Freudenthal Hospice
A hospice in Saint Joseph, Missouri 64506
2425 N Woodbine Road, Ste A, Saint Joseph, Missouri 64506. (816) 676-8050.
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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.
- 9 deficiencies cited in the last three years
- 5of 5 family caregiver rating
- 9of 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?
9 deficiencies cited in the last three years
The middle of the 12 hospices serving ZIP code 64506 had 8.5.
The last inspection on record was on Nov 21, 2024: a reaccreditation inspection by the Accreditation Commission for Health Care.
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
9 deficiencies in 1 month of the last 36. Last cited Nov 2024. 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 21, 2024: reaccreditation inspection by the Accreditation Commission for Health Care9 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 267 words
“Upon patient record review, 7 of 19 (Patients #1,2,3,4,8,9,14) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient #1: Hospice medication profile indicated a daily Multi-Vitamin. Per wife, patient unable to swallow this tablet and is no longer giving him. Agency obtained DC order during survey. Corrected on Site. Patient #2: Hospice medication profile indicated Polyethylene Glycol 17 gm powder with no diluent. Medication reconciliation with facility did not have Albuterol MDI or Duo Neb on their med profile. Patient had been refusing respiratory medications per hospice nurse. Agency obtained clarification order for Polyethylene Glycol and DC orders for albuterol and Duo Neb. Corrected on Site. Patient #3: Hospice medication profile indicated Vitamin D 125mcg, Tums 500mg, Seroquel 25mg, Saccharomyces Boulardii 250mg, Ondansetron 4mg, Nexium 20mg and MVI 0.4mg. These medications were not profiled at the facility. Agency obtained DC orders. Corrected on Site. Patient #4: Hospice medication profile indicated Polyethylene Glycol 17 gm powder with no diluent. Corrected on Site. Patient #8: Hospice medication profile indicated Polyethylene Glycol 17 gm powder with no diluent. Also, record indicated patient had an O2 Concentrator. Oxygen was not on medication profile. Corrected on Site. Patients #9 and #14: The record(s) indicated patient(s) had an O2 Concentrator. Oxygen was not on medication profile. Corrected on Site.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 123 words
“Upon patient record review, 2 of 19 (Patients #7, 18) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient’s family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient’s death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient #7: The initial bereavement risk assessment was not timely. This assessment was performed on 4/6/24; this patient was admitted on 2/9/24. Patient #18: The initial bereavement risk assessment was not timely. This assessment was performed on 12/8/23; this patient was admitted on 2/2/23.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 3 of 19 (Patients #2,4,8) did not have evidence the plan of care (POC) must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient #2: The Initial POC indicated Polyethylene Glycol 17 gm powder with no diluent. Patient #4: The Initial POC indicated Polyethylene Glycol 17 gm powder with no diluent. Patient #8: The Initial POC indicated Polyethylene Glycol 17 gm powder with no diluent.”
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Content of plan of care (42 CFR 418.56(c)(5))
“Upon patient record review, 2 of 19 (Patients #6, #9) did not have evidence the plan of care (POC) must include all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs. Patients #6, #9: The record(s) indicated these patients had Duo Neb solution/inhalation medication. There was no DME-Nebulizer Machine listed on POC. Corrected on Site.”
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Competency evaluation (42 CFR 418.76(c))
“Upon personnel record review, 1 of 12 (Personnel #8 ) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) Personnel #8: The Range of Motion competency for the Aide was not evaluated with a patient or pseudo patient. The competency form was left blank.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 121 words
“Upon patient record review 3 of 19 (Patients #2, #6, #8) did not have evidence documentation in the patient record that a hospice aide provides services that are: • Ordered by the interdisciplinary group • Included in the plan of care (POC) Patient #2: The POC listed Aide visit frequency of, 2 X’s per week (11/12/23 start). The Aide visited this patient 1X before start date took effect on 11/9/23. Patient #6: The POC listed Aide visit frequency of, 2 X’s per week (1/11/24). For first Benefit Week, there was only 1 visit on 1/11/24. Patient #8: The POC listed Aide visit frequency of, 2 X’s per week (4/13/24). For first Benefit Week, there were no visits performed by the Aide.”
