Elevation Hospice of Utah, LLC
A hospice in Draper, Utah 84020
11693 South 700 East, Suite 200, Draper, Utah 84020. (801) 610-1868.
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The short answer
Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.
- 9 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?
9 deficiencies cited in the last three years
The middle of the 40 hospices serving ZIP code 84020 had 0.
The last inspection on record was on Mar 26, 2026: a complaint 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
9 deficiencies in 1 month of the last 36. Last cited Nov 2023. 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.
Nov 9, 2023: reaccreditation inspection by the Accreditation Commission for Health Care9 deficiencies
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EP Training Program (42 CFR 418.113(d)(1))
The inspectors’ words, 114 words
“Upon personnel record review, 2 of 19 (Personnel #11,13) did not have evidence Emergency Preparedness training including: • Initial training in emergency preparedness policies and procedures to all new and existing hospice employees, and individuals providing services under arrangement, consistent with their expected roles • Demonstrate staff knowledge of emergency procedures • Provide emergency preparedness training at least annually • Periodically review and rehearse its emergency preparedness plan with hospice employees (including nonemployee staff), with special emphasis placed on carrying out the procedures necessary to protect patients and others • Maintain documentation of all emergency preparedness training Personnel #11, 13: No documented evidence of orientation to Emergency Preparedness in files at time of survey”
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Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 1 of 19 (Patient #2) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient #2: Patient observed to have indwelling Foley catheter during home visit. There is no order for Foley catheter at all.”
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Content of plan of care (42 CFR 418.56(c)(5))
“Upon patient record review, 1 of 19 (Patient #3) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs. Patient #3: SOC 6/28/23. Initial Comprehensive assessment includes “potential condom cath”. Initial POC includes catheter supplies under DME. No further reference or explanation if condom cath used.”
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Review of the plan of care (42 CFR 418.56(d))
“Upon patient record review, 1 of 19 (Patient #2) did not have evidence that a revised plan of care includes information from the patient’s updated comprehensive assessment and must note the patient’s progress towards outcome/goals from the plan of care. Patient #2 - 10/17/23 SN Visit note that patient requires a urinary catheter. There is no reference to updated IDG and/or orders/PGI.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 157 words
“Upon client record review, 6 of 19 (Patient #1, 2, 3, 4, 8, 9) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #1: Initial POC 8/2/23-10/31/23 SC frequency 1m1 but 8/4/23 IDG POC frequency updated to SC 5m1, 3m1, 4m1. SC made 1 visit 9/12/23 in September when 3 ordered. There was no additional update for SC. Patient #2: SN freq 2/wk Only 1 visit week of Oct 1st and Oct 8th. MSW initially 1m1. SW saw patient weekly. Patient #3 7/13/23 Order for PT eval fall prevention. 4 visits subsequent visits were made without orders. Patient #4 Recert POC 9/1-10/30/23 has MSW frequency of 2m2. Patient was seen 4x in September and 4x in October. Patient #8 Effective 10/1/23, MSW 4m1,1m1. Patient was seen only 2 visits in October. Patient #9 Effective 10/1/23 MSW 2m1. The only visit documented is 10/3/23.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 222 words
“Upon patient record review 2 of 19 (Patient #2, 11) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care • Permitted to be performed under state law by such hospice aide • Consistent with the hospice aide training Patient #2: 8/4/23 Aide Frequency 3wk12, 1wk1. Week of Aug 6: 2 visits. Week of Aug 20: 1 visit. Week of Aug 27: no visits. Week of Sept 3: 2 visits. Week of Sept 25: 1 visit. Week of Oct 1, 2 visits. Week of Sept 25: 1 visit. 08/10/23 Aide Care plan Report assigns nail care weekly and shave and perineal care every visit. Nail care performed more than wkly: 10/30, 10/31, 11/1, 11/2, 11/3/23, 10/31, 11/1/23. 11/1/23 documented shave not required and perineal care not required. Also, patient #2 has indwelling Foley catheter observed during patient visit. Observed Aide empty Foley catheter drainage bag. Inquired to Aide if he performs catheter care and he responded that he does. Inquired if written assignment includes catheter care and he responded he thinks so. There is no assigned task for catheter care and no mention of Foley catheter on Aide assignment sheet. Patient # 11: Aide assigned nail care weekly. Performed 10/23, 10/24, 10/27/23.”
