OSF Bay De Noc Hospice
A hospice in Escanaba, Michigan 49829
901 North Lincoln Road, Escanaba, Michigan 49829. (906) 786-3915.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency 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?
1 deficiency cited in the last three years
The middle of the 4 hospices serving ZIP code 49829 had 6.
The last inspection on record was on Jul 11, 2025: a complaint and 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
1 deficiency in 1 month of the last 36. Last cited Jul 2025. 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.
Jul 11, 2025: complaint and recertification inspection by the state1 deficiency
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 823 words
“Based on record review and interview, the agency failed to ensure the comprehensive assessment included an initial bereavement assessment to assess the needs of the patient’s family and other individuals who are involved in the care of the patient in 3 (P-2, P-11, and P-13) of 14 records reviewed resulting in the potential lack of bereavement support for individuals that may be affected upon the patient’s death. Findings include: Patient #11 (P-11) was admitted to the hospice agency on 3/25/25 with a terminal diagnosis of prostate cancer. The medical record was reviewed on 7/11/25. During review of the start of care assessment completed by the registered nurse (RN) on 3/25/25, it was noted that the RN entered a “Survivor Risk Assessment” (assessment of risk faced by a person who will be surviving the death of the individual on hospice, and which gives a score for risk concerning mental health; financial; spiritual; and other concerns); The total score entered by the RN for the Survivor Risk Assessment completed was “0” indicating there was no risk related to topics assessed for the individual undergoing the assessment; The RN failed to include a name, relationship, or any additional comments related to the individual who was assessed for survivor risk; The RN documented that P-11 lived with a daughter and a granddaughter. It was unclear in the documentation who the RN provided the Survivor Risk Assessment for.During further review of the record, it was noted that the initial medical social worker (MSW) evaluation was held until 7/10/25 and showed documentation of the only bereavement risk assessment in the medical record using a “Bereavement Risk Assessment Tool” for the P-11’s daughter (over 3 months later). There were no additional bereavement risk assessments for any other person (including the granddaughter living in the home) noted in the medical record.On 7/11/25, the Administrator (Adm-1) reviewed this finding during interview at 11:05 a.m. Adm-1 agreed that it was unclear who the Survivor Risk Assessment was completed for at the start of care and acknowledged that the RN should have documented the individual being assessed for incorporation into the plan of care. Patient #2 (P-2) was admitted to this hospice agency on 6/25/24 with the terminal diagnosis of hypertensive heart disease with heart failure. During record review on 7/9/25, an initial bereavement assessment was not found in the record.During an interview with the administrator (Adm-1) on 7/9/25 at 11:15 AM, Adm-1 was asked who completed the initial bereavement assessment and where it could be found in the record. Adm-1 stated the social worker completed the initial bereavement assessment and it would be found in the social work evaluation, or a separate bereavement counselor note. Adm-1 then confirmed she could not find one in the record for P-2.During a joint home visit with P-2 and the social worker (MSW-1) on 7/9/25 at 1:30 PM, P-2 talked about her daughter who visited 3 times a week and another daughter and son-in-law who came to visit over the weekend. P-2 indicated she had 5 children – 2 boys and 3 girls.During an interview with MSW-1 on 7/11/25 at 10:15 AM, MSW-1 was asked why an initial bereavement assessment was not completed for this patient after learning of several children who were involved in her care. MSW-1 stated the nurse completed a risk assessment upon admission and did not identify anyone in need, so he was not referred to complete an initial bereavement assessment. Upon review of the skilled nursing “Hospice Part 2 Admission” dated 6/28/24, it was noted “Total Score = 0” was documented under the “Survivor Risk Assessment” section. The documentation did not indicate who was specifically assessed; however, it was noted the daughter who visited 3 times a week was identified as the “Psychosocial Caregiver.” In addition, it was documented this daughter was “cooperative, involved, overwhelmed, supportive.” [sic] MSW-1 was unable to give a reason why this person or any of the other children weren’t assessed, other than it was not referred to him after the nursing assessment.Adm-1 was present during the interview with MSW-1 on 7/11/25 at 10:15 AM and acknowledged the findings.Patient #13 (P-13) was admitted to this hospice agency on 6/24/25 with the terminal diagnosis of malignant neoplasm of the left kidney (kidney cancer). During record review on 7/10/25, it was noted the social work evaluation dated 6/25/25 identified a wife and daughter under the “Psychosocial Caregiver” section. Additionally, a section titled “Bereavement Risk Assessment Tool” assessed P-13’s wife, however, there was no indication the daughter was assessed. During the interview with Adm-1 on 7/11/25 at 10:15 AM, Adm-1 was asked if more than one individual could be assessed by the agency during the initial bereavement assessment. Adm-1 stated the assessment should be done on any individual identified with a bereavement risk and acknowledged the daughter was not assessed in this case. Adm-1 was unable to provide a reason for this at the time of interview and acknowledged the findings.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 11, 2025 | Complaint and recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Apr 6, 1994.
- 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.
- 1 deficiency cited in the last three years came from an inspection 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): 14.6 nurse care minutes per routine home care day, 9.3% of skilled nursing minutes at weekends and a visit near death for 97% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 68% at home, 25% in assisted living, 7% 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 | 14.6 min |
| Skilled nursing minutes at weekends | 9.3% |
| Visits near death | 97.0% of patients who died |
Who owns it?
- OSF Healthcare Ministries runs it.
- 26 owners or officers are people: Patricia A Brazeau (corporate officer); Patricia A Brazeau (corporate director); 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)); 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 (managing employee (on the payroll)); Michelle D Conger (runs it (operational or managerial control)); Stephen M Smith (managing employee (under contract)); Robert C Sehring (corporate officer); Robert C Sehring (corporate director); Robert C Sehring (managing employee (on the payroll)); Robert C Sehring (runs it (operational or managerial control)); Judith A Duvall (corporate officer); Judith A Duvall (corporate director); Brian J Silverstein (corporate director); Paula K Selamat (corporate director); 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): 83% 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).
- 95.31% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 75.6% 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 4 hospices CMS’s data show serving patients in ZIP code 49829, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 1.
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 Bay De Noc Hospice This hospice | 1 |
| Up Health System Home Care & Hospice | 4 |
| Lake Superior Life Care & Hospice | 10 |
| North Woods Home Nursing & Hospice | 8 |
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.