Hearth Record

Votive Hospice LLC

A hospice in Fredericksburg, Texas 78624

1204 N Llano, Fredericksburg, Texas 78624. (512) 560-8604.

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 40 deficiencies in 2 months of the last 36. Last cited Jul 2025. Most serious: Condition-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean3
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.
Condition-level deficiency
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.

What did inspectors find?

40 deficiencies cited in the last three years

The middle of the 19 hospices serving ZIP code 78624 had 5.5.

The last inspection on record was on Feb 26, 2026: a follow-up inspection by The Joint Commission.

4 deficiencies at condition level, the more serious of CMS’s two levels

Source:

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

40 deficiencies in 2 months of the last 36. Last cited Jul 2025. Most serious: Condition-level. The last 3 years, to Oct 27, 2026.

40 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Jul 17, 2025: follow-up inspection by The Joint Commission2 deficiencies
  • Cost saving (42 CFR 418.78(d))

    “Observed in Tracer Activities. The organization was not able to provide documented cost savings achieved using volunteers in the 44 days since their triennial survey ended. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0646. Standard-level.

  • Level of activity (42 CFR 418.78(e))

    “Observed in Tracer Activities. The organization was not able to provide documentation of volunteers providing at least 5% of the total patient care hours of all paid hospice employees in the 44 days since their triennial survey ended. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0647. Standard-level.

Jun 5, 2025: reaccreditation inspection by The Joint Commission38 deficiencies
  • Establishment of the Emergency Program (EP) (42 CFR 418.113)

    “Observed in Emergency Management Session. The emergency management program did not include all required elements as it was a generic policy and procedure template dated 2023. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor. Observed in Emergency Management Session. The organization failed to comply with all applicable federal, state, and local emergency preparedness laws and regulations as evidenced by failure to complete drills, and review and update the plan as required. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule E0001. Condition-level.

  • Update of comprehensive assessment (42 CFR 418.54(d))

    “Observed in Record Review. In 10 of 10 active patient records reviewed, a registered nurse did not visit the patient every 15 days to conduct a comprehensive re-assessment. In patient records RRHV#1, RRHV#2, RRHV#3, RRNHV#1, RRNHV#2, RRNHV#3, RRNHV#4, RRNHV#5, RRNHV#6, and RRNHV#7 comprehensive re-assessments were not documented as required. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0533. Condition-level.

  • Quality assessment & performance improvement (42 CFR 418.58)

    “Observed in Leadership Session. The QAPI program did not involve all services provided as evidenced by their organization not being able to produce this documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor. Observed in Leadership Session. The organization was not able to demonstrate the operation of its QAPI program as evidenced by their inability to produce documentation of the program at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0559. Condition-level.

  • Governing body and administrator (42 CFR 418.100(b))

    “Observed in Leadership Session. Leaders did not manage implementation of patient care policies and procedures governing the provision of care as evidenced by condition level findings at §418.54, §418.58, §418.78, §418.113. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0651. Condition-level.

  • Plan Based on All Hazards Risk Assessment (42 CFR 418.113(a)(1))

    “Observed in Emergency Management Session. The organization did not have a hazard vulnerability analysis. As a result, natural, human caused, technological, hazardous materials, and emerging and infectious diseases were not addressed. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor. Observed in Emergency Management Session. The organization did not conduct a hazard vulnerability analysis using an all-hazards approach as evidenced by the organization was not able to produce documentation at the time of survey.This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule E0006. Standard-level.

  • EP Program Patient Population (42 CFR 418.113(a)(3))

    The inspectors’ words, 280 words

    “Observed in Emergency Management Session. The organization did not have a written continuity of operations plan (COOP) as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor. Observed in Emergency Management Session. The organization did not have a written delegation of authority plan that provided the individuals with the legal authorization to act on behalf of the organization for specific purposes as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor. Observed in Emergency Management Session. The organization did not identify in writing how and where it would continue to provide its essential business functions when critical service had been compromised as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor. Observed in Emergency Management Session. The organization did not have a written succession plan that identified who had authority to assume particular leadership or management roles when that person was unable to perform their duties as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor. Observed in Emergency Management Session. The organization emergency operations plan did not identify the patient population it would serve and the types of services it would have the ability to provide in an emergency as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule E0007. Standard-level.

