St Croix Hospice
A hospice in Grand Rapids, Minnesota 55744
1001 S Pokegama Ave Ste D, Grand Rapids, Minnesota 55744. (218) 212-7915.
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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 6 hospices serving ZIP code 55744 had 2.5.
The last inspection on record was on Jul 18, 2025: a reaccreditation inspection by the Community Health Accreditation Partner.
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 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 18, 2025: reaccreditation inspection by the Community Health Accreditation Partner3 deficiencies
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Content of plan of care (42 CFR 418.56(c)(5))
The inspectors’ words, 166 words
“It is required that each patient’s individualized written plan of care: includes all services necessary for the palliation and management of the terminal illness, including the following: medical supplies and appliances necessary to meet the needs of the patient. This standard was not met as evidenced by clinical record review and interview. In 1 of 23 (4%) clinical records reviewed, the agency did not ensure that the patient’s plan of care included all necessary medical supplies and appliances to meet the patient’s needs. CLINICAL RECORD 14: The patient elected the hospice benefit on 01/14/2025. The plans of care dated 01/14/2025 through 01/26/2025, 01/27/2025 through 04/26/2025, and 04/27/2025 through 06/25/2025 ordered “Oxygen via nasal cannula at 2 liters for dyspnea.” The plans of care did not include documentation of the patient’s oxygen concentrator and oxygen supplies. During a joint record review on 07/17/2025, the Statewide Clinical Director confirmed that the patient’s oxygen concentrator and oxygen supplies were not listed on the patient’s plan of care until 06/26/2025.”
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Nursing services (42 CFR 418.64(b)(1))
The inspectors’ words, 379 words
“It is required that the hospice provides nursing care under the supervision of a registered nurse. This standard was not met as evidenced by clinical record review, document review, and interview. Agency policy #1-031 “Responsibilities/Supervision of Clinical Services” (dated 12/01/2018 and reviewed 02/14/2024) stated in part, “A monthly patient visit will be completed by a registered nurse to supervise licensed practical/vocational nursing services.” In 4 of 17 (24%) clinical records reviewed of patients who received Licensed Practical Nursing services, the agency did not ensure that Licensed Practical Nurse (LPN) supervisory visits were completed by a Registered Nurse at least monthly, as per agency policy. CLINICAL RECORD 1: The patient elected the hospice benefit on 02/11/2025. The plans of care dated 02/11/2025 through 05/11/2025 and 05/12/2025 through 08/09/2025 ordered “SN 1x per week.” A clinical record review revealed LPN visit notes dated 02/18/2025, 03/04/2025, 03/19/2025, 04/02/2025, and 05/14/2025. The first LPN supervisory visit was dated 05/21/2025, with 92 days outstanding. CLINICAL RECORD 4: The patient elected the hospice benefit on 08/26/2022. The plans of care dated 08/21/2023 through 10/19/2023, 10/20/2023 through 12/18/2023, 12/19/2023 through 02/16/2024, and 02/17/2024 through 04/16/2024 ordered “SN 1x per week.” A clinical record review revealed LPN visit notes dated 10/11/2023, 11/08/2023, 11/22/2023, 12/06/2023, 12/20/2023, 01/03/2024, 01/24/2024, 02/07/2024, 02/28/2024, and 03/13/2024. The first Licensed Practical Nurse supervisory visit was dated 04/15/2024, 186 days outstanding. CLINICAL RECORD 7: The patient elected the hospice benefit on 05/16/2025. The plan of care dated 05/16/2025 through 08/13/2025 ordered “SN 2x per week.” A clinical record review revealed LPN visit notes dated 05/23/2025. No LPN supervisory visits were documented by the Registered Nurse (RN). CLINICAL RECORD 17: The patient elected the hospice benefit on 03/09/2025. The plans of care dated 03/09/2025 through 06/06/2025 and 06/07/2025 through 09/04/2025 ordered “SN 2x per week.” A clinical record review revealed LPN visit notes dated 03/25/2025, 03/27/2025, 03/31/2025, 04/21/2025, 06/05/2025, 06/12/2025, and 07/15/2025. No LPN supervisory visits were documented by the RN. During joint record reviews and interviews on 07/15/2025, 07/16/2025, and 07/17/2025, the Statewide Clinical Director confirmed that licensed practical nurse supervisory visits were completed less frequently than monthly, stating, “We discovered during audits last week that some of our Registered Nurses were not completing LPN supervisory visits. Education was completed with the nurses involved.””