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Training (42 CFR 418.100(g)(1))
“Upon personnel record review, 2 of 15 (Personnel #11, 13) did not have evidence the hospice employees and contract employees have received orientation on the hospice philosophy. Personnel #11 and #13 did not have documented evidence of orientation in hospice philosophy.”
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Training (42 CFR 418.100(g)(2))
“Upon personnel record review, 1 of 15 (Personnel #13) did not have evidence that the hospice employees have received orientation on their specific job requirements. Personnel #13 did not have evidence of an orientation to the specific job duties. PT had provided visits to one patient.”
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Training (42 CFR 418.100(g)(3))
“Upon personnel record review, 1 of 15 (Personnel #13) did not have evidence that a skills competency assessment, specific to each discipline had been conducted for all personnel including volunteers initially during orientation. Personnel #13: no evidence of a competency for PT.”
All 3 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 26, 2026 | Complaint inspection by the state | No deficiencies cited |
| Nov 30, 2023 | Recertification inspection by the state | No deficiencies cited |
| Nov 9, 2023 | Reaccreditation inspection by the Accreditation Commission for Health Care | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 13, 2014.
- 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): 11.4 nurse care minutes per routine home care day, 5.5% of skilled nursing minutes at weekends and a visit near death for 93.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 64% at home, 24% in assisted living, 9% 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 | 11.4 min |
| Skilled nursing minutes at weekends | 5.5% |
| Visits near death | 93.2% of patients who died |
Who owns it?
- Sage Hospice Holdings, L.L.C. owns 100% directly since Dec 17, 2018.
- Three Oaks Hospice, Inc. runs it.
- 10 owners or officers are people: Rochelle Alonzo (managing employee (on the payroll), 0%); Nathan A Phelps (managing employee (under contract), 0%); David C Gasmire (corporate director); Andrew R Calkins (corporate director); Owen Davis (corporate director); Phillip Campbell (corporate director); Lisa M Pekar (managing employee (on the payroll)); Andrea F Bohannon (corporate officer); Andrea F Bohannon (corporate director); Ross J Taylor (corporate officer).
- A private-equity firm is 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 |
|---|---|---|---|
| Cypress Purchaser, LLC | Owns 5% or more through other companies | 100% | Jun 5, 2025 |
| Cypress Midco, Inc. | Owns 5% or more through other companies | 100% | Jun 5, 2025 |
| Three Oaks Hospice, Inc. | Owns 5% or more through other companies | 100% | Jun 5, 2025 |
| Three Oaks Hospice, Inc. | Runs it (operational or managerial control) | 100% | Jun 5, 2025 |
| Cypress Parent Holdings, LLC | Owns 5% or more through other companies | 100% | Jun 5, 2025 |
| Sage Hospice Holdings, L.L.C. | Owns 5% or more directly | 100% | Dec 17, 2018 |
| Sage Hospice Intermediate Holdings, Inc. | Owns 5% or more through other companies | 100% | Dec 17, 2018 |
| Martis Partners IV Cypress Aggregator LP | Owns 5% or more through other companies | 85.7% | Jun 5, 2025 |
| Martis Partners IV Three Oaks Co-Invest, LP | Owns 5% or more through other companies | 11.8% | Jun 5, 2025 |
| Martis Partners IV, LP | Owns 5% or more through other companies | 8.5% | Jun 5, 2025 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 80% rated it 9 or 10 out of 10, and 75% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 98.79% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 60.2% 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 40 hospices CMS’s data show serving patients in ZIP code 84020, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 0; this one had 9.
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 |
|---|---|
| Elevation Hospice of Utah, LLC This hospice | 9 |
| Auburn Crest Hospice | Not given |
| Cns Community Hospice | Not given |
| Intermountain Health Hospice - Salt Lake | Not given |
| Rocky Mountain Hospice - Utah | Not given |
| Hospice for Utah LLC | 0 |
| Harmony Hospice | 0 |
| Applegate Hospice | 0 |
| Central Valley Hospice | 0 |
| Enhabit Hospice | 0 |
| Atlas Hospice | 3 |
| Valeo 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).
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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.