  • Local, State, Tribal Collaboration Process (42 CFR 418.113(a)(4))

    “Observed in Emergency Management Session. The emergency operations plan did not have a process for collaboration with the local, state, tribal, regional, and federal emergency preparedness officials as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule E0009. Standard-level.

  • Hospice Follow up for Staff (42 CFR 418.113(b)(1))

    “Observed in Emergency Management Session. The organization’s emergency plan did not include written procedures for determining what services were needed in the event there was an interruption in services due to an emergency as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule E0016. Standard-level.

  • Procedures for Tracking of Staff and Patients (42 CFR 418.113(b)(6)(ii))

    “Observed in Emergency Management Session. The organization did not establish primary and alternate means for communication with staff and relevant authorities as evidenced by the inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule E0018. Standard-level.

  • Homebound HHA/Hospice Inform EP Officials (42 CFR 418.113(b)(2))

    “Observed in Emergency Management Session. The organization’s emergency operations plan did not include policies and procedures that described how it would inform state and local emergency preparedness officials about its patients in need of evacuation from their residences due to an emergency as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule E0019. Standard-level.

  • Policies/Procedures-Volunteers and Staffing (42 CFR 418.113(b)(4))

    The inspectors’ words, 104 words

    “Observed in Emergency Management Session. The organization failed to develop a staffing plan and therefore did not address the management of all staff and volunteers as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor. Observed in Emergency Management Session. The organization did not develop a staffing plan for managing all staff during the duration of an emergency event or patient surge as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule E0024. Standard-level.

  • Arrangement with Other Facilities (42 CFR 418.113(b)(5))

    “Observed in Emergency Management Session. The organization’s emergency operations plan did not include how it would share patient care information and medication documentation as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule E0025. Standard-level.

  • Development of Communication Plan (42 CFR 418.113(c))

    “Observed in Emergency Management Session. The organization did not review and update the emergency operations plan based on after-action reports every two years as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule E0029. Standard-level.

  • Names and Contact Information (42 CFR 418.113(c)(1)(ii))

    “Observed in Emergency Management Session. The organization did not maintain a contact list of individuals and entities that were to be notified in response to an emergency as evidenced by their inability to produce documentation of the list of contacts. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule E0030. Standard-level.

  • Methods for Sharing Information (42 CFR 418.113(c)(4))

    “Observed in Emergency Management Session. The organization’s communications plan did not include a method for sharing and/or releasing location information and medical documentation as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule E0033. Standard-level.

  • Information on Occupancy/Needs (42 CFR 418.113(c)(7))

    “Observed in Emergency Management Session. The organization’s communications plan did not describe how it would report information about its needs and ability to provide assistance to relevant authorities as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule E0034. Standard-level.

  • EP Training and Testing (42 CFR 418.113(d))

    “Observed in Emergency Management Session. The organization failed to describe how it would conduct annual testing of its emergency plans as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule E0036. Standard-level.

  • EP Testing Requirements (42 CFR 418.113(d)(2))

    “Observed in Emergency Management Session. The organization did not conduct at least one exercise per year to test the emergency plan as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule E0039. Standard-level.

  • EP Testing Requirements (42 CFR 418.113(d)(3)(iii))

    “Observed in Emergency Management Session. The organization leaders failed to review and evaluate all exercises and actual emergency incidents as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule E0039. Standard-level.

  • Integrated EP Program (42 CFR 418.113(e)(4))

    The inspectors’ words, 94 words

    “Observed in Emergency Management Session. The organization did not have a prioritized hazard vulnerability analysis to identify and implement mitigation and preparedness actions as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor. Observed in Emergency Management Session. The organization did not evaluate and prioritize the findings of the hazard vulnerability analysis as evidenced by their inability to produce documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule E0042. Standard-level.

  • Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))

    “Observed in Record Review. In 1 of 1 live discharge records reviewed, there was no documentation in RRDC#2 that a Notice of Medicare Non-Coverage was signed two days prior to discharge for extended prognosis as required. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0505. Standard-level.

  • Timeframe for completion of assessment (42 CFR 418.54(b))

    “Observed in Record Review. In 1 of 10 active patient records reviewed, a spiritual care initial comprehensive assessment was not completed within five calendar days after the election of the hospice benefit. In patient record RRHV#1 there was no documentation until 16 days after admission that the family declined multiple attempts to make the visit. In patient records This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0523. Standard-level.

  • Content of plan of care (42 CFR 418.56(c))

    “Observed in Record Review. In 10 of 10 active patient records reviewed, most plan of care goals were not measurable, and none included a target date for completion. Here are some examples. Patient will be in control of what, how much, and when to eat. Associated symptoms of anorexia and cachexia will be managed. Patient’s quality of life will be at an optimal level. Patient will report comfort. This RFI was reviewed with and verified by the Administrator and Nursing Supervisor.”

    Rule L0545. Standard-level.

  • Content of plan of care (42 CFR 418.56(c)(2))

    “Observed in Record Review. In 7 of 10 active patient records reviewed, prn visits for all disciplines did not include rationale in records RRHV#1, RRHV#3, RRNHV#1, RRNHV#2, RRNHV#3, RRNHV#5, and RRNHV#7. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0547. Standard-level.

  • Coordination of services (42 CFR 418.56(e)(2))

    “Observed in Record Review. In 7 of 10 active patient records reviewed, care was not provided in accordance with the hospice plan of care. In patient records RRHV#1, RRHV#2, RRNH#2, RRNHV#3, RRNHV#4, RRNHV#5, and RRNHV#6 visits by core team members were not documented as often as ordered. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0555. Standard-level.

  • Program data (42 CFR 418.58(b)(2)(ii))

    “Observed in Tracer Activities. The organization did not analyze and compare data over time to identify performance and trends. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor. Observed in Tracer Activities. The organization did not use the results of data analysis to identify improvement opportunities as evidenced by their inability to produce this documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0564. Standard-level.

  • Program data (42 CFR 418.58(b)(3))

    “Observed in Leadership Session. The governing body did not approve the frequency and detail of data collection as evidenced by their inability to produce this documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0565. Standard-level.

  • Program activities (42 CFR 418.58(c)(3))

    The inspectors’ words, 143 words

    “Observed in Surveyor review but corrected onsite pending acceptable Evidence of Standards Compliance. The organization did not act on improvement opportunities as evidenced by their inability to produce this documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor. Observed in Tracer Activities. The organization did not act when planned improvements were not achieved or sustained as evidenced by their inability to produce this documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor. Observed in Surveyor review but corrected onsite pending acceptable Evidence of Standards Compliance. The organization did not evaluate the efficacy of their improvement actions as evidenced by their inability to produce this documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0570. Standard-level.

  • Executive responsibilities (42 CFR 418.58(e)(1))

    “Observed in Leadership Session. There was no effective, ongoing, organization wide, data-driven QAPI program as evidenced by their inability to produce this documentation at the time of survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0574. Standard-level.

  • Executive responsibilities (42 CFR 418.58(e)(2))

    “Observed in Data Session. Performance improvement was not organization wide as evidenced by the absence of any documentation or data collection since the last survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor. Observed in Leadership Session. Leadership did not establish priorities for data collection/performance improvement activities as evidenced by their absence of any documentation or data collection since the last survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0575. Standard-level.

  • Control (42 CFR 418.60(b))

    The inspectors’ words, 98 words

    “Observed in Infection Control System Tracer. The organization had no current procedure for identifying infections and communicable disease issues or activities as evidenced by the absence of consistent documentation or data collection since the last survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor. Observed in Infection Control System Tracer. The organization had no current procedure for identifying infections and communicable disease issues or activities as evidenced by the absence of consistent documentation or data collection since the last survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0580. Standard-level.