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
The inspectors’ words, 651 words
“It is required that hospice aides are supervised by a registered nurse who makes an on-site visit to the patient’s home no less frequently than every 14 days to: assess the quality of care and services provided by the hospice aide; [and] ensure that services ordered by the hospice Interdisciplinary Group (IDG) meet the patient’s need. The hospice aide does not need to be present. This standard was not met as evidenced by clinical record review and interview. In 6 of 18 (33%) clinical records reviewed of patients who received Hospice Aide (HA) services, the agency did not ensure that Hospice Aides were supervised by a Registered Nurse at least every 14 days. CLINICAL RECORD 2: The patient elected the hospice benefit on 08/20/2024 with a diagnosis of malignant neoplasm of the lung. The patient resided at home. The plans of care dated 08/20/2024 through 11/17/2024, 11/18/2024 through 02/15/2025, 02/16/2025 through 04/16/2025, and 04/17/2025 through 06/14/2025 ordered “HA 2x per week.” The first HA visit note was dated 08/23/2024. HA visits were provided as ordered. A clinical record review revealed that the RN documented HA supervisory visits on 09/06/2024 and 10/29/2024 (with 53 days outstanding), 03/28/2025 (with 150 days outstanding), 04/22/2025 (25 days outstanding), 04/25/2025, and 06/06/2025 (with 42 days outstanding). CLINICAL RECORD 4: The patient elected the hospice benefit on 08/26/2022 with a diagnosis of congestive heart failure (CHF). The patient resided at home. The plans of care dated 06/22/2023 through 08/20/2023, 08/21/2023 through 10/19/2023, 10/20/2023 through 12/18/2023, 12/19/2023 through 02/16/2024 and 02/17/2024 through 04/16/2024 ordered “HA 3x per week.” The first Hospice Aide visit was dated 11/25/2022. HA visits were provided as ordered. A clinical record review revealed that the RN documented HA supervisory visits on 02/09/2023 and 04/15/2024 (the COVID-19 Public Health Emergency (PHE) waiver ended on 05/11/2023), with 340 days outstanding between the end of the waiver and the next documented HA supervisory visit. CLINICAL RECORD 7: The patient elected the hospice benefit on 05/16/2025 with a diagnosis of cirrhosis of the liver. The patient resided in an assisted living facility (ALF). The plan of care dated 05/16/2025 through 08/13/2025 ordered “HA 2x per week.” The first Hospice Aide visit note was dated 05/19/2025. HA visits were provided as ordered. A clinical record review revealed that the RN documented a HA supervisory visit on 06/06/2025, with 18 days outstanding. CLINICAL RECORD 8: The patient elected the hospice benefit on 05/15/2025 with a diagnosis of Parkinson’s Disease. The patient resided in a skilled nursing facility (SNF). The plan of care dated 05/15/2025 through 08/12/2025 ordered “HA 2x per week.” The first Hospice Aide visit note was dated 05/20/2025. HA visits were provided as ordered. A clinical record review revealed that the RN documented HA supervisory visits on 06/02/2025 and 06/23/2025, with 21 days outstanding. CLINICAL RECORD 10: The patient elected the hospice benefit on 05/08/2025 with a diagnosis of cerebral infarction. The patient resided in a SNF. The plan of care dated 05/08/2025 through 08/05/2025 ordered “HA 2x per week.” The first Hospice Aide visit note was dated 05/09/2025. HA visits were provided as ordered. A clinical record review revealed that the RN documented HA supervisory visits on 05/12/2025 and 06/05/2025 (with 24 days outstanding) and 06/23/2025 (with 18 days outstanding). CLINICAL RECORD 11: The patient elected the hospice benefit on 06/17/2025 with a diagnosis of malignant neoplasm of the brain. The plan of care dated 06/17/2025 through 08/15/2025 ordered “HA 3x per week.” The first Hospice Aide visit note was dated 06/18/2025. HA visits were provided as ordered. The first HA supervisory visit was dated 07/14/2025, with 26 days outstanding. During joint record reviews and interviews on 07/15/2025 and 07/16/2025, the Statewide Clinical Director confirmed the above findings, stating, “We discovered after doing audits last week that some of our Registered Nurses were not documenting aide supervisory visits. Education was provided to the nurses involved last week.””
