Lake Regional Hospice
A hospice in Osage Beach, Missouri 65065
1029 Nichols Road, Suite A, 54 Hospital Drive, Osage Beach, Missouri 65065. (573) 302-2860.
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The short answer
Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.
- 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 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 7 hospices serving ZIP code 65065 had 4.
The last inspection on record was on Feb 3, 2026: 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
5 deficiencies in 1 month of the last 36. Last cited Nov 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.
Nov 7, 2025: reaccreditation inspection by The Joint Commission5 deficiencies
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 159 words
“Observed in Record Review. In 10 of 19 patient records reviewed, the nurse survey noted the goals were not specific to the needs of the patient. For example, for HOSRRNHV#2, HOSRRNHV#4, HOSRRHV#1, HOSRRNVH#1, HOSRRNHV#6, HOSRRNHV#7, HOSRRNHV#9, HOSRRNHV#10, HOSBR#2, the following goals or timeframe is by the time of death/discharge for pain and dyspnea. Patient/Caregiver will verbalize understanding of purpose dose, frequency and side effects of medication; patient caregiver will implement ordered interventions to improve pain; patient will verbalize actions/interventions to mitigate pain. For dyspnea, patient/caregiver will recognize signs and symptoms of respiratory distress; patient/caregiver will report symptoms are controlled; patient will implement ordered interventions to relieve and reduce severity of symptoms. For HOSRRHV#2, the following goals or timeframe is by the time of death/discharge for cardiac symptoms; patient/caregiver verbalize actions/interventions to reduce symptoms of disease process, will verbalize understanding of purpose dose, frequency and side effects of medications. This was discussed with the director of nursing and clinical manager.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 152 words
“Observed in Record Review. In 2 of 19 patient records reviewed, the surveyor noted the plan of care did not include the scope and frequency for services to meet the patient’s needs. For example, in HOSRRNHV#1, the agency did not provide a plan of care to address diabetes management to include the administration of insulin, monitoring of blood sugars by clinical staff or caregiver and addressing nutritional intake. In addition, in HOSRRNHV#1, the comprehensive assessment clinical note states the patient is a type 2 diabetic, however the patient is prescribed 2 types of insulin with injections for morning and evening doses. The comprehensive assessment also stated the patient has an ineffective nutritional intake, with family confirming patient is not eating or drinking enough. For HOSRRNHV#5, the patient is receiving insulin twice a day with a diagnosis of severe protein calorie malnutrition. This was discussed with the director of nursing and clinical manager.”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 96 words
“Observed in Patient Home. In 1 of 4 home visits conducted, the organization did not ensure implementation of activities for the prevention and control of communicable diseases. For example in HOSRRHV#1, the surveyor noted the staff person did not perform hand hygiene consistent with agency policy. The home health aide did not wash hands or utilize hand sanitizer during the visit in which she was performing a bath. The home health aide applied the hand sanitizer on the gloves and proceeded with providing care. This was discussed with the director of hospice and the clinical manager.”
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Content (42 CFR 418.104(a)(3))
“Observed in Patient Home. In 1 of 4 home visits conducted, the agency did not conduct an effective medication assessment. For example for HOSRRHV#1, the surveyor noted the medication profile listed on the plan of care was different from the medication being administered in the home by the caregiver. For example for HOSRRHV#3, Cipro and Macrobid were not removed from the medication profile and Protonix was not on the medication profile. This was discussed with the director of hospice and the clinical manager.”
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Discharge or transfer of care (42 CFR 418.104(e)(1)(i))
“Observed in Record Review. In 1 of 2 patient records reviewed, the surveyor did not send a discharge summary to the physician within five days of discharge. For HOSLiveDC#1, the discharge summary was sent to the physician on day six of the discharge. This was reviewed with the Director of hospice and the clinical manager.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 3, 2026 | Complaint inspection by the state | No deficiencies cited |
| Nov 7, 2025 | Reaccreditation inspection by The Joint Commission | 5 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jan 9, 2017.
- 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): 14.4 nurse care minutes per routine home care day, 9.2% of skilled nursing minutes at weekends and a visit near death for 95.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 79% at home, 1% in assisted living, 21% 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 | 14.4 min |
| Skilled nursing minutes at weekends | 9.2% |
| Visits near death | 95.4% of patients who died |
Who owns it?
- 30 owners or officers are people: Dennis Michaelree (corporate officer); Dennis Michaelree (corporate director); John C Patton (corporate director); Karen K. Faiferlick (corporate officer, 0%); Karen K. Faiferlick (corporate director); Christine A Livek (managing employee (on the payroll)); Gregory D Anderson (corporate director); Courtney Hulett (managing employee (on the payroll)); Kevin G Mcroberts (corporate officer, 0%); Kevin G Mcroberts (runs it (operational or managerial control), 0%); Charles Mcelyea (corporate officer); Charles Mcelyea (corporate director); Mark Rector (corporate director, 0%); Warren T Cooper (corporate director, 0%); Alan W Mead (corporate director); Paula Littleton (corporate officer); Paula Littleton (runs it (operational or managerial control)); Jason Hulett (corporate officer, 0%); Jason Hulett (corporate director, 0%); Jessica Hasty (managing employee (on the payroll), 0%); Corey M Tenbensel (corporate director, 0%); Melissa Hunter (managing employee (under contract), 0%); Melissa Hunter (corporate officer, 0%); Larry Shields (corporate director); John Caine (corporate director); Kevin G Byrne (corporate officer); Kristen L Prenger (managing employee (on the payroll), 0%); Kristen L Prenger (runs it (operational or managerial control)); Wayne Compton (corporate officer); James D. Judas (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): 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).
- 93.81% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 48.3% 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 | 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 7 hospices CMS’s data show serving patients in ZIP code 65065, 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 |
|---|---|
| Lake Regional Hospice This hospice | 5 |
| Hospice Compassus-Central Missouri | 3 |
| Regional Hospice | 8 |
| Integrity Home Care + Hospice | 4 |
| Gentiva | 0 |
| Phoenix Home Care and Hospice | 26 |
| Three Rivers Hospice Central | 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.