Hearth Record

Blue Ridge Hospice, Inc.

A hospice in Winchester, Virginia 22601

333 West Cork St, Suite 405, Winchester, Virginia 22601. (540) 536-5210.

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 3 deficiencies in 1 month of the last 36. Last cited Sep 2024. Most serious: Standard-level. Every month

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?

3 deficiencies cited in the last three years

The middle of the 3 hospices serving ZIP code 22601 had 9.

The last inspection on record was on Sep 18, 2024: a complaint inspection by the state.

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

3 deficiencies in 1 month of the last 36. Last cited Sep 2024. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

3 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.

Sep 18, 2024: complaint inspection by the state3 deficiencies

  • Content of plan of care (42 CFR 418.56(c)(5))

    The inspectors’ words, 390 words

    “Based on clinical record review, document review, and interviews, it was determined the agency failed to ensure that medical supplies and appliances to meet the needs of the patient were provided in a timely manner for one (1) of six (6) patients in the clinical records survey sample (Clinical Record for Patient #1). The clinical record for Patient #1 was reviewed for the period of May 08, 2024 through May 16, 2024. The clinical record revealed a visit from the admission Skilled Nurse (Staff Member #4) on May 08, 2024. Staff Member #4 documented on the clinical record that supplies were ordered for the patient and consisted of: wipes, chux, briefs and mouth swabs. On September 16, 2024 the complaint log was reviewed and indicated a complaint was placed on May 16, 2024 regarding the above noted supplies from the admission visit took over a week to be delivered. The complaint log revealed the clinical record documented the supplies were ordered but were not entered into the agencys software system for supplies to be ordered. On September 17, 2024 at 9:11 AM, the Medical Facilities Inspector (MFI) spoke to Staff Member #5. Staff Member #5 revealed the patients first Certified Nursing Assistant visit was on May 14, 2024 (6 days after admission), and there were no supplies to bathe the patient. On September 17, 2024 at 10:55 AM, the MFI spoke to Staff Member #1 via teams meeting. Staff Member #1 revealed that Staff Member #4 did not enter the supplies into their software on May 08, 2024,and should have left a bed bound kit. Staff Member #1 revealed the bed bound kits consists of wipes, five (5) large diapers, shampoo, body wash, barrier cream, oral swabs, paper towels and two (2) wash basins that is kept in the nurses trunk of their vehicle. In addition, Staff Member #1 revealed an apology letter was sent to the primary care giver (PCG) regarding late supplies. On September 17, 2024 at 11:30 AM, the MFI spoke to Staff Member #4. Staff Member #4 (who admitted Patient #1) revealed all admission nurses have bed bound kits but unsure if it was given to PCG for Patient #1 during the admission visit. The above interviews revealed supplies for bathing the patient were not ordered on the admission date or delivered in a timely manner.”

    Rule L0550. Standard-level. From a complaint.

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

    The inspectors’ words, 293 words

    “Based on clinical record review and interview, it was determined the agency failed to ensure care and services were provided in accordance with the patient’s plan of care. Specifically, a scheduled Skilled Nurse visit was not performed for one (1) of six (6) patients per the clinical records in the survey sample. (Clinical Record for Patient #1). The clinical record for Patient #1 was reviewed for the period of May 08, 2024 through May 16, 2024. The plan of care for the above noted time frame contained orders for Skilled Nursing visit two (2) times weekly beginning the week of May 11, 2024. The clinical record failed to contain documentation of a scheduled Skilled Nursing visit or missed visit for the time frame of May 11, 2024 to May 16, 2024. In addition, the clinical record revealed an on call note whereas, the primary care giver (PCG) is asking for the estimated time of arrival for the scheduled Skilled Nursing (Staff Member #6) visit for May 14, 2024. On September 17, 2024 at 8:50 AM, this Medical Facilities Inspector (MFI) called Staff Member #6 who was scheduled for a visit on May 14, 2024 for Patient #1. Staff Member #6 revealed a visit was scheduled for May 14, 2024 but did not go and the PCG called that day to ask where I was. Staff Member #6 revealed they were 1 hour away from the PCG, and it was late in the evening for a visit. On September 17, 2024 at 10:55 AM, this MFI spoke to Staff Member #1 via Teams Meeting. Staff Member #1 revealed that Staff Member #6 was scheduled to visit Patient #1 on May 14, 2024 and did not visit or notify the PCG of the missed visit.”

