reviewed.The findings included:1. Review of the facility’s “PLAN OF CARE- CONTENT” policy (reviewed 3/13/24) revealed, “...The plan of care reflects patient and family goals and interventions that are based on the problems identified in the initial, comprehensive and updated assessments...The patient’s plan of care includes all services necessary for the palliation and management of the primary terminal illness and related diagnoses and conditions...”2. Medical record review for Patient #10 revealed a Start of Care (SOC) date of 5/9/24 with diagnoses that included Malignant Neoplasm of Colon and Adult Failure to Thrive.Review of the 5/9/24 through 8/6/24 Plan of Care (POC) revealed Skilled Nurse (SN) services 2 times weekly for 1 week then one time weekly for 12 weeks. The POC documented “...Hospice RN [Registered Nurse] to evaluate patient and develop a nursing plan of care...Hospice Nurse to instruct regarding cardiopulmonary symptom relief measures” Review of a 6/12/24 SN visit note revealed Patient #10’s heart rate was 45 beats per minute.Further review of the SN visit note revealed, “...Vital signs and assessment completed...”There was no documentation the heart rate of 45 was addressed with Patient #10 or was addressed with the patient’s physician.In an interview on 7/17/24 at 9:45 AM, the Regional Director of Clinical Care verified her expectation would have been for the nurse to address the patient’s low heart rate and notify the patient’s physician.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 255 words
“Based on policy review, medical record review and interview the facility failed to follow the Plan of Care (POC) for 1 of 14 (Patient #12) active patients reviewed.The findings included:1. Review of the facility’s “PLAN OF CARE” policy (reviewed 3/13/24) revealed, “...The patient’s plan of care specifies the care and services necessary to meet the needs of the patient/caregiver as identified in the initial, comprehensive and updated assessments of the patient...”Review of the facility’s “Scheduling SOP [standard operating procedure] Local Office” policy (revised 11/22/23) revealed, “...Once the plan of care has been established, including visit frequency, the visits are assigned to the visiting staff...If a visit cannot be completed on the day assigned, every effort should be made to move the visit to another day within the week...If it has to [be] missed, document the reason the visit has to be missed...”2. Medical record review for Patient #12 revealed a Start of Care (SOC) date of 3/28/24 with diagnoses that included Parkinson’s Disease. A POC for 6/26/24 through 9/23/24 revealed Skilled Nurse (SN) visit frequency of 1 time weekly for one week, then 2 times weekly for 12 weeks, beginning 6/26/24.Further record review revealed no SN visits documented the week of 6/26/24.There was no documentation of why the SN visit was missed the week of 6/26/24, and no documentation the physician was notified of the change in the POC.In an interview on 7/17/24 at 9:40 AM, the Regional Director of Clinical Care verified there was no documentation of a SN visit the week of 6/26/24.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 14, 2024 | Recertification inspection by the state | No deficiencies cited |
| Jul 17, 2024 | Recertification inspection by the state | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Mar 30, 2006.
- 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): 10.4 nurse care minutes per routine home care day, 9.2% of skilled nursing minutes at weekends and a visit near death for 88.8% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 48% at home, 9% in assisted living, 43% in a nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 10.4 min |
| Skilled nursing minutes at weekends | 9.2% |
| Visits near death | 88.8% of patients who died |
Who owns it?
- Nhc-Op LP owns an unstated share directly since Dec 31, 2010.
- 3 owners or officers are people: Paul W Saylor (corporate officer); Tyrone Woodson (managing employee (on the payroll)); Raul Couret (managing employee (under contract)).
- 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 |
|---|---|---|---|
| Nhc-Op LP | General partner | 99% | Dec 26, 2024 |
| National Hospice Inc. | General partner | 1% | Mar 2, 2004 |
| National Health Corporation | Owns 5% or more through other companies | Jun 11, 2021 | |
| Nhc-Op LP | Owns 5% or more directly | Dec 31, 2010 | |
| National Healthcare Corporation | Owns 5% or more through other companies | Jun 11, 2021 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 79% rated it 9 or 10 out of 10, and 82% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.57% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 49% 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 | 3 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 14 hospices CMS’s data show serving patients in ZIP code 37172, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2; 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 |
|---|---|
| Aveanna Hospice | 2 |
| Gentiva II | 12 |
| Caris Healthcare This hospice | 2 |
| Alive Hospice Inc. | 16 |
| Highpoint Hospice | 1 |
| Suncrest Hospice | 2 |
| Gentiva | 20 |
| Aveanna Hospice | 1 |
| Caris Healthcare | 2 |
| Accentcare Hospice & Palliative Care of Nashville. | 3 |
| Adoration Hospice | 2 |
| Amedisys Hospice Care | 2 |
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.