All 3 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 18, 2025 | Reaccreditation inspection by the Community Health Accreditation Partner | 3 deficiencies cited |
| Oct 29, 2024 | Complaint inspection by the state | No deficiencies cited |
| Oct 1, 2024 | Complaint inspection by the state | No deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 21, 2019.
- Ownership: for-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, 8.8% of skilled nursing minutes at weekends and a visit near death for 96.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 29% at home, 52% in assisted living, 18% 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 | 13.0 min |
| Skilled nursing minutes at weekends | 8.8% |
| Visits near death | 96.2% of patients who died |
Who owns it?
- St Croix Hospice Acquisition Corp owns 100% directly since Oct 1, 2013.
- 18 owners or officers are people: Melissa A Andrews (managing employee (under contract)); Melissa A Andrews (runs it (operational or managerial control)); Andrew Graham Mayo (managing employee (on the payroll)); Andrew Graham Mayo (runs it (operational or managerial control)); Stephen C Phenneger (corporate officer); Stephen C Phenneger (corporate director); Stephen C Phenneger (managing employee (on the payroll)); Stephen C Phenneger (runs it (operational or managerial control)); Mandy L Cogswell (managing employee (on the payroll)); Mandy L Cogswell (runs it (operational or managerial control)); Kelly J Goeb (managing employee (on the payroll)); Kelly J Goeb (runs it (operational or managerial control)); Lynae E Bednar (managing employee (on the payroll)); Lynae E Bednar (runs it (operational or managerial control)); Heath A Bartness (corporate officer); Heath A Bartness (corporate director); Heath A Bartness (managing employee (on the payroll)); Heath A Bartness (runs it (operational or managerial control)).
- 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 |
|---|---|---|---|
| Antares Capital LP | Holds 5% or more security interest | 100% | Oct 30, 2020 |
| Tvg-Stc Intermediate Corp | Owns 5% or more through other companies | 100% | Sep 29, 2017 |
| Stch Acquisition Inc. | Owns 5% or more through other companies | 100% | Oct 30, 2020 |
| Stch Intermediate Inc. | Owns 5% or more through other companies | 100% | Oct 30, 2020 |
| SCHP Holdings LP | Owns 5% or more through other companies | 100% | Oct 24, 2025 |
| Schp Topco Inc. | Owns 5% or more through other companies | 100% | Oct 24, 2025 |
| St Croix Hospice Acquisition Corp | Owns 5% or more directly | 100% | Oct 1, 2013 |
| Stch Parent Inc. | Owns 5% or more through other companies | 100% | Oct 30, 2020 |
| Schp Midco Inc. | Owns 5% or more through other companies | 100% | Oct 24, 2025 |
| Schp Intermediate Inc. | Owns 5% or more through other companies | 100% | Oct 24, 2025 |
| Schp Purchaser Inc. | Owns 5% or more through other companies | 100% | Oct 24, 2025 |
| Hig Stch II LP | Owns 5% or more through other companies | 13.71% | Oct 24, 2025 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 86% rated it 9 or 10 out of 10, and 90% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.69% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 76.3% 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 | 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 6 hospices CMS’s data show serving patients in ZIP code 55744, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2.5; 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 |
|---|---|
| St Croix Hospice This hospice | 3 |
| Sanford Bemidji Hospice | 0 |
| Essentia Health St Mary’s Hospice & Palliative Care Services | 8 |
| Range Regional Health Services | 5 |
| Moments Hospice | 2 |
| Hia Hospice | 0 |
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.