    Rule L0555. Standard-level. From a complaint.

  • Counseling services (42 CFR 418.64(d)(1))

    The inspectors’ words, 276 words

    “Based on clinical record review and interview, it was determined the hospice failed to ensure bereavement services to reflect the needs of the bereaved in one (1) of three (3) bereavement records reviewed in the survey sample (Bereavement Record for Patient #1). The clinical record for Patient #1 revealed a documented date of death on May 16, 2024. The clinical record also indicated a Medical Social Worker (Staff Member #9) placed a phone call to the bereaved primary care giver (PCG) on May 17, 2024 at 3:41 PM. The documentation revealed the phone call was for condolences offered, and to educate on grief support but the bereaved did not want to talk at this time and to call back in a few days. The clinical record identified the bereaved as having a “moderate” risk score (identified concern for the bereaved who will likely benefit from additional early phone calls and monthly grief support) for bereavement needs. Patient #1s bereavement care plan interventions for the bereaved indicated the first phone call from the agency was on June 11, 2024 (25 days after the first phone call on May 17, 2024) and no phone call a few days later as requested by the bereaved-on May 17, 2024. On September 17, 2024 at 11:20 AM, this Medical Facilities Inspector (MFI) spoke to Staff Member #12 via Teams Meeting. Staff Member #12 revealed the wrong bereavement care plan interventions were generated for Patient #1s bereaved as a low risk instead of a moderate risk, hence the contact to the bereaved was late. The agency staff failed to follow the bereavement care plan for the bereaved with a medium risk score.”

    Rule L0596. Standard-level. From a complaint.

All 2 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Sep 18, 2024Complaint inspection by the state3 deficiencies cited
Nov 20, 2023Follow-up inspection by The Joint CommissionNo deficiencies cited

Is it certified?

  • Medicare-certified hospice since Feb 19, 1992.
  • Ownership: non-profit.
  • No deficiency or on record in the last three years.
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.
  • 3 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): 11.4 nurse care minutes per routine home care day, 8.2% of skilled nursing minutes at weekends and a visit near death for 92.2% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 53% at home, 37% in assisted living, 8% in a skilled nursing facility, 1% in a hospital, 1% in an inpatient hospice.
Source:

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

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day11.4 min
Skilled nursing minutes at weekends8.2%
Visits near death92.2% of patients who died

Who owns it?

  • 16 owners or officers are people: Richard Kennedy (corporate officer, 0%); Helen Zebarth (corporate director); Leonard Yang (corporate director); Paul Delmerico (corporate director); Lynne Sayles (corporate officer); William A Houck (corporate director, 0%); Katherine Roberts (managing employee (on the payroll), 0%); Marsha Barley (corporate officer, 0%); Sonja C Richmond (managing employee (on the payroll), 0%); Greeley Myers (corporate director); Jason Parsons (managing employee (on the payroll), 0%); Aubrey Michael Wilkerson (corporate director, 0%); Stephen Paul Jones (corporate director); Stephen Paul Jones (managing employee (on the payroll), 0%); Jennifer Coello (corporate director, 0%); John C Potter (corporate officer, 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?

  • Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 87% rated it 9 or 10 out of 10, and 90% would definitely recommend it.
  • CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 98.92% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 59.6% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
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 54 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 threshold10 of 10

How does it compare nearby?

  • Of the 3 hospices CMS’s data show serving patients in ZIP code 22601, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 9; this one had 3.
Source:

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

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

The 3 hospices CMS lists serving ZIP code 22601
PlaceDeficiencies, 3 years
Blue Ridge Hospice, Inc. This hospice3
Pathwell Home Health & Hospice10
Legacy Hospice9

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 8, 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.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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