Elite Hospice
A hospice in Bristol, Virginia 24201
415 Scott Street, Bristol, Virginia 24201. (276) 250-5520.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 4 deficiencies cited in the last three years
- Not rated family caregiver rating
- 9of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean2
- 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?
4 deficiencies cited in the last three years
The middle of the 13 hospices serving ZIP code 24201 had 4.5.
The last inspection on record was on Nov 13, 2025: 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
4 deficiencies in 1 month of the last 36. Last cited Nov 2025. 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 13, 2025: reaccreditation inspection by the Accreditation Commission for Health Care4 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 157 words
“Upon patient record review, 3 of 14 (Patient #4,6,7) 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 4: On the medication profile there is an order for Polyethylene Glycol 17grams daily, there is no diluent listed in the instructions. Corrected on site. Patient 6: On the medication profile there is an order for Polyethylene Glycol 17grams daily, there is no diluent listed in the instructions. Corrected on site. Patient 7: On the hospice medication record there are medications that are not on the ALF medication record, Polyethylene Glycol 17gm daily and Prochlorperazine Maleate 10mg every 6 hours as needed. Corrected on site.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 164 words
“Upon patient record review, 2 of 14 (Patient #5,6) 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 5: On the initial RN assessment there is documentation, “Patient has a left chest Port a Cath that was flushed and hep locked prior to hospital d/c on 6/26/25”. There are no orders on the plan of care with goals and interventions for the care of the port a cath. Corrected on site. Patient 6: On the patient plan of care there is an order for Aspirin 81mg daily, there is not a risk of bleeding on the plan of care with goals and interventions. Corrected on site.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 162 words
“Upon patient record review, 4 of 14 (Patient #2,4,6,8) 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: On the plan of care there is an order for Medrol 4mg tablets in a dose pack, the dose state, “per instructions daily”, there are not specific instructions per day for this medication. Corrected on site. Patient 4: On the plan of care there is an order for Polyethylene Glycol 17grams daily, there is no diluent listed in the instructions. Corrected on site. Patient 6: On the plan of care there is an order for Polyethylene Glycol 17grams daily, there is no diluent listed in the instructions. Corrected on site. Patient 8: On the plan of care there is an order for oxygen gas for inhalation 2-4 liters for dyspnea prn, there is not a route for the order. Corrected on site.”
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Competency evaluation (42 CFR 418.76(c))
The inspectors’ words, 102 words
“Upon personnel record review, 1 of 11 (Personnel # 4) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) ·(C) Shampoo, sink, tub, and bed Personnel 4: In the personnel file the aide competency includes “shampoo”, there is not evidence in the competency assessment by the aide that appropriate techniques in personal hygiene and grooming included sink, tub and bed. Corrected on site with an addendum and Corporate training.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Nov 13, 2025 | Reaccreditation inspection by the Accreditation Commission for Health Care | 4 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 16, 2019.
- 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): 16.3 nurse care minutes per routine home care day, 6.5% of skilled nursing minutes at weekends and a visit near death for 91.8% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 63% at home, 26% in assisted living, 11% 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 | 16.3 min |
| Skilled nursing minutes at weekends | 6.5% |
| Visits near death | 91.8% of patients who died |
Who owns it?
- Elite Hospice Holdings, LLC owns 100% directly since Nov 4, 2022.
- 6 owners or officers are people: Misty Venett (managing employee (on the payroll), 100%); Christopher Smith (corporate officer, 100%); Adam C Cruse (corporate officer, 100%); John W Mann (managing employee (on the payroll), 100%); Jennifer Quesinberry Jennings (managing employee (under contract), 100%); Ray L Shrout (owns 5% or more through other companies, 11.8%).
- 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 |
|---|---|---|---|
| Affinity Hospice Intermediate Holdings LLC | Owns 5% or more through other companies | 100% | Nov 4, 2022 |
| Dragonfly Finance Holdco LLC | Owns 5% or more through other companies | 100% | Nov 4, 2022 |
| Affinity Hospice Holdings, LLC | Owns 5% or more through other companies | 100% | Nov 4, 2022 |
| Affinity Hospice Ultimate Holdings LLC | Owns 5% or more through other companies | 100% | Nov 4, 2022 |
| Elite Hospice Holdings, LLC | Owns 5% or more directly | 100% | Nov 4, 2022 |
| Llr Equity Partners VI LP | Owns 5% or more through other companies | 35.6% | Nov 4, 2022 |
| Llr VI-Ah LLC | Owns 5% or more through other companies | 35.6% | Nov 4, 2022 |
| Llr VI Ll-Ah LP | Owns 5% or more through other companies | 15.8% | Nov 4, 2022 |
| Llr Equity Partners International VI LP | Owns 5% or more through other companies | 15.8% | Nov 4, 2022 |
| FOSH Holdings LLC | Owns 5% or more through other companies | 11.8% | Nov 4, 2022 |
| Llr LP Co-Invest VI-Ah LLC | Owns 5% or more through other companies | 9.5% | Nov 4, 2022 |
| Llr Equity Partners VI Co-Invest LP | Owns 5% or more through other companies | 9.5% | Nov 4, 2022 |
| Go IV Equalization (Eci) LP | Owns 5% or more through other companies | 9.4% | Nov 4, 2022 |
| Franklin Park Co-Investment Fund V LP | Owns 5% or more through other companies | 6.2% | Nov 4, 2022 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 90% rated it 9 or 10 out of 10, and 96% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 96.61% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 63.8% 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 | Not 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 threshold | 9 of 10 |
How does it compare nearby?
- Of the 13 hospices CMS’s data show serving patients in ZIP code 24201, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4.5; this one had 4.
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 |
|---|---|
| Elite Hospice This hospice | 4 |
| Amedisys Hospice, An Adventa Company | 5 |
| Gentiva | 20 |
| Smoky Mountain Home Health and Hospice, I N C | 1 |
| Ballad Health Hospice | 8 |
| Caris Healthcare | 4 |
| Wythe Hospice of Swva | 0 |
| Ballad Health Hospice | 5 |
| Medical Services of America Home Health & Hospice | Not given |
| Gentiva II | 11 |
| Home Nursing Company Inc. | 4 |
| Caris Healthcare, LP (Abingdon) | 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.