Hearth Record

Lakeview Hospice

A hospice in Oak Park Heights, Minnesota 55082

5803 Neal Avenue North, Oak Park Heights, Minnesota 55082. (651) 430-3320.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 5 deficiencies in 1 month of the last 36. Last cited Feb 2026. Most serious: Standard-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?

5 deficiencies cited in the last three years

The middle of the 21 hospices serving ZIP code 55082 had 4.5.

The last inspection on record was on Feb 13, 2026: an initial inspection by The Joint Commission.

Source:

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

5 deficiencies in 1 month of the last 36. Last cited Feb 2026. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

5 deficiencies 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 hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Feb 13, 2026: initial inspection by The Joint Commission5 deficiencies
  • Content of plan of care (42 CFR 418.56(c))

    The inspectors’ words, 131 words

    “Observed in Record Review. In 14 of 14 active patient records reviewed,, the hospice nurse surveyor noted that the organization failed to ensure that the written plan of care was developed in accordance with the patient’s identified goals that are measurable with defined timeframes for achieving those goals. For example, in records reviewed HOSRRHV#1 the goals in the hospice plan of care were not measurable and had no timeframe such as: to provide education and verify understanding, and alteration in nutritional status. HOSRRHV#2,HOSRRHV#3, HOSRRHV#4, HOSRRNHV#1,HOSRRNHV#2, HOSRRNHV#3, HOSRRNHV#4, HOSRRNHV#5, HOSRRNHV#6, HOSRRNHV#7, HOSRRNHV#8, HOSRRNHV#9, and HOSRRNHV#10 the goal education provided is understood by patient/caregiver and evaluation of understanding in checked through a teach back method for each new intervention implemented had no timeframe.This finding was discussed and validated by the hospice management team.”

    Rule L0545. Standard-level.

  • Content of plan of care (42 CFR 418.56(c)(4))

    The inspectors’ words, 256 words

    “Observed in Record Review. In 10 of 14 active hospice patient records reviewed, it was noted the organization failed to ensure that the hospice plan of care plan includes all services needed for the palliation and management of the terminal illness and related conditions, including medications necessary to meet the patient’s needs. Upon review of the records, several PRN pain medications ordered to be given for pain without specifying which PRN medication should be administered based on defined parameters. For example, in record review of HOSRRHV#1, HOSRRNHV#5 Acetaminophen 325 mg 2 tablets PO every 6 hours as needed for pain and Morphine 20mg/ml to take 0.25 ml (5mg) PO every 1 hour as needed for pain. HOSRRHV#3,HOSRRHV#4, HOSRRNHV#10 Acetaminophen 500 mg 2 tablets PO 2x a day as needed for pain and Morphine Sublingual 5 mg 1 tablet every 1 hour as needed for pain; Tramadol 50 mg 1/2 tablet PO every 6 hours PRN for pain. HOSRRNHV#1,HOSRRNHV#2, HOSRRNHV#4 Acetaminophen 650 mg 1-2 tablets every 8 hours PRN for pain; Hydromorphone 1 mg PO every 1 hour for pain. HOSRRNHV#3 Acetaminophen 325 mg 2 tablets PO every 6 hours as needed for pain, Morphine 20mg/mo 0.25 ml(5mg) PO every 1 hour as needed for pain and Tramadol 50 mg 1 tablet every 6 hours PRN for pain. HOSRRNHV#6 Acetaminophen 500 mg 2 tablets PO 2x a day as needed for pain and Morphine Sublingual 5 mg 1 tablet every 1 hour as needed for pain; This finding was discussed and validated by the hospice management team.”

    Rule L0549. Standard-level.

