Legacy Hospice
A hospice in Charlottesville, Virginia 22903
500 Faulconer Drive, Suite 100, Charlottesville, Virginia 22903. (434) 970-7776.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 9 deficiencies cited in the last three years
- 4of 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 6 hospices serving ZIP code 22903 had 9.
The last inspection on record was on Sep 4, 2026: a reaccreditation inspection by the Accreditation Commission for Health Care.
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 Sep 2026. 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.
Sep 4, 2026: reaccreditation inspection by the Accreditation Commission for Health Care9 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 106 words
“Upon patient record review, 1 of 23 (Patient #6) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient #6: During patient visit to SNF resident, medication review noted 8/10/26 MiraLAX q12 hours as needed on LTCF medication profile, but not updated to hospice medication profile at the time of observation visit 8/31/26.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 102 words
“Upon patient record review, 2 of 23 (Patient #8, 14) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient’s family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient’s death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient #8, 14: There is no documented evidence of initial bereavement assessment by RN, MSW or SC as part of the comprehensive assessment..”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 109 words
“Upon patient record review, 2 of 23 (Patient #16, 19) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient #16: Patient has Eliquis prescribed but no related problems, goals, interventions specific to bleeding precautions. Patient #19 Patient had oxygen prescribed with no related problems, goals, interventions specific to oxygen safety precautions.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 1 of 23 (Patient #4) 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 #4: Patient admitted 7/16/26 with 7/23/26 care plan problem for skin integrity that includes intervention to: Keep site clean and cover with barrier cream and coccyx dressing every 3 days pen soiling. The type of dressing is not specified.”
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Review of the plan of care (42 CFR 418.56(d))
The inspectors’ words, 99 words
“Upon patient record review, 1 of 23 (Patient #16) 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 #16: Patient readmitted to hospice 6/9/26 with hospice diagnosis of prostate cancer. Patient presented to emergency department 8/6/26 with diagnosis of UTI. Urology consult with subsequent indwelling foley catheter placement at that time. Catheter to be maintained by urologist according to SN note, but there was no update to orders, problems, goals and interventions related to indwelling catheter.”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 108 words
“Upon client record review, 1 of 23 (Patient #13) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Patient #13: 8/17/26 visit note documents that SN inserted 14 Fr. 10 cc catheter with 15 ml returned, and next catheter change due date of 9/17/26. The note included contact with physician, but no order was documented at time of survey. Furthermore, there was a visit from later the same evening, a PRN visit to remove catheter per patient request. There was also no documented order for the removal of catheter upon surveyor’s initial review of record.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 146 words
“Upon patient record review, 1 of 23 (Patient #16) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient #16: Patient had foley catheter placement during 8/6/26 emergency department visit, with no subsequent update to hospice aide care plan.”
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Level of activity (42 CFR 418.78(e))
“Upon observation, there was no evidence the annual report documents the use of volunteers providing day to day administrative and/or direct patient care services in an amount that, at a minimum, equals 5 percent of the total patient care hours of all paid hospice employees and contract personnel. The annual volunteer cost report does not include evidence of minimum cost savings of 5 percent. The documented volunteer cost savings for calendar year 2025 is 2.5%.”
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Authentication (42 CFR 418.104(b))
“Upon patient client record review, 1 of 23 (Patient #4) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient #4: 8/31/26 SN visit documents wound care performed per care plan; however, wound care dressing type is not specified in care plan.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 4, 2026 | Reaccreditation inspection by the Accreditation Commission for Health Care | 9 deficiencies cited |
| Oct 13, 2025 | Complaint inspection by the Accreditation Commission for Health Care | No deficiencies cited |
Is it certified?
- Medicare-certified hospice since May 12, 2009.
- Ownership: other.
- 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): 11.7 nurse care minutes per routine home care day, 6% of skilled nursing minutes at weekends and a visit near death for 95.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 37% at home, 40% in assisted living, 23% 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 | 11.7 min |
| Skilled nursing minutes at weekends | 6% |
| Visits near death | 95.1% of patients who died |
Who owns it?
- Care Hospice, Inc. owns 100% directly since Jan 1, 2014.
- 11 owners or officers are people: John B Hunter (owns 5% or more through other companies, 9.42%); Jesse Reo Moore (corporate officer); Jesse Reo Moore (managing employee (on the payroll)); Alyssa Matthews (managing employee (on the payroll)); John F Mccue (managing employee (under contract)); Bart K Valdez (corporate officer); Bart K Valdez (managing employee (on the payroll)); Grant Brown (corporate officer); Grant Brown (managing employee (on the payroll)); Dana K Reid (corporate officer); Dana K Reid (managing employee (on the payroll)).
- 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 |
|---|---|---|---|
| Care Hospice, Inc. | Owns 5% or more directly | 100% | Jan 1, 2014 |
| Care Hospice Acquisition, Inc. | Owns 5% or more through other companies | 100% | Apr 13, 2017 |
| Hospice Care Buyer, Inc. | Owns 5% or more through other companies | 100% | Dec 9, 2020 |
| Hospice Care Holdings, L.P. | Owns 5% or more through other companies | 100% | Dec 9, 2020 |
| Hospice Care Intermediate I, Inc. | Owns 5% or more through other companies | 100% | Dec 9, 2020 |
| Hospice Care Intermediate II, Inc. | Owns 5% or more through other companies | 100% | Dec 9, 2020 |
| Thl Equity Fund VIII Investors (Hospice Care), L.P. | Owns 5% or more through other companies | 29.16% | Dec 9, 2020 |
| Thomas H. Lee Parallel Fund VIII, L.P. | Owns 5% or more through other companies | 27.44% | Dec 9, 2020 |
| Thomas H. Lee Equity Fund VIII, L.P. | Owns 5% or more through other companies | 15.07% | Dec 9, 2020 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 85% rated it 9 or 10 out of 10, and 86% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 90.56% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 71.5% 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 | 10 of 10 |
How does it compare nearby?
- Of the 6 hospices CMS’s data show serving patients in ZIP code 22903, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 9; 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 |
|---|---|
| Legacy Hospice This hospice | 9 |
| Hospice of the Piedmont Inc. | 18 |
| Medi Home Hospice | 6 |
| Trinity Hospice | 7 |
| Gentiva II | 9 |
| Trinity Hospice | 10 |
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.