OSF Hospice
A hospice in Loves Park, Illinois 61111
9951 Rock Cut Crossing, Loves Park, Illinois 61111. (815) 433-6090.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 3 deficiencies cited in the last three years
- 4of 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?
3 deficiencies cited in the last three years
The middle of the 15 hospices serving ZIP code 61111 had 6.
The last inspection on record was on Aug 23, 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
3 deficiencies 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 23, 2024: recertification inspection by the state3 deficiencies
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Counseling services (42 CFR 418.64(d)(1))
The inspectors’ words, 230 words
“Based on a review of clinical records, Hospice policy, and Staff interview, it was determined the Hospice failed to ensure bereavement services were provided as required. This was found in 1 of 3 (Pt. #21) closed clinical records reviewed, wherein the Pt. had expired. Findings include: 1. Pt. #21 was admitted for Hospice services on 06/28/23 with the diagnosis of Malignant Neoplasm of Upper Lobe Left Lung. The clinical record was reviewed on 08/21/24. The clinical record contained documentation that the Hospice provided services, until the Pt. expired on 08/14/23. As of 08/21/24, the Hospice lacked documentation that post bereavement services were provided to the identified primary family member. 2. The Hospice policy titled; “Hospice Bereavement for Patient Survivors” was reviewed on 08/21/24. The policy required, “...1. The patient, identified significant other, or identified primary family member have bereavement services offered to them prior to them... for a minimum of 13 months following the death of a patient... 3... Included in the records are the Bereavement Care Plan, any documented visits, and all dates and types of contact with the survivors. These are maintained in the EHR by the Bereavement Coordinator or designee. Bereavement narrative documentation is completed the same day of services or contacts....” 3. During an interview on 08/22/24 at 9:43 AM with Hospice Manager #1 and Hospice Manager #2, the Hospice Manager #2 confirmed the above findings.”
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Retrieval of clinical records (42 CFR 418.104(f))
The inspectors’ words, 419 words
“Based on Staff interview, it was determined the Hospice failed to ensure the clinical records were readily available as requested for survey review. 3.On 08/21/24 at 3:15 PM of survey day 3, the Hospice clinical records were not available for review for 3 of the 5 surveyors. During the interview with the Hospice Clinical Manager, it was stated they were requesting help to gain access of the electronic records. 4.The findings were confirmed during the interview with the Hospice Manager, on 08/21/24 at 3:30 PM. 2. The hospices clinical records were not readily accessible or available upon request made to the Hospice Director Operations Hospice and Palliative Care and the Home Health Manager - Northern Region, for access to Pt. #4’s EMR until 08/21/24, at 1:30 PM (day 3 of survey). Findings include: 1. On 08/19/24 at 10:05 AM, an entrance interview was conducted onsite with the Hospice Clinical Supervisor #1 and Home Health Manager-Northern Region. A request was made for the Hospice to provide access to Pt. clinical records and the ability to review staff personnel files. During the same interview, the Hospice Clinical Supervisor #1 stated the organization use an electronic medical record (EMR) system for patients and employee personnel files. Several hours after the entrance interview, Hospice staff presented a document with a login (username and password), and a Hospice issued laptop to access Pt. clinical records. After multiple attempts, the login provided was unsuccessful. As of 08/19/24 at 4:00 PM, unable to access the Hospice’s EMR to review Pt. clinical records. This issue was reported to Hospice and Home Health supervisor/administrative staff. 08/20/24 at 2:55 PM, unable to access Hospice Pt. medical records after multiple attempts with the assistance of Hospice staff. Informed the Director Operations Hospice & Palliative Care, and Hospice Manager #1 the requirement and need to access Pt. clinical records. At 3:55 PM, Hospice staff provided a different Hospice issued laptop and new password, technical assistance from IT staff, still unable to access Pt. medical records. Reiterated with the Director Operations Hospice & Palliative Care the importance to review Pt. clinical records in a timely manner. 08/21/24 at 8:15 AM, Hospice staff presented a printed summary of some services provided by staff for Pt. #2 (a document similar received on 08/20/24). After multiple interactions with the Director Operations Hospice & Palliative Care, able to access the first clinical record on 08/21/24 at 1:30 PM. As of 08/21/24, the Hospice was unable to provide access to Pt. clinical records in a well-timed manner.”
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Hospice plan of care (42 CFR 418.112(d))
The inspectors’ words, 100 words
“Based on the observation of the facility clinical record review and Staff interview, it was determined in 1 of 4 visits (Pt. #3), the Hospice failed to ensure the Hospice plans of care was provided to the Skilled Facility. Findings include: 1.Pt. #3 was admitted to Hospice services on 04/08/24 with diagnosis of Severe Protein Malnutrition. On 08/20/24 at 2:20 PM, during the visit with the Chaplain, the facility clinical record was reviewed. The facility clinical record lacked the Hospice plan of care. 2.The findings were confirmed during the interview with the Hospice Manager #1, on 08/21/24 at 3:00 PM.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 23, 2024 | Recertification inspection by the state | 3 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 4, 2002.
- 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): 18.4 nurse care minutes per routine home care day, 9.1% of skilled nursing minutes at weekends and a visit near death for 96.9% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 57% at home, 5% in assisted living, 37% in a nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 18.4 min |
| Skilled nursing minutes at weekends | 9.1% |
| Visits near death | 96.9% of patients who died |
Who owns it?
- OSF Healthcare Ministries runs it.
- 30 owners or officers are people: Patricia A Brazeau (corporate officer); Patricia A Brazeau (corporate director); Dawn R Lemmert (managing employee (on the payroll)); Anne M Ziegler (corporate director); Melanie R Mann (corporate officer); Melanie R Mann (corporate director); Gerald J Mcshane (corporate director); Jason Robert Rodeghero (managing employee (on the payroll)); Jason Robert Rodeghero (runs it (operational or managerial control)); Ramon B Inciong (managing employee (on the payroll)); Ramon B Inciong (runs it (operational or managerial control)); Kathleen F Williams (corporate officer); Kathleen F Williams (corporate director); Kirsten M Largent (corporate officer); Kirsten M Largent (managing employee (on the payroll)); Kirsten M Largent (runs it (operational or managerial control)); Michelle D Conger (corporate officer); Michelle D Conger (corporate director); Michelle D Conger (managing employee (on the payroll)); Michelle D Conger (runs it (operational or managerial control)); Colleen Hoelzer (managing employee (on the payroll)); Lena T Nilsson (managing employee (on the payroll)); Judith A Duvall (corporate officer); Judith A Duvall (corporate director); Sheila M Chernick (managing employee (on the payroll)); Susan E Fristad (managing employee (on the payroll)); Brian J Silverstein (corporate director); Paula K Selamat (corporate director); Bridget J Meidl (corporate officer); Bridget J Meidl (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.
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 85% rated it 9 or 10 out of 10, and 87% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.27% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 74.5% 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 | 4 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 15 hospices CMS’s data show serving patients in ZIP code 61111, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 3.
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 |
|---|---|
| OSF Hospice This hospice | 3 |
| Vitas Healthcare Corporation of Illinois | 2 |
| Northern Illinois Hospice | 15 |
| VNA Hospice | 1 |
| Serenity Hospice and Home | 0 |
| Unity Hospice of Western Illinois | 3 |
| Heartland Hospice (Rockford) | 22 |
| St Croix Hospice | 3 |
| Family Centered Hospice | 13 |
| Transitions Hospice, LLC | 12 |
| Hope Hospice, Inc. | 15 |
| Sanctuary Hospice | 6 |
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.