Franciscan Hospice
A hospice in University Place, Washington 98466
2901 Bridgeport Way, University Place, Washington 98466. (253) 534-7000.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 9 deficiencies 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?
9 deficiencies cited in the last three years
The middle of the 8 hospices serving ZIP code 98466 had 1.5.
The last inspection on record was on May 14, 2026: 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
9 deficiencies in 1 month of the last 36. Last cited May 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.
May 14, 2026: recertification inspection by the state1 deficiency
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Fire protection (42 CFR 418.110 (d))
“Based on observation, document review and interview, the hospice failed to meet the requirements of the Life Safety Code of the National Fire Protection Association (NFPA), 2012 edition. Failure to meet the Life Safety Code of the National Fire Protection Association risks injury to patients, staff, and visitors during a fire. Refer to deficiencies written on the Hospice Life Safety Code inspection report # 231417-L1, dated 05/12/2026.”
May 12, 2026: recertification inspection by the state8 deficiencies
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Building Construction Type and Height (42 CFR NFPA 101)
The inspectors’ words, 120 words
“Based upon observations and staff interviews on 05/12/2026 between approximately 0800 to 1100 hours the facility has failed to maintain fire resistive construction of the building capable of resisting the passage of smoke and fire into other compartments. This could allow the toxic product of combustion to move out of a room and into the exit access corridor and the smoke compartment which would endanger the patients, staff, and/or visitors within the facility. The findings include:In the main electrical room by the front desk non-fire rated spray foam was being used to fill penetrations in the surrounding walls. These walls were verified as fire barriers vie the building plans. The above was discussed and acknowledged by the facility maintenance staff.”
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Discharge from Exits (42 CFR NFPA 101)
The inspectors’ words, 107 words
“Based upon observations and staff interviews on 05/12/2026 between approximately 0800 to 1100 hours the facility has failed to maintain the exit discharge free of obstructions and with an all-weather surface. This could cause an inability or delay in the evacuation of residents in the event of an emergency which would endanger patients, staff, and/or visitors. The findings include, but are not limited to:The exit discharge from the Home Health Admin Office emergency exit door is not level. The egress landing for this exit door is no longer flat and has cracked causing tripping hazards. NFPA 101 7.1.6.2.The above was discussed and acknowledged by the facility staff.”
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Emergency Lighting (42 CFR NFPA 101)
The inspectors’ words, 98 words
“Based upon observations and staff interviews on 5/12/26 between approximately 0900 to 1100hours the facility has failed to maintain records of testing for the emergency battery backup lighting. This could result in the failure of the battery powered backup lighting in the event of a power outage and render the means of egress dark. This could result delayed egress and in tripping and fall injuries to patients, staff, and/or visitors. The findings include:Facility is unable to provide documentation for the annual 90 minute power test for the emergency lights.The above was discussed and acknowledged by the Maintenance Director.”
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Fire Alarm System - Testing and Maintenance (42 CFR NFPA 101)
The inspectors’ words, 94 words
“Based on observation and staff interview on 05/12/2026 between approximately 0800 to 1100 hours the facility has failed to maintain their automatic and manual fire alarm system in accordance with NFPA 72. This could result a failure of the fire alarm system to properly operate in the event of a fire, which would endanger the patents, staff, and/or visitors within the facility. The findings include:-Facility is unable to provide documentation for semi-annual battery testing and visual alarm system inspections. NFPA 72 (2010) 14.3.1 and 14.4.5.The above was discussed and acknowledged by the Maintenance Director.”
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Fire Alarm System - Out of Service (42 CFR NFPA 101)
The inspectors’ words, 110 words
“Based upon record review and staff interviews on 05/12/2026 between approximately 0800 to 1100 hours the facility has failed to have a written procedure for instituting an approved fire watch in the event of a failure of the fire alarm system. This could result in an inadequate fire watch which may result in a delay of fire detection and suppression, potentially endangering patients, staff, and/or visitors within the facility. The findings include: The fire watch policy was not approved because it failed to state that fire watch rounds are to be conducted at 15 minute intervals per the AHJ’s requirement. The above was discussed and acknowledged by the Maintenance Director.”