  • Control (42 CFR 418.60(b)(2)(ii))

    “Observed in Infection Control System Tracer. The organization did not collect or analyze data, which prevented them from identifying infection control issues and developing and implementing necessary action plan activities as evidenced by the absence of any documentation and minimal data collection since the last survey. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0581. Standard-level.

  • Supervision of hospice aides (42 CFR 418.76(h)(1)(i))

    “Observed in Record Review. In 9 of 10 active patient records reviewed, it was determined that hospice aide supervision was not documented every 14 days. In patient record RRHV#1, RRHV#3, RRNHV#1, RRNHV#2, RRNHV#3, RRNHV#4, RRNHV#5, RRNHV#6, and RRNHV#7 supervisory visits not done as required. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0629. Standard-level.

  • Recruiting and retaining (42 CFR 418.78(c))

    “Observed in Tracer Activities. the organization did not have any active volunteers in the last 15 months and leaders were not able to provide documentation of recruitment efforts. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0645. Standard-level.

  • Cost saving (42 CFR 418.78(d))

    “Observed in Tracer Activities. The organization was not able to produce documented cost savings achieved using volunteers for the past 15 months because there were no volunteers despite on-going recruitment efforts. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0646. Standard-level.

  • Level of activity (42 CFR 418.78(e))

    “Observed in Tracer Activities. volunteers did not provide at least 5% of the total patient care hours of all paid hospice employees and contract staff for the last 15 months. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0647. Standard-level.

  • Discharge or transfer of care (42 CFR 418.104(e)(1)(i))

    “Observed in Record Review. In 1 of 1 patient transfer records, there was no documentation in RRDC#1 that a summary was sent with the patient to a hospital for treatment of a hip fracture. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0682. Standard-level.

  • N/a (42 CFR 418.110(j))

    “Observed in Infection Control System Tracer. The organization did not have current written policies and procedures to guide its activities and methods for preventing and controlling the transmission of infections and communicable diseases. This RFI was reviewed with and verified by the Administrator and Nurse Supervisor.”

    Rule L0833. Standard-level.

All 3 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Feb 26, 2026Follow-up inspection by The Joint CommissionNo deficiencies cited
Jul 17, 2025Follow-up inspection by The Joint Commission2 deficiencies cited
Jun 5, 2025Reaccreditation inspection by The Joint Commission38 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Dec 6, 2018.
  • Ownership: for-profit.
  • Cited at in the last three years: it didn’t meet a whole condition of Medicare’s rules.
Source:

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.
Source:

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): 10.1 nurse care minutes per routine home care day, 9.4% of skilled nursing minutes at weekends and a visit near death for 91.5% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 44% at home, 23% in assisted living, 33% in a nursing facility.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day10.1 min
Skilled nursing minutes at weekends9.4%
Visits near death91.5% of patients who died

Who owns it?

  • 12 owners or officers are people: Jane I Perry (owns 5% or more directly, 50%); Jane I Perry (limited partner, 50%); Jane I Perry (corporate officer, 50%); Jane I Perry (managing employee (on the payroll), 50%); Jane I Perry (runs it (operational or managerial control), 50%); Chase Perry (owns 5% or more directly, 50%); Chase Perry (limited partner, 50%); Chase Perry (corporate officer, 50%); Chase Perry (managing employee (on the payroll), 50%); Chase Perry (runs it (operational or managerial control), 50%); Chase Perry (other role (CMS gives no detail), 50%); John R Kothmann (managing employee (under contract), 0%).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

What do families say?

  • CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
  • CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 94.64% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 27.4% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5Not rated
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 threshold9 of 10

How does it compare nearby?

  • Of the 19 hospices CMS’s data show serving patients in ZIP code 78624, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5.5; this one had 40.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

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

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

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