Providence at Home With Compassus Hospice Care, Puget Sound
A hospice in Tukwila, Washington 98168
2811 S 102nd St Ste 220, Tukwila, Washington 98168. (206) 320-4000.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency cited in the last three years
- 3of 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?
1 deficiency cited in the last three years
The middle of the 16 hospices serving ZIP code 98168 had 4.
The last inspection on record was on Aug 15, 2024: a recertification inspection by the state.
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 Aug 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.
Aug 15, 2024: recertification inspection by the state1 deficiency
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 495 words
“. Based on record review and interview, the agency failed to ensure that agency staff followed the physicians orders written in the Plan of Care (POC) for the Pro Re Nata (PRN), as needed, nursing visits for 3 of the 20 active patients (Patient #104, Patient #105, and Patient #110). Failure to follow the physicians orders in the patients POC may potentially have a clinical impact on the patients hospice care. Findings included: 1. Document review of the agencys policy titled, “;Plan of Care”, (Date Revision: 07/2023) showed that the plan of care is based on physicians orders that reflect the patients and familys needs. 2. Record review of patient records (Patient #104, Patient #105, and Patient #110) showed: a. Patient #104s election date was on 05/24/24 with a primary diagnosis of Sepsis. Skilled nursing services were ordered with frequencies of 1 visit every week for 9 weeks, and 6 PRN nursing visits for pain and symptoms management. Review of the patient’s record described the following PRN Nursing visits: i. On 05/26/24, a PRN nursing visit was made to drop off items. ii. On 05/31/24, a PRN nursing visit was made to check on the patient’s right toe. iii. On 06/20/24, a PRN nursing visit was made for a post fall. iv. On 06/23/24, a PRN nursing visit was made to drop off items. There was no other documentation to show that the PRN nursing visits were made for pain and symptoms management as ordered by the physician. b. Patient #105s election date was 07/31/24 with a primary diagnosis of Pancreatic Cancer. Skilled nursing services were ordered with frequencies of 1 visit every week for 13 weeks, and 6 PRN nursing visits for symptoms management. On 08/09/24, a PRN nursing visit was made for a case conference visit. There was no other documentation to show that the PRN nursing visit was made for symptom management as ordered by the physician. c. Patient #110s election date was 01/02/24 with a primary diagnosis Severe Late-Onset Alzheimers Dementia. Skilled nursing services were ordered with frequencies of 1 visit every week for 9 weeks, and 4 PRN nursing visits for symptom management. Review of the patient’s record described the following PRN Nursing visits: i. On 01/21/24, a PRN nursing visit was made as a routine visit. ii. On 01/28/24, a PRN nursing visit was made as a routine visit. iii. On 02/01/24, a PRN nursing visit was made as a routine visit. There was no other documentation to show that the PRN nursing visits were made for pain and symptom management as ordered by the physician. 3. On 08/15/24 at 8:15 AM, Surveyor #1 interviewed the agencys Hospice Director (Staff 115) regarding their use of PRN nursing visits. Staff #115 acknowledged the findings and stated that the agency has no policy on PRN nursing visits. In addition, Staff #115 was unable to provide documentation to show that the PRN nursing visits were made as ordered by the patients physician.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 15, 2024 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Sep 1, 1987.
- Ownership: non-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): 10.7 nurse care minutes per routine home care day, 8.7% of skilled nursing minutes at weekends and a visit near death for 84.7% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 65% at home, 21% in assisted living, 14% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 10.7 min |
| Skilled nursing minutes at weekends | 8.7% |
| Visits near death | 84.7% of patients who died |
Who owns it?
- Cp TX Holdings LLC owns 100% directly since Feb 27, 2025; Cp Seattle Wa Hospice Holding LLC owns 100% directly since Feb 27, 2025.
- 6 owners or officers are people: John Cullen (corporate officer); David C Brunelle (managing employee (under contract)); Catherine Sloan (corporate officer); Russell G Adkins (corporate officer); Stacey L Jones (managing employee (on the payroll)); Michael Asselta (corporate officer).
- 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 |
|---|---|---|---|
| Cp WA Holdings LLC | Owns 5% or more through other companies | 100% | Feb 27, 2025 |
| Cp TX Holdings LLC | Owns 5% or more directly | 100% | Feb 27, 2025 |
| Cp Seattle Wa Hospice Holding LLC | Owns 5% or more directly | 100% | Feb 27, 2025 |
| Compassus Providence Holdings, LLC | Owns 5% or more through other companies | 100% | Feb 27, 2025 |
| Compassus Parent, Inc. | Owns 5% or more through other companies | 50% | Mar 1, 2025 |
| Fc Compassus LLC | Owns 5% or more through other companies | 50% | Mar 1, 2025 |
| Providence Health & Services - Washington | Owns 5% or more through other companies | 50% | Feb 27, 2025 |
| Compassus Holdings LP | Owns 5% or more through other companies | 50% | Mar 1, 2025 |
| Compassus Intermediate Inc. | Owns 5% or more through other companies | 50% | Mar 1, 2025 |
| Providence Health & Services | Owns 5% or more through other companies | 50% | Feb 27, 2025 |
| Providence St. Joseph Health | Owns 5% or more through other companies | 50% | Feb 27, 2025 |
| Ti V Asc Compassus Investment Aggregator, L.P. | Owns 5% or more through other companies | 48.75% | Mar 1, 2025 |
| Ti V Compassus Investment Aggregator, L.P. | Owns 5% or more through other companies | 24.92% | Mar 1, 2025 |
| Ascension Towerbrook Healthcare Opportunities LP | Owns 5% or more through other companies | 23.83% | Mar 1, 2025 |
| Ascension Capital LLC | Owns 5% or more through other companies | 23.82% | Mar 1, 2025 |
| Ascension Health Alliance | Owns 5% or more through other companies | 23.82% | Mar 1, 2025 |
| Towerbrook Investors V (Onshore) LP | Owns 5% or more through other companies | 14.98% | Mar 1, 2025 |
| Towerbrook Investors V 892 LP | Owns 5% or more through other companies | 7.11% | Mar 1, 2025 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 78% rated it 9 or 10 out of 10, and 82% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.71% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 49.4% 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 | 3 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 16 hospices CMS’s data show serving patients in ZIP code 98168, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; 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 |
|---|---|
| Providence at Home With Compassus Hospice Care, Puget Sound This hospice | 1 |
| Continuum Care of King LLC | 3 |
| Gentiva | Not given |
| Eden Hospice | 4 |
| Multicare Hospice | 8 |
| Providence at Home With Compassus, Snohomish County | 1 |
| Kaiser Permanente Washington Hospice | 0 |
| Evergreen Health Hospice Care | 16 |
| Harbors Home Health and Hospice | 0 |
| Franciscan Hospice | 9 |
| Assured Hospice | 4 |
| Kline Galland Hospice Services | 5 |
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.