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Fire Drills (42 CFR NFPA 101)
The inspectors’ words, 135 words
“Based upon record review and staff interviews on 05/12/2026 between approximately 0800 to 1100 hours the facility has failed to provide fire drill records reflecting drills being conducted on all shifts for each quarter for the past 12 months. This could potentially result in the staff not responding in a coordinated manner in the event of a fire or other emergency and endangering patients, staff, and/or visitors. The findings include:-The facility failed to provide documentation for a fire drill on each shift, in each quarter of the previous 12 months. As a 24/7 facility the requirement would exceed the provided documentation of a single day, swing and NOC shift drill per quarter, to cover each scheduled designated duty period where substantially different groups of employees work.The above was discussed and acknowledged by the Maintenance Director.”
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Combustible Decorations (42 CFR NFPA 101)
“Based on observation and staff interview on 05/12/2026 between approximately 0800 to 1100 hours the facility failed to prohibit the use of combustible decorations of flammable material. This could result in the rapid spread of smoke and fire in the event of ignition which could potentially endanger the patients, staff, and/or visitors within the facility. The findings include:There were candles located in the following spaces: The Manager of Clinical Service OfficeThe Home Health Administration office The above was discussed and acknowledged by the facility staff.”
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Electrical Equipment – Power Cords and Extension Cords (42 CFR NFPA 101)
“Based upon observations and staff interviews on 05/12/2026 between approximately 0800 to 1100 hours the facility failed to restrict the use of extension cords and non-approved power strips in their facility. This could endanger patients, staff, and visitors in the facility due to the increased fire risk. The findings include: An extension cord was installed in a permanent fashion in the Manager of Clinical Services office. The above was discussed and acknowledged by the facility staff.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 14, 2026 | Recertification inspection by the state | 1 deficiency cited |
| May 12, 2026 | Recertification inspection by the state | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Apr 6, 1993.
- 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): 12.3 nurse care minutes per routine home care day, 7.8% of skilled nursing minutes at weekends and a visit near death for 87.7% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 48% at home, 29% in assisted living, 1% in a nursing facility, 17% in a skilled nursing facility, 2% in an inpatient hospice, 3% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.3 min |
| Skilled nursing minutes at weekends | 7.8% |
| Visits near death | 87.7% of patients who died |
Who owns it?
- Commonspirit Washington owns 100% directly since Jan 1, 2021.
- 22 owners or officers are people: David Hohimer (corporate director, 0%); Bethany C Fowler (managing employee (on the payroll)); Robert Carlile (corporate director); Diann E Puls (corporate director); Uli Han-Hsiang Chi (corporate director); Gregg S Meyer (corporate director); Anne Retailliau Sims (managing employee (on the payroll)); Robert Lemon (corporate director); Charles R Arnold (corporate director, 0%); David Nosacka (corporate officer); David Nosacka (managing employee (on the payroll)); Daniel Morissette (corporate officer, 0%); Karen T Lee (corporate director); John F Oppenheimer (corporate director); Anne Lupita Mcnamara (corporate director, 0%); David Butcherite (corporate officer); David Butcherite (managing employee (on the payroll)); Carolyn Corvi (corporate director); Ketul J Patel (managing employee (on the payroll)); Ruth Elizabeth Goodwin (corporate director); Dennis Joseph Hunthausen (corporate director); Tod Hamachek (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 |
|---|---|---|---|
| Commonspirit Health | Owns 5% or more through other companies | 100% | May 1, 1996 |
| Commonspirit Washington | Owns 5% or more directly | 100% | Jan 1, 2021 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 81% rated it 9 or 10 out of 10, and 86% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 53.1% 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 8 hospices CMS’s data show serving patients in ZIP code 98466, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 1.5; this one had 9.
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 |
|---|---|
| Franciscan Hospice This hospice | 9 |
| Multicare Hospice | 8 |
| Providence at Home With Compassus Hospice Care, Puget Sound | 1 |
| Kaiser Permanente Washington Hospice | 0 |
| Envision Hospice | 16 |
| Continuum Care of Snohomish, LLC | 2 |
| Puget Sound Hospice | 0 |
| Accentcare Hospice & Palliative Care of Pierce County | 1 |
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.