Synopsis at:

Key Takeaway: 

The majority of hospices had at least one deficiency in the quality of care they provide. It is essential that CMS take action to hold hospices accountable and protect beneficiaries and the program.

Complete Report at:


This report provides a first-time look at hospice deficiencies nation-wide in that it includes both hospices that were surveyed by State agencies and those surveyed by accrediting organizations. This report is the first in a two-part series. The companion report addresses beneficiary harm in depth.

 20 percent had a serious deficiency

The most common types of deficiencies involve poor care planning, mismanagement of aide services, and inadequate assessments of beneficiaries

Additional deficiencies also put beneficiaries at risk

One-third of hospices had complaints filed against them; for almost half of these hospices, the complaints were severe.

More than 300 hospices are poor performers