Carilion Hospice Services New River Valley
A hospice in Radford, Virginia 24141
701 Randolph Street Suite 110, Radford, Virginia 24141. (540) 633-9370.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 6 deficiencies cited in the last three years
- 4of 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?
6 deficiencies cited in the last three years
The middle of the 10 hospices serving ZIP code 24141 had 6.
The last inspection on record was on Jun 13, 2024: a reaccreditation 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
6 deficiencies in 1 month of the last 36. Last cited Jun 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.
Jun 13, 2024: reaccreditation inspection by The Joint Commission6 deficiencies
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Content of plan of care (42 CFR 418.56(c)(1))
The inspectors’ words, 203 words
“Observed in Record Review. In 6 of 14 patient records reviewed, the organization failed to ensure the plan of care include all services needed for the palliation and management of the terminal illness and related conditions. For example: on review of RRHV#3 there was documentation that the patient was having difficulty swallowing that required a change in diet and addition of thickened liquids, yet the care plan did not reflect the changes. In review of RRNHV#5 the patient was diabetic and required adjustment of insulin dosage but no endocrine care plan to guide the care. In RRNHV#7 the documentation noted the patient to have a G-tube yet the care plan did not address the care of the G-tube site. In RRNHV#12 the patient had a terminal diagnosis of Protein Calorie Malnutrition with weight loss yet no nutrition care plan to guide the care. In RRNHV#13 the patient was utilizing BiPap yet the use of the BiPap was not reflected in the plan of care. In RRNHV#14 the documentation noted the patient with a UTI that required orders for antibiotics, and acetic acid flushes yet there was not a care plan opened to guide the care. These observations were reviewed with the Hospice Manager.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 199 words
“Observed in Record Review. In 5 of 14 patient records reviewed, the organization failed to ensure the plan of care included all drugs and treatment necessary to meet the needs of the patient. For example: on review of RRNHV#7 the medication profile included two medications Buspirone and Dicyclomine that were listed to be given by mouth yet the patient was NPO and had a G-tube for all meds and nutrition. In RRNHV#8 there was an order for Morphine that was confusing and contradictory as its instruction noted take 0.5 ml every 4 hours as needed by mouth for pain: Give 0.25 - 1 ml by mouth every 1 to 2 hrs as needed for pain. In RRHV#3 there was documentation of the addition of thickened liquids yet there was no physicians order to specify the desired consistency of the thickened liquids. In RRNHV#5 there was documentation that the patient’s wife was performing blood glucose monitoring yet there were no orders for blood glucose monitoring noted on the record. In RRNHV#6 the documentation noted the patient had a colostomy yet there were no orders for the colostomy care noted on the record. These observations were reviewed with the Hospice Manager.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 120 words
“Observed in Record Review. In 1 of 14 patient records reviewed, the organization failed to ensure the care and services were provided in accordance with the plan of care. For example: on review of RRHV#4 the plan of care included the order for the patient’s biliary drain was for the skilled nurse to monitor drainage to collection bag and change dressing 1xwk utilizing aseptic technique. Over the last 3 weekly documented weekly nursing visits prior to survey, there was no documentation that the dressing was changed as indicated in the plan of care. On home observation of the RN for a weekly visit it was observed that the dressing was not changed. This observation was reviewed with the Hospice Manager.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 104 words
“Observed in Record Review. In 2 of 8 patient records reviewed, where hospice aide services were elected, the organization failed to ensure the RN provided complete written patient care instructions for the hospice aide. For example: on review of RRNHV#7 the patient had a G-tube yet the aide plan of care did not include instruction on how the aide was to handle the G-tube while providing care. In RRNHV#14 the patient had a Foley catheter yet there were no instructions on how to handle the Foley such as providing Foley care and/or emptying the collection bag. These observations were reviewed with the Hospice Manager.”
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Content (42 CFR 418.104(a)(7))
The inspectors’ words, 94 words
“Observed in Patient Home. In 1 of 4 home visits conducted, the organization failed to ensure the patient record contain information that reflected the patient’s care, treatment, and services. For example: on home observation for RRHV#1 in conversation with the patient caregiver the caregiver noted the patient was taking a medication for macular degeneration 2 times a day and also had been taking Vitamin D daily for quite some time, yet the medications were not included on Medication Profile as part of the plan of care. This observation was reviewed with the Hospice Manager.”
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Discharge or transfer of care (42 CFR 418.104(e)(3)(i))
“Observed in Record Review. In 2 of 2 patient records reviewed, the organization failed to ensure the discharge summary included all required elements. For example: on review of RRDC#1, and RRDC#2 the discharge summary did not include a summary of the patient’s stay, including treatments, symptoms, and pain management. These observations were reviewed with the Hospice Manager.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 13, 2024 | Reaccreditation inspection by The Joint Commission | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Feb 13, 1991.
- Ownership: non-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): 18.6 nurse care minutes per routine home care day, 10.1% of skilled nursing minutes at weekends and a visit near death for 98.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 85% at home, 1% in assisted living, 7% in a nursing facility, 2% in a skilled nursing facility, 4% in a hospital, 1% in an inpatient hospice.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 18.6 min |
| Skilled nursing minutes at weekends | 10.1% |
| Visits near death | 98.3% of patients who died |
Who owns it?
- Carilion Clinic owns 100% directly since Sep 30, 1988.
- 21 owners or officers are people: Bret Danilowicz (corporate director); William Aden (corporate director); George Robert Vaughan (corporate director); Kevin Byrd (corporate director); Diane S Akers (corporate director); Anthony Wilson (corporate director); Vincent Hatcher (corporate director); Karla Yates (corporate director); Richard Harshberger (corporate director); Michael Hickman (corporate director); Jim Mcalister (corporate director); Eleanor Prescott (corporate director); Joshua Hartle (corporate director); Donald B Halliwill (corporate officer); Donald B Halliwill (managing employee (on the payroll)); Kenneth Lee Belcher (corporate director); William J Flattery (corporate director); John Thomas Ryan (corporate director); Peter Anderson (corporate director); Kimberly Reynolds (managing employee (on the payroll)); Larry Shelor (corporate director).
- 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 |
|---|---|---|---|
| Carilion Clinic | Owns 5% or more directly | 100% | Sep 30, 1988 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 86% rated it 9 or 10 out of 10, and 91% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 90.84% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 81.4% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
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 | 9 of 10 |
How does it compare nearby?
- Of the 10 hospices CMS’s data show serving patients in ZIP code 24141, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 6.
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 |
|---|---|
| Carilion Hospice Services New River Valley This hospice | 6 |
| Capital Hospice | 16 |
| Good Samaritan Hospice Inc. | Not given |
| Amedisys Hospice Care | 9 |
| Wythe Hospice of Swva | 0 |
| Gentiva II | 11 |
| Medi Home Health and Hospice - Pulaski | 0 |
| Heartland Hospice (Roanoke) | 24 |
| Affinity Care of Virginia LLC | 2 |
| Acg Hospice | 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.