Hearth Record

Crown Hospice of St Louis, Inc.

A hospice in Creve Coeur, Missouri 63141

655 Craig Road, Ste 112, Creve Coeur, Missouri 63141. (314) 918-5354.

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 3 deficiencies in 1 month of the last 36. Last cited Mar 2024. Most serious: Standard-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean2
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 25 hospices serving ZIP code 63141 had 6.

The last inspection on record was on Mar 27, 2024: an initial inspection by the Community Health Accreditation Partner.

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

3 deficiencies in 1 month of the last 36. Last cited Mar 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.

3 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

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.

Mar 27, 2024: initial inspection by the Community Health Accreditation Partner3 deficiencies
  • Content of plan of care (42 CFR 418.56(c))

    The inspectors’ words, 159 words

    “It is required that each patient’s individualized written plan of care identifies planned interventions based on problems identified in the initial and updated comprehensive assessments. This standard was not met as evidenced by clinical record review and interview. In 1 of 5 (20%) clinical records reviewed it was revealed that the agency did not ensure that all problems identified in the initial and updated comprehensive assessments were included in the plan of care. Clinical Record 2: The election of hospice benefits was dated 02/28/2024. The initial nursing assessment dated 02/28/2024 revealed that the patient’s primary diagnosis was Congestive Heart Failure and read in part “Patient has 2-3+ pitting edema to all extremities and dyspnea with minimal exertion”. The plan of care dated 02/28/2024-05/27/2024 lacked interventions and goals related to Congestive Heart Failure. In an interview on 03/26/2024, the Administrator reviewed the record and stated, “There should have been interventions on the plan of care related to the heart failure.”.”

    Rule L0545. Standard-level.

  • Content of plan of care (42 CFR 418.56(c)(5))

    The inspectors’ words, 158 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 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 5 (20%) clinical records reviewed it was revealed that the agency did not ensure that all medical supplies and appliances necessary to meet the needs of the patient were included in the plan of care. Clinical Record 5: The election of hospice benefits was dated 03/05/2024. The initial nursing assessment dated 03/05/2024 read in part “Patient has a shower chair, over the bed table, hospital bed and wheelchair”. The plan of care dated 03/05/2024-06/02/2024 did not include any medical supplies or appliances. In an interview on 03/26/2024, the Administrator reviewed the record and stated “The DME should have been included in the plan of care.”.”

    Rule L0550. Standard-level.

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

    The inspectors’ words, 164 words

    “It is required that hospice aides are assigned to a specific patient by a registered nurse who is a member of the Interdisciplinary Group. Written patient care instructions for a hospice aide are prepared by a RN who is responsible for the supervision of the hospice aide. This standard was not met as evidenced by clinical record review and interview. In 1 of 5 (20%) clinical records reviewed of patients receiving aide services revealed that the agency did not ensure that all patient care instructions were included in the aide care plan. Clinical Record 2: Physician’s orders on 03/11/2024 included wound care for a wound to the sacrum. The aide care plan dated 03/11/2024 did not include instructions to the aide related to the sacral wound when providing care. In an interview on 03/26/2024, the Administrator reviewed the record and stated “There are no instructions related to the wound. I did not think about that since our nurses are providing aide care right now.”.”

    Rule L0625. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Mar 27, 2024Initial inspection by the Community Health Accreditation Partner3 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Apr 10, 2024.
  • CMS doesn’t list its type of ownership.
  • 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): 14.8 nurse care minutes per routine home care day, 8.7% of skilled nursing minutes at weekends and a visit near death for 95.7% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 30% at home, 68% in a nursing facility, 1% in a skilled nursing facility.
Source:

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

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day14.8 min
Skilled nursing minutes at weekends8.7%
Visits near death95.7% of patients who died

Who owns it?

  • 12 owners or officers are people: Timothy J Winters (corporate officer, 100%); Timothy J Winters (corporate director, 100%); Nicci Scott (other role (CMS gives no detail)); Susan L. Winters (corporate officer, 0%); Susan L. Winters (corporate director, 0%); Andrew Winters (corporate officer, 0%); Andrew Winters (corporate director, 0%); Justin Winters (corporate officer, 0%); Carrie Murphy (managing employee (on the payroll), 0%); Lindsey Huffman (corporate officer, 0%); Lindsey Huffman (managing employee (on the payroll), 0%); Walter Lin (managing employee (under contract), 0%).
  • 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?

  • CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
  • CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 63.78% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025).
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 5Not rated
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 threshold8 of 10

How does it compare nearby?

  • Of the 25 hospices CMS’s data show serving patients in ZIP code 63141, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 3.
Source:

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

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

The 25 hospices CMS lists serving ZIP code 63141
PlaceDeficiencies, 3 years
Bjc Hospice0
Gentiva9
Heartland Hospice (St Louis)14
Bethesda Hospice Care11
Three Oaks Hospice11
Crown Hospice of St Louis, Inc. This hospice3
Compassus St Louis4
Sarah Bush Lincoln Hospice8
Bjc HospiceNot given
Mercy Hospice6
SSM Health at Home Hospice12
Pathways Hospice and Palliative Care6

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 Nov 5, 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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