Hearth Record

Chi Health at Home

A home health agency in Bismarck, North Dakota 58501

1310 East Main Avenue, Bismarck, North Dakota 58501. (701) 530-4500.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 21, 2026.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited Jan 2025. Most serious: Element-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?

The last inspection on record was on Jan 14, 2025: a recertification inspection.

1 deficiency cited in the last three years.

Source:

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

When those deficiencies happened

1 deficiency in 1 month of the last 36. Last cited Jan 2025. Most serious: Element-level. The last 3 years, to Oct 24, 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 home health inspection reports. Released Oct 20, 2026. Updated monthly.

Jan 14, 2025: recertification inspection1 deficiency
  • Onsite Supervisory Visit Every 14 Days

    The inspectors’ words, 356 words

    “Onsite supervisory visit every 14 days CFR(s): 484.80(h)(1)(i) (1)(i) If home health aide services are provided to a patient who is receiving skilled nursing, physical or occupational therapy, or speech language pathology services— (A) A registered nurse or other appropriate skilled professional who is familiar with the patient, the patient’s plan of care, and the written patient care instructions described in paragraph (g) of this section, must complete a supervisory assessment of the aide services being provided no less frequently than every 14 days; and (B) The home health aide does not need to be present during the supervisory assessment described in paragraph (h)(1)(i)(A) of this section. This Element is not met as evidenced by: Based on record review, policy review, and staff interview, the Home Health Agency (HHA) failed to ensure a registered nurse (RN) performed the supervisory visit no less frequently than every 14 days for 1 of 5 sampled patients (Patient #3) receiving home health aide services for more than two weeks. Failure to complete supervisory visits at least every 14 days limited the HHA’s ability to assess the adequacy of aide services in relation to the needs of the patient/family and to ensure the aides furnished the appropriate care identified in the patient’s plan of care. Findings include: Review of the agency policy titled “Supervision of Paraprofessionals” occurred on 01/14/25. This policy, dated 2023, stated, “. . . If the patient receives skilled nursing care, the Registered Nurse (RN) must perform the supervisory visit. . . . the provision for aide supervision for patients receiving skilled care every 14 days . . .” Review of Patient #3’s medical record occurred on January 13-14, 2025. The record identified a plan of care for home health aide services two times a week for the certification periods of 10/13/24 to 12/11/24 and 12/12/24 to 02/08/25. The record identified occurrences of supervisory visits as follows: * 11/14/24 next on 11/30/24, a 16-day interval. * 12/11/24 next on 12/27/24, a 16-day interval. During an interview on 01/14/25 at 11:45 a.m., a supervisory nurse (#1) confirmed the RN failed to complete supervisory visits for Patient #3 as required.”

    Rule G0808. Element-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Jan 14, 2025Recertification inspection1 deficiency cited

Is it certified?

  • Medicare-certified home health agency since Mar 11, 1980.
  • Ownership: non-profit.
  • No deficiency on record in the last three years.
Source:

CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

Has anything been proven against it?

  • CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
  • 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

CMS, QCOR home health inspection reports. Released Oct 20, 2026. Updated monthly.

Who does the caring?

  • Offers nursing care, physical therapy, occupational therapy, medical social services and home health aide services.
  • Doesn’t offer speech pathology.
  • CMS doesn’t publish staffing levels for home health agencies.
Source:

CMS, Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.

Who owns it?

  • Commonspirit Health owns 100% directly since Dec 26, 2010.
  • 8 owners or officers are people: Wendy L Mcginley (corporate director); Nicole A Peyerl (corporate officer); Nicole A Peyerl (managing employee (on the payroll)); Gretchen K Dobervich (corporate director); Mary Quandt (corporate director); Caroline Stoltz (corporate director); Lance W Gulleson (corporate director); Gloria A Dohman (corporate director).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Home Health Agency All Owners and Home Health Agency Enrollments. Released Sep 29, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
Commonspirit HealthOwns 5% or more directly100%Dec 26, 2010

How do patients fare?

  • CMS rates its quality of patient care 3.5 of 5.
  • Patients rate it 5 of 5 in CMS’s patient survey (147 surveys completed): 89% rated it 9 or 10 out of 10, and 80% would definitely recommend it.
  • CMS compares it with the national rate: discharged to the community, the same; potentially preventable hospital stays, the same; potentially preventable readmissions after discharge, the same.
Source:

CMS, Home Health Care Agencies and Home Health Patient Survey. Released Oct 21, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Quality of patient care ratingCMS star rating, 1 to 5 in half stars3.5 of 5
Patient survey ratingCMS star rating from its survey of the agency’s patients, 1 to 55 of 5
Discharged to the communityCMS’s risk-adjusted rate, compared with the national rate82.23% (same as the national rate)
Potentially preventable hospital staysCMS’s risk-adjusted rate, compared with the national rate12.41% (same as the national rate)
Potentially preventable readmissions after dischargeCMS’s risk-adjusted rate, compared with the national rate4.50% (same as the national rate)

How does it compare nearby?

  • Of the 7 agencies CMS’s data show serving patients in ZIP code 58501, where this agency’s office is, 5 have a quality of patient care rating; the middle one is 3 of 5, and this one is rated 3.5 of 5.
Source:

CMS, Home Health ZIP Codes and Home Health Care Agencies. Released Oct 21, 2026. Updated quarterly.

The 7 agencies CMS lists serving ZIP code 58501
PlaceQuality rating
Chi Health at Home This home health agency3.5
Love and Care Inc.Not given
Kayd Home Care LLCNot given
Sanford Home Care - HHA3
Sanford Home Care Fargo3.5
Ethos Home Health2.5
Caringedge Healthcare of Minot3

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for home health agencies, so none are shown.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • QCOR says some of its home health reports are accurate or available only through May 19, 2021, because of a systems migration.
  • Many home health agencies are inspected by a private accrediting organisation instead of the state, and QCOR’s home health file doesn’t appear to include those inspections: no inspection on record here doesn’t mean none took place.

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 24, 2026.

From the agency

The public record above comes first. Anything the agency adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the agency 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 agency”, 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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