Hearth Record

VCU Health Hospice at Home By Bayada

A hospice in Richmond, Virginia 23230

Two Paragon Building, 6802 Paragon Place Suite 201, Richmond, Virginia 23230. (804) 525-1350.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited Feb 2025. 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?

1 deficiency cited in the last three years

The middle of the 18 hospices serving ZIP code 23230 had 7.

The last inspection on record was on Feb 6, 2025: a reaccreditation inspection by the Community Health Accreditation Partner.

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

1 deficiency in 1 month of the last 36. Last cited Feb 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

1 deficiency 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.

Feb 6, 2025: reaccreditation inspection by the Community Health Accreditation Partner1 deficiency

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

    The inspectors’ words, 240 words

    “It is required that each patient’s individualized written plan of care; reflects patient and family goals; [and] identifies planned interventions based on problems identified in the initial and updated comprehensive assessments. This standard was not met as evidenced by clinical record review, document review, and interview. Agency policy # 0-4556 “Care Plan” (revised 06/03/2024) read in part, “The comprehensive plan of care reflects client/family goals based upon problems identified in the initial/updated assessments and includes all services necessary for palliation and management of the terminal illness and related conditions.” In 2 of 19 (11%) clinical records reviewed, the agency did not ensure that the patient’s plan of care included services necessary to manage problems identified in the initial and updated comprehensive assessments. Clinical Record 7: The patient elected the hospice benefit on 10/05/2023. The initial assessment completed by the Registered Nurse (RN) dated 10/05/2023 documented the patient had bilateral edema. The initial plan of care did not include documentation of interventions and goals related to managing the patient’s edema. Clinical Record 11: The patient elected the hospice benefit on 11/22/2024. The initial assessment completed by the RN dated 11/22/2024 documented the patient had bilateral edema. The initial plan of care did not include documentation of interventions and goals related to managing the patient’s edema. In an interview on 02/04/2025, the Clinical Manager confirmed the patient’s edema should have been identified in the plan of care problems with interventions and goals.”

    Rule L0545. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Feb 6, 2025Reaccreditation inspection by the Community Health Accreditation Partner1 deficiency cited

Is it certified?

  • Medicare-certified hospice since Mar 31, 2022.
  • Ownership: for-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.
  • 0 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): 14.4 nurse care minutes per routine home care day, 6.6% of skilled nursing minutes at weekends and a visit near death for 88.2% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 83% at home, 2% in assisted living, 9% in a nursing facility, 3% in a skilled nursing facility, 2% in a hospital.
Source:

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

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day14.4 min
Skilled nursing minutes at weekends6.6%
Visits near death88.2% of patients who died

Who owns it?

  • Health at Home LLC owns 100% directly since Nov 1, 2021.
  • 14 owners or officers are people: Matthew W Tanzer (corporate officer); Matthew W Tanzer (corporate director); Jennifer Evers (managing employee (on the payroll)); Jennifer Evers (runs it (operational or managerial control)); Lia K Coursey (corporate officer); Lia K Coursey (corporate director); Peter A Boling (corporate director); Joanna L Horst (corporate director); James R Holden (corporate officer); James R Holden (corporate director); Kathryn Sellman (corporate director); Meghan K Townsend (managing employee (under contract)); Divesh K Aidasani (corporate officer); Divesh K Aidasani (corporate director).
  • 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.

Organisations CMS lists
OrganisationRoleShareSince
Health at Home LLCOwns 5% or more directly100%Nov 1, 2021
Bayada Home Health Care, Inc.Owns 5% or more through other companies51%Nov 1, 2021
Virginia Commonwealth University Health System AuthorityOwns 5% or more through other companies49%Nov 1, 2021

What do families say?

  • Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 79% rated it 9 or 10 out of 10, and 83% would definitely recommend it.
  • CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 99.79% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 49.6% 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 53 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 18 hospices CMS’s data show serving patients in ZIP code 23230, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 1.
Source:

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

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

The 18 hospices CMS lists serving ZIP code 23230
PlaceDeficiencies, 3 years
Serenity First LLC9
VCU Health Hospice at Home By Bayada This hospice1
Bon Secours Hospice and Palliative Care4
Gentiva15
Enhabit Hospice (Richmond)16
James River Home Health and Hospice9
Westminster Canterbury Richmond at Home LLC2
Trinity Hospice10
Suncrest Hospice Richmond12
Bristol Hospice - Richmond, L.L.C.Not given
Crater Community Hospice, Inc.7
Hospice of Virginia24

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 28, 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

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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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