Trinity Hospice LLC
A hospice in Chesapeake, Virginia 23320
1401 Kempsville Road Suite A Unit 1, Chesapeake, Virginia 23320. (757) 664-9441.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 8 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?
8 deficiencies cited in the last three years
The middle of the 25 hospices serving ZIP code 23320 had 6.5.
The last inspection on record was on Jul 18, 2024: 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
8 deficiencies in 1 month of the last 36. Last cited Jul 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.
Jul 18, 2024: reaccreditation inspection by the Accreditation Commission for Health Care8 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
“Upon patient record review 1 of 14 (Patient #14) did not have evidence in the patient record that the hospice interdisciplinary group, in consultation with the individual’s attending physician (if any), completed the comprehensive assessment no later than 5 calendar days after the election of hospice care. Pt #14 - Pt admitted 5/29/24. SC assessment completed 6/24/24 - more than 5 days.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 155 words
“Upon patient record review, 2 of 19 (Patient #6, #18) 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 Pt #6 - Pt on oxygen. No evidence of oxygen on Medication profile (Corrected on site) Also, upon home visit noted pt was placed on Miralax on 7/1/24. Pt’s daughter has not picked up the mediation - today 7/17/24. Pt # 18 -Upon home visit, SNF MAR did not match hospice MAR, facility was missing order of 10/23/23 Fexofenadine 60 mg tab 1 time day for allergies; Mirtazapine 15 mg 2/12/24 1 tab tid; Docusate 200m by mouth for bowel regime(Corrected on site)”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 106 words
“Upon patient record review, 3 of 14 (Patient #6, 7, 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. Pt #6 - No evidence of order for pt’s oxygen in record (Corrected on site) Pt #7 - Order for oxygen read O2 2l/min per nc/face mask for SOB. No evidence of prn or continuous (Corrected on site) Pt #8 - order for oxygen reads 2-5 l/min gas respiratory (inhalation) every 1 min as needed for SOB. no evidence of nc or mask (Corrected on site)”
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Coordination of services (42 CFR 418.56(e)(2))
The inspectors’ words, 105 words
“Upon client record review, 2 of 19 (Patient #10, #13) did not have evidence that the IDG ensures that the care and services are provided in accordance with the plan of care. Pt # 10-order on chart for PT to evaluate and treat as appropriate 6/19/24. No evidence that PT evaluation was done. Facility stated that auth for insurance was done and received approval on July 3rd. Facility states he will be seen this week. As of 7/17/24, no therapy visit completed. Pt # 13 - no evidence of an order to discontinue wound care to patient’s R foot area after 7/5/24 (Corrected on site)”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 154 words
“Upon patient record review, 1 of 14 (Patient #10) 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 Pt # 10 - Pt is on Xarelto, 1xday. No evidence that bleeding precautions are on aide plan of care. POC does include shaving patient every visit.(Corrected on site)”
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Training (42 CFR 418.100(g)(3))
“Upon personnel record review, 6 of 14 (Personnel #1, 2, 3, 4, 6, 11 ) did not have evidence that a skills competency assessment, specific to each discipline had been conducted for all personnel including volunteers initially during orientation. (All Corrected on Site)”
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Hospice plan of care (42 CFR 418.112(d)(1))
The inspectors’ words, 102 words
“Upon client record review, 1 of 19 (Patient #13) did not have evidence that the hospice plan of care identifies the care and services that are needed and specifically identify which provider (nursing facility or hospice) is responsible for performing the respective functions that have been agreed upon and included in the hospice plan of care. Pt #13 - Wound care is ordered for this patient. POC does not identify who is responsible for performing this care. To abdominal fold and right foot, - cleanse with wound cleanser and pat dry with non sterile gauze. cover with ABD and secure with tape.”
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Personnel qualification (42 CFR 418.114(a))
“Upon personnel record review, 1 of 14 (Personnel # 11) did not have evidence that personnel credentialing activities are conducted to verify qualifications of all credentialed/licensed personnel in the positions they hold at the time of hire, at renewal or in accordance with specific state practice act requirements. Personnel #11- SC - No evidence of credentials, ordination, or theology degree in personnel file as listed as job requirements. (Corrected on site)”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 18, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Aug 5, 2021.
- 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): 12 nurse care minutes per routine home care day, 5% of skilled nursing minutes at weekends and a visit near death for 88.6% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 38% at home, 43% in assisted living, 13% in a nursing facility, 6% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.0 min |
| Skilled nursing minutes at weekends | 5% |
| Visits near death | 88.6% of patients who died |
Who owns it?
- Mcardle Healthcare Services LLC owns 77% directly since Jan 1, 2024; Daniel Home Care LLC owns 10% directly since Apr 1, 2023; Jm Pope LLC owns 8% directly since Jan 1, 2024; Gomez Healthcare Management, LLC owns 5% directly since Apr 1, 2023.
- 9 owners or officers are people: Bridget P Mcardle (owns 5% or more through other companies, 38.5%); William L Mcardle (owns 5% or more through other companies, 38.5%); Robert J Daniel (owns 5% or more through other companies, 10%); Jessica M Pope (owns 5% or more through other companies, 8%); Ray Gomez (owns 5% or more through other companies, 5%); Jason C Evers (managing employee (on the payroll)); Jessica M Pope (managing employee (on the payroll)); William L Mcardle (corporate officer); Kristen Charpentier (corporate officer).
- 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 |
|---|---|---|---|
| William L Mcardle and Angela Pope Mcardle Family Living Trust | Owns 5% or more through other companies | 100% | Apr 9, 2020 |
| Mcardle Healthcare Services LLC | Owns 5% or more directly | 77% | Jan 1, 2024 |
| Daniel Home Care LLC | Owns 5% or more directly | 10% | Apr 1, 2023 |
| Jm Pope LLC | Owns 5% or more directly | 8% | Jan 1, 2024 |
| Gomez Healthcare Management, LLC | Owns 5% or more directly | 5% | Apr 1, 2023 |
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 88% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 96.34% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 45% 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 25 hospices CMS’s data show serving patients in ZIP code 23320, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6.5; this one had 8.
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 |
|---|---|
| Sentara Home Care Services - Chesapeake | 18 |
| Comfort Care Home Health and Hospice | 6 |
| Medi Home Health and Hospice - Chesapeake | 1 |
| Amedisys Hospice Care | 9 |
| Trinity Hospice LLC This hospice | 8 |
| Acg Hospice | 2 |
| Albemarle Home Care and Hospice | 1 |
| Bon Secours Hospice | 7 |
| Personal Touch Home Care & Hospice-Newport News | 12 |
| Hospice of Virginia | 24 |
| Promedica Hospice (Virginia Beach) | 10 |
| Gentiva | Not given |
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.