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Content (42 CFR 418.104(a)(2))
“Upon patient client record review, 19 of 19 (Patients #1 through #19) did not have evidence that each patient record contains: • Signed election statement in accordance with 418.24 Patients #1 through #19: Did not have Notice of Non-Covered Items or BFCC-QIO information on Election form.”
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Discharge or transfer of care (42 CFR 418.104(e)(3))
“Upon client record review, 1 of 19 (Patient #16) did not have evidence that the discharge summary includes all required information. Patient #16: The patient’s current plan of care was not included with other discharge summary documents.”
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Label dispose storage drugs (42 CFR 418.106(e)(2)(i)(A))
“Upon observation, there was no evidence a copy is provided of the hospice written policies and procedures on the management and disposal of controlled drugs to the patient or patient representative and family.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Nov 21, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 9 deficiencies cited |
| Nov 8, 2023 | Complaint inspection by the state | No deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 19, 2018.
- 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): 42.3 nurse care minutes per routine home care day, 4.6% of skilled nursing minutes at weekends and a visit near death for 97.8% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 53% at home, 6% in assisted living, 41% 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 | 42.3 min |
| Skilled nursing minutes at weekends | 4.6% |
| Visits near death | 97.8% of patients who died |
Who owns it?
- Cfh03 Freudenthal Home Health LLC owns 100% directly since Jun 30, 2025.
- 7 owners or officers are people: Bill E Creach (runs it (operational or managerial control), 100%); Bill Creach (corporate director, 5.72%); Peggy Hardy (managing employee (on the payroll)); Steven D Brushwood (managing employee (under contract), 0%); Sharla Creach (corporate director); Charles R Creach (runs it (operational or managerial control)); Frederick R Creach (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 |
|---|---|---|---|
| Cfh03 Freudenthal Home Health LLC | Owns 5% or more directly | 100% | Jun 30, 2025 |
| Creach Family Holdings, LLC | Owns 5% or more through other companies | 100% | Jun 30, 2025 |
| Creach Family Investments, LP | Owns 5% or more through other companies | 100% | Jun 30, 2025 |
| Bill Creach Revocable Trust Dated 120109 | Owns 5% or more through other companies | 36.83% | Jun 30, 2025 |
| Sharla D. Creach Revocable Trust Dated 120109 | Owns 5% or more through other companies | 36.45% | Jun 30, 2025 |
| Bill Creach Irrevocable Trust for Charles R Creach | Owns 5% or more through other companies | 6.05% | Jun 30, 2025 |
| Bill Creach Irrevocable Trust for Frederick R Creach | Owns 5% or more through other companies | 5.74% | Jun 30, 2025 |
| Bill Creach Irrevocable Trust for Bill E Creach | Owns 5% or more through other companies | 5.72% | Jun 30, 2025 |
| Creach Family Company LLC | Owns 5% or more through other companies | 1.33% | Jun 30, 2025 |
What do families say?
- Family caregivers rate it 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 95% rated it 9 or 10 out of 10, and 96% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 96.82% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 81.1% 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 | 9 of 10 |
How does it compare nearby?
- Of the 12 hospices CMS’s data show serving patients in ZIP code 64506, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8.5; this one had 9.
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 |
|---|---|
| Freudenthal Hospice This hospice | 9 |
| Luminos Hospice, LLC | 10 |
| Mosaic Life Care Hospice | 3 |
| St Croix Hospice | 4 |
| Traditions Health | 8 |
| Three Oaks Hospice | 3 |
| Aseracare Hospice | 12 |
| Good Shepherd Hospice of Mid-America, Inc. | 16 |
| Three Rivers Hospice | 3 |
| St. Croix Hospice | 12 |
| Traditions Hospice of Blue Springs, LLC | 10 |
| Gentiva | 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.