  • Coordination of services (42 CFR 418.56(e)(2))

    The inspectors’ words, 164 words

    “Observed in Record Review. In 3 of 8 active hospice patient records with home oxygen therapy reviewed, the hospice nurse surveyor noted that the organization failed to ensure that the care and services are provided in accordance with the plan of care. For example during record review of HOSRRHV#1, the patient was supposed to be on 2 LPM of oxygen PRN as per hospice plan of care. however, the patient was on 4 LPM of Oxygen upon arrival in the patient home. Further review of record, there was no evidence documented of any order updated in the plan of care. Another example, in HOSRRNHV#7, the hospice aide was ordered to see patient once during week 1 of benefit period no.1, however, there was no aide visit completed. Lastly, in HOSRRNHV#8, the hospice aide was ordered to visit patient twice during week 2 of benefit period no.1, however, there was no aide visit completed. This finding was discussed and validated by the hospice management team.”

    Rule L0555. Standard-level.

  • Hospice aide assignments and duties (42 CFR 418.76(g)(1))

    The inspectors’ words, 165 words

    “Observed in Record Review. In 3 of 8 active patient records with hospice aide services reviewed, the hospice nurse surveyor noted that the organization had failed to ensure that the written patient care instructions for a hospice aide must be prepared by a registered nurse who is responsible for the supervision of a hospice aide. For example, in review of record HOSRRHV#2, it was noted that diabetes precautions were included in the aide care plan as additional instructions; however, during the interview, the aide appeared unfamiliar with what this meant. Another example, in HOSRRNHV#3, the patient had been taking Eliquis as blood thinner, however, the hospice aide care plan did not include instructions on bleeding to watch and report to the registered nurse. Lastly, HOSRRNHV#8, the patient had been taking Eliquis as blood thinner, however, the hospice aide care plan did not include instructions on bleeding to watch and report to the registered nurse. This finding was discussed and validated by the hospice management team.”

    Rule L0625. Standard-level.

  • Supervision of hospice aides (42 CFR 418.76(h)(1)(i))

    “Observed in Record Review. In 1 of 8 active patient record with hospice aide services, it was noted the organization failed to ensure that the registered nurse supervises the hospice aide during an on-site visit to the patient’s home no less frequently than every 14 days.. During review of record HOSRRNHV#2, an aide supervision documentation showed a gap of 16 days between the 1st week and 3rd week of April of benefit period no. 6. This finding was discussed and validated by the Hospice management team.”

    Rule L0629. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Feb 13, 2026Initial inspection by The Joint Commission5 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Mar 14, 1995.
  • Ownership: non-profit.
  • No deficiency or on record in the last three years.
Source:

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.
Source:

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): 11.1 nurse care minutes per routine home care day, 6.7% of skilled nursing minutes at weekends and a visit near death for 96.3% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 32% at home, 32% in assisted living, 33% in a nursing facility, 1% in a skilled nursing facility, 1% in an inpatient hospice.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day11.1 min
Skilled nursing minutes at weekends6.7%
Visits near death96.3% of patients who died

Who owns it?

  • Stillwater Health System runs it.
  • 23 owners or officers are people: Jason Gallagher (corporate director); John R Dressen (corporate director); Khu Thao (corporate director); Nicholas Weiss (corporate director); Melissa Kolb (corporate director); Michael Anderson (corporate director); Sharon Tolva (corporate director); Annie Jacobsen (corporate director); Mark Gherty (corporate director); Melody Shepherd (managing employee (on the payroll)); Richard G Dado (corporate director); Criag Yehlik (corporate director); Kris Tjornehoj (corporate director); Levon O Haodha (corporate director); Regan Brown (corporate director); Alita R Risinger (corporate officer); Alita R Risinger (corporate director); Oralee Schock (corporate director); Pahoua Hoffman (corporate director); Lisa L Bjorkman (managing employee (on the payroll)); Paula Kolbeck (corporate director); Charles Williamson (corporate director); Steven Long (corporate director).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

What do families say?

  • Family caregivers rate it 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 91% rated it 9 or 10 out of 10, and 92% would definitely recommend it.
  • CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 99.79% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 75.8% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 55 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 threshold10 of 10

How does it compare nearby?

  • Of the 21 hospices CMS’s data show serving patients in ZIP code 55082, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4.5; this one had 5.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

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

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 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.

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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