Athc-Hospice, LLC
A hospice in Fredericksburg, Virginia 22407
1121 Heatherstone Drive, Fredericksburg, Virginia 22407. (540) 322-2981.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency 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?
1 deficiency cited in the last three years
The middle of the 16 hospices serving ZIP code 22407 had 8.
The last inspection on record was on Feb 27, 2026: a reaccreditation inspection by the Community Health Accreditation Partner.
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
1 deficiency in 1 month of the last 36. Last cited Feb 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.
Feb 27, 2026: reaccreditation inspection by the Community Health Accreditation Partner1 deficiency
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Level of activity (42 CFR 418.78(e))
The inspectors’ words, 301 words
“It is required that hospice volunteers provide day-to-day administrative or direct patient care services in an amount that, at a minimum, equals five percent (5%) of the total patient care hours of all paid hospice employees and contract staff. This standard was not met as evidenced by document review and interview. The agency did not ensure that hospice volunteers provided day-to-day administrative or direct patient care services in an amount that equaled at least five percent (5%) of the total patient care hours of all paid hospice employees and contract staff. A joint review of the agency’s report titled “Volunteer Data” with the Volunteer Coordinator on 02/26/2026 revealed that volunteer utilization for the agency was below 5% per regulation. The annual volunteer report for calendar year 01/01/2024 through 12/31/2024 revealed volunteer utilization was 2.45%. The annual volunteer report for calendar year 01/01/2025 through 12/31/2025 revealed volunteer utilization of 3.98%. During an interview on 02/25/2026, the Volunteer Coordinator stated, “ We have had challenges recruiting volunteers; since last year, we have not been able to recruit enough volunteers, and we did not meet the 5% requirement. We are currently in the process of recruiting more volunteers.” An active volunteer recruitment and retention program is in progress. No further information was provided. During an interview on 02/25/2026, the Director of Clinical Operations confirmed the findings and agreed that the 5% requirement was not met and that they now have recruitment and retention processes in place. A joint review of the agency report titled “Volunteer Data.” with the Volunteer Coordinator on 02/26/2026 revealed that volunteer utilization for the agency was below 5% per regulation. The annual volunteer report for calendar year 01/01/2024, through 12/31/2024 revealed volunteer utilization was 2.45%. The annual volunteer report for calendar year 01/01/2025, through 12/31/2025, revealed volunteer utilization of 3.98%.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 27, 2026 | Reaccreditation inspection by the Community Health Accreditation Partner | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Jul 23, 2020.
- 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): 15.5 nurse care minutes per routine home care day, 8.4% of skilled nursing minutes at weekends and a visit near death for 94.9% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 84% at home, 10% in assisted living, 5% 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 | 15.5 min |
| Skilled nursing minutes at weekends | 8.4% |
| Visits near death | 94.9% of patients who died |
Who owns it?
- Abode Healthcare, Inc. owns 100% directly since Jun 27, 2012.
- 9 owners or officers are people: Jay Koeper (corporate officer, 0%); Jay Koeper (corporate director, 0%); Jennifer Phipps (corporate officer); George J Mehfoud (managing employee (under contract), 0%); Margaret Sherry Pemberton (corporate officer); Margaret Sherry Pemberton (corporate director); Shelley Freitag (managing employee (on the payroll), 0%); Michael A Mcmaude (corporate officer); Michael A Mcmaude (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 |
|---|---|---|---|
| Silverton Abode Holding Corporation | Owns 5% or more through other companies | 100% | Jan 10, 2020 |
| Brightspring Health Holdings Corp | Owns 5% or more through other companies | 100% | Apr 16, 2021 |
| Silverton Intermediate Holdings, Inc. | Owns 5% or more through other companies | 100% | Jan 10, 2020 |
| Phoenix Guarantor Inc. | Owns 5% or more through other companies | 100% | Apr 16, 2021 |
| Res-Care Inc. | Owns 5% or more through other companies | 100% | Apr 16, 2021 |
| Silverton Holdings, Inc. | Owns 5% or more through other companies | 100% | Jan 10, 2020 |
| Phoenix Intermediate Holdings Inc. | Owns 5% or more through other companies | 100% | Apr 16, 2021 |
| Abode Healthcare, Inc. | Owns 5% or more directly | 100% | Jun 27, 2012 |
| Brightspring Health Services Inc. | Owns 5% or more through other companies | 100% | Apr 16, 2021 |
| Silverton Abode, LLC | Owns 5% or more through other companies | 100% | Jan 10, 2020 |
| Kkr Phoenix Aggregator L.P. | Owns 5% or more through other companies | 48% | Apr 16, 2021 |
| Kkr Americas Fund Xii LP | Owns 5% or more through other companies | 42% | Apr 16, 2021 |
| Walgreen Co | Owns 5% or more through other companies | 20% | Apr 16, 2021 |
| Walgreens Holding Company | Owns 5% or more through other companies | 20% | Apr 16, 2021 |
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): 88% rated it 9 or 10 out of 10, and 92% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.41% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 79.4% 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 | 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 16 hospices CMS’s data show serving patients in ZIP code 22407, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; this one had 1.
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 |
|---|---|
| Medi Home Health & Hospice | 2 |
| Gentiva I | 18 |
| Athc-Hospice, LLC This hospice | 1 |
| Mary Washington Hospice | 5 |
| James River Home Health Care LLC (Fredericksburg) | 1 |
| Hospice of the Piedmont Inc. | 18 |
| Blue Ridge Hospice, Inc. | 3 |
| Compassus - Reston | 0 |
| Promedica Hospice (Fairfax) | 15 |
| Vitas Healthcare Corporation Atlantic | 12 |
| Amedisys Hospice of Richmond | 7 |
| Legacy Hospice | 9 |
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
-
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.