Range Regional Health Services
A hospice in Hibbing, Minnesota 55746
1101 East 37th Street, Suite 27, Hibbing, Minnesota 55746. (218) 262-6982.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 5 deficiencies cited in the last three years
- 5of 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 mean4
- 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.
- Condition-level deficiency
- 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.
What did inspectors find?
5 deficiencies cited in the last three years
The middle of the 6 hospices serving ZIP code 55746 had 4.
The last inspection on record was on Jul 11, 2024: a follow-up inspection by The Joint Commission.
2 deficiencies at condition level, the more serious of CMS’s two levels
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 May 2024. Most serious: Condition-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.
May 31, 2024: reaccreditation inspection by The Joint Commission5 deficiencies
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IDG, care planning, coordination of services (42 CFR 418.56)
The inspectors’ words, 447 words
“Observed in Record Review. In 5 of 5 patient records reviewed, During the record reviews, in 5 of 5 in- home hospice patient records, the Hospice surveyor noted that the organization was using a list of protocols signed by the MD but not individualized. For example, the home care protocol list included may initiate of OTC stool softeners, stimulants, laxatives, osmotics and/or magnesium sulfate for the prevention or relief of constipation, per package instructions. SN may provide digital stimulation, manual removal of stool, and/or administration of fleets or tap water enema, as need for signs/symptoms of constipation PRN. May initiate, increase or decrease frequency of all hospice discipline services dependent on client need/condition and/or family request, PRN. If client is having difficulty swallowing, may change route of administration from oral to injection or rectal, PRN. Inset foley catheter, irrigate or flush as needed, May insert 16 fr 5 CC catheter for s/sx urinary retention. May irrigate with 60-120 cc’s sterile NS or sterile H2O. May use Lidocaine Urojet with insertion. May use Coudet if unable to insert foley. Change PRN for loss of patency. Wound care: cleanse with soap and water, as needed. May dress open areas with gauze, transparent dressing, hydrocolloid, or composite dressing. May use foams or alginate to contain drainage, change weekly and PRN, May use barrier cream PRN. Port flush with non-coring needle, flush with 10 cc’s NS and 5 CC heparin/units 100. This was validated in a discussion with and observation by the Director of Home Care Quality. Observed in Record Review. In 10 of 10 patient records reviewed, During the record reviews, in 5 of 5 facility records, the Hospice surveyor noted that the organization was using a list of protocols signed by the MD but not individualized. For example, the facility protocol list included may initiate of OTC stool softeners, stimulants, laxatives, osmotics and/or magnesium sulfate for the prevention or relief of constipation, per package instructions. SN may provide digital stimulation, manual removal of stool, and/or administration of fleets or tap water enema, as need for signs/symptoms of constipation PRN. May initiate, increase or decrease frequency of all hospice discipline services dependent on client need/condition and/or family request, PRN. If client is having difficulty swallowing, may change route of administration from oral to injection or rectal, PRN. Inset foley catheter, irrigate or flush as needed, May insert 16fr 5CC catheter for s/sx urinary retention. May irrigate with 60-120 cc’s sterile NS or sterile H2O. May use Lidocaine urojet with insertion. May use Coudet if unable to insert foley. Change PRN for loss of patency. This was validated in a discussion with and observation by the Director of Home Care Quality.”
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Governing body and administrator (42 CFR 418.100(b))
“Observed in Record Review. The Hospice surveyor noted that leaders review, approve, and manage the implementation of policies and procedures that guide and support patient care, treatment, or services. The leadership did not provide oversight to manage 418.56. This was validated in a discussion with home care leadership.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 111 words
“Observed in Record Review. In 3 of 3 patient records reviewed, During the record review, in 3 of 3 records reviewed, the Hospice surveyor noted that the plans of care were not individualized with appropriate frequencies, time frames and measurable goals. For example, HV1, HV 2 and HV 3, the goal dates were all at the end of the certification in 90 days instead of the next IDT date. In addition the PRN visit number for SN was listed as 10 for all 3 records instead of 2-3 which would cover a 2 week period. This was validated in a discussion with and observation by the Director of Home Care Quality.”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 186 words
“Observed in Individual Tracer. In 1 of 3 home visits conducted, During HV 1 the Hospice surveyor noted that the aide did not change her gloves after changing the bath water. The organization policy for Hand Hygeine Ver 9 Ref # 5204, number F states that hand hygeine is performed when changing from dirty to clean procedures. This was validated in a discussion with and observation by the Director of Home Care Quality. Observed in Individual Tracer. In 2 of 2 home visits conducted, During HV 2 the nurse did not follow the organization Bag technique Policy Ver 3, Ref # 5389, III which stated bas without wheels should not be placed on the floor with or without a barrier. The nurse placed her backpack, without wheels, on a barrier on the floor. During HV 3 the nurse did not follow VII, which states that supplies needed will be removed form the bag and placed on a barrier. The nurse place her equipment on the bedside table without a barrier. This was validated in a discussion with and observation by the Director of Home Care Quality.”
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
“Observed in Record Review. In 2 of 4 records reviewed with aide services, During the record review, in 2 of 4 records with aides, the Hospice surveyor noted that the organization was not providing aide supervision every 14 days. For example, in HOS HV 1 there were 15 days between supervisory visits and in HOS RR2 there were 21 days between supervisory visits. This was validated in a discussion with and observation by the Director of Home Care Quality.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 11, 2024 | Follow-up inspection by The Joint Commission | No deficiencies cited |
| May 31, 2024 | Reaccreditation inspection by The Joint Commission | 5 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 23, 2003.
- Ownership: other.
- Cited at 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. in the last three years: it didn’t meet a whole condition of Medicare’s rules.
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, 9.5% of skilled nursing minutes at weekends and a visit near death for 97.6% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 50% at home, 8% in assisted living, 42% 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 | 9.5% |
| Visits near death | 97.6% of patients who died |
Who owns it?
- 19 owners or officers are people: Jeffrey Scott Lee (corporate director, 0%); Jessalyn Toldo Sabin (corporate director, 0%); Maureen Veronica-Reger Ring (corporate officer, 0%); Maureen Veronica-Reger Ring (managing employee (on the payroll), 0%); Brian Amdahl (corporate director, 0%); Dawn Marie Ksepka (corporate director, 0%); Daniel William Soular (managing employee (on the payroll)); Daniel William Soular (runs it (operational or managerial control), 0%); Lauren Elisabeth Tomlinson (corporate director, 0%); Jacquline Francis Prescott (corporate director, 0%); Richard Aldrich (corporate director, 0%); Hannah Nicole-Casey Forti (corporate director, 0%); Jean A Macdonell (corporate officer, 0%); Jean A Macdonell (managing employee (on the payroll), 0%); Jennifer Lynn Ryan (corporate director, 0%); Gregory George Schoen (corporate director, 0%); Jordan Edward Kaczor (corporate director, 0%); Jeoff Thomas Will (corporate director, 0%); Victoria Anne Hagberg (corporate director, 0%).
- 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 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 90% rated it 9 or 10 out of 10, and 91% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 97.67% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 83% 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 | 5 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 6 hospices CMS’s data show serving patients in ZIP code 55746, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; this one had 5.
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 |
|---|---|
| Range Regional Health Services This hospice | 5 |
| Essentia Health St Mary’s Hospice & Palliative Care Services | 8 |
| Aspirus St. Luke’s at Home-Hospice-Duluth | 10 |
| Caringedge Hospice Hermantown | 2 |
| St Croix Hospice | 3 |
| Moments Hospice | 2 |
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.