Aspirus at Home
A hospice in Hancock, Michigan 49930
1101 N Elevation St, Hancock, Michigan 49930. (906) 337-5700.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 3 deficiencies cited in the last three years
- 3of 5 family caregiver rating
- 9of 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 2 hospices serving ZIP code 49930 had 3.5.
The last inspection on record was on Aug 28, 2025: a complaint 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 Jun 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.
Jun 6, 2024: reaccreditation inspection by the Community Health Accreditation Partner3 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6)(i))
The inspectors’ words, 218 words
“It is required that the documented comprehensive assessment includes a drug profile that contains the patient’s current prescription and over-the-counter (OTC) drugs, supplements, herbal remedies, and other alternative treatments that could affect drug therapy. The medication review process includes the effectiveness of drug therapy, drug side effects, actual or potential drug interactions, duplicate drug therapy, and drug therapy associated with laboratory monitoring. The assessment includes evidence that common side effects of medication in the hospice populations are anticipated, and as appropriate, preventive measurements are implemented to manage the side effects. The drug profile is updated per the hospice policy and procedure, but, at minimum, at the time of each comprehensive assessment and/or when new medication is added, or changes are made to existing medication. This standard was not met as evidenced by clinical record review and interview. In 1 of 14 (7%) clinical records reviewed it was revealed that the agency did not ensure that all medications were included in the patient’s drug profile. Clinical Record 11: The record revealed a physician’s order dated 03/26/2024 that read in part, “Oxygen at 2-4 liters via nasal cannula PRN dyspnea”. The medication profile dated 03/26/2024 did not include oxygen. In an interview on 6/5/2024, the Administrator reviewed the record and stated, “The oxygen should have been on the medication profile”.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 171 words
“It is required that hospice aides are assigned to a specific patient by a registered nurse who is a member of the Interdisciplinary Group. Written patient care instructions for a hospice aide are prepared by a RN who is responsible for the supervision of the hospice aide. This standard was not met as evidenced by clinical record review and interview. In 2 of 14 (14%) clinical records reviewed of patients with aide services ordered, it was revealed that the agency did not ensure that all patient care instructions were accurate and included in the aide care plan. Clinical Record 17: The record revealed a physician’s order dated 08/25/2023 that read “Oxygen 2 lpm via nasal cannula continuously.”. The aide care plan dated 08/25/2023 lacked instructions regarding oxygen. Clinical Record 19: The record revealed a physician’s order dated 03/12/2024 that read “Oxygen 2 lpm via nasal cannula as needed for dyspnea”. The aide care plan dated 03/12/2024 lacked instructions regarding oxygen. On 06/04/2024, the Administrator reviewed the records and confirmed the findings.”
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Coordination of services (42 CFR 418.112(e)(3)(vi))
The inspectors’ words, 178 words
“It is required that the designated IDG member provides the SNF/NF or ICF/IDF with the following information for each patient/resident: Hospice medication information. This standard was not met as evidenced by clinical record review, interview and observation. In 1 of 3 (33%) home visit observations performed at a facility, it was revealed that the agency did not ensure that facility was provided all patient medication information. Clinical Record 1: The record revealed a physician’s order dated 10/26/2023 that read in part, “Morphine sulfate solution 20mg/ml, give 10mg every 2 hours as needed for pain or dyspnea”. Home Visit 1: During the home visit on 06/03/2024, the patient’s medication record at the facility was reviewed with Personnel Record #1. The medication record dated 06/03/2024 did not include the medication morphine. Personnel Record #1 confirmed the finding and stated, “I am not sure why the morphine is not listed on the facility’s medication record, but it should be”. In an interview on 06/03/2024, the Administrator reviewed the record and stated, “The morphine should have been on the facility’s medication record”.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 28, 2025 | Complaint inspection by the state | No deficiencies cited |
| Jun 6, 2024 | Reaccreditation inspection by the Community Health Accreditation Partner | 3 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 12, 1993.
- 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): 13 nurse care minutes per routine home care day, 5.7% of skilled nursing minutes at weekends and a visit near death for 93.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 72% at home, 10% in assisted living, 10% in a skilled nursing facility, 1% in a hospital, 4% 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 | 13.0 min |
| Skilled nursing minutes at weekends | 5.7% |
| Visits near death | 93.2% of patients who died |
Who owns it?
- Aspirus, Inc. owns 100% directly since Jun 4, 2009.
- 24 owners or officers are people: Ashley Hawley (corporate director); Jarret C Nickel (corporate director); Mary Williams (corporate director); Jerry M Yang (corporate director); Jerry M Yang (managing employee (on the payroll)); Jerry M Yang (runs it (operational or managerial control)); Hilary Scully (managing employee (on the payroll)); Thomas Kaster (managing employee (on the payroll)); Thomas Kaster (runs it (operational or managerial control)); Lisa Rowe-Peplinski (corporate director); Eric J Anderson (managing employee (on the payroll)); Eric J Anderson (runs it (operational or managerial control)); Carrie Hawro (managing employee (on the payroll)); Kimberly Boesl (managing employee (on the payroll)); Kimberly Boesl (runs it (operational or managerial control)); Lori Peck (corporate director); Lori Peck (managing employee (on the payroll)); Lori Peck (runs it (operational or managerial control)); Tyler Hack (corporate director); Tyler Hack (managing employee (on the payroll)); Tyler Hack (runs it (operational or managerial control)); Lorraine Zoromski (corporate director); Matthew F Heywood (corporate director); Matthew F Heywood (managing employee (on the payroll)).
- 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 |
|---|---|---|---|
| Aspirus, Inc. | Owns 5% or more directly | 100% | Jun 4, 2009 |
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 85% would definitely recommend it.
- CMS’s Hospice Care Index: 9 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); 58.3% 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 | 9 of 10 |
How does it compare nearby?
- Of the 2 hospices CMS’s data show serving patients in ZIP code 49930, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3.5; 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 |
|---|---|
| Aspirus at Home This hospice | 3 |
| Up Health System Home Care & Hospice | 4 |
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.