Heart of America Hospice
A hospice in Rugby, North Dakota 58368
406 10th St SE Suite 36, Rugby, North Dakota 58368. (701) 776-5261.
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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.
- 1 deficiency cited in the last three years
- Not rated family caregiver rating
- 7of 10 CMS’s Hospice Care Index
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?
1 deficiency cited in the last three years
The middle of the 2 hospices serving ZIP code 58368 had 1.5.
The last inspection on record was on Sep 10, 2025: a recertification 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
1 deficiency in 1 month of the last 36. Last cited Aug 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.
Aug 13, 2025: recertification inspection by the state1 deficiency
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
The inspectors’ words, 263 words
“Based on record review, policy review, and staff interview, the Hospice failed to ensure a registered nurse (RN) completed an on-site supervisory 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 for 2 of 3 sampled patients (Patient #1 and #7) receiving hospice aide services. Failure to perform the supervisory visit limited the Hospices’ ability to ensure hospice aide services met the patients’ needs. Findings include:Review of the facility policy titled “Nursing Service” occurred on 08/13/25. This undated policy, stated, “. . . A registered nurse does a supervisory evaluation of the certified nurse assistant (CNA) every two weeks. . . .”- Review of Patient #1’s medial record occurred on August 11 – 13, 2025. The patient’s plan of care for the certification period from 02/19/25 – 05/19/25 showed the aide visits started on 02/24/25 and occurred as scheduled. The RN performed on-site supervisory visits as follows:* On 03/11/25, a 15-day interval from the start of aide visits.* On 03/25/25 and next on 04/10/25, a 16-day interval. - Review of Patient #7’s medial record occurred on August 11 – 13, 2025. The patient’s plan of care for the certification period from 06/16/25 – 08/14/25 showed the aide visits occurred as scheduled. Patient#7’s record lacked evidence an RN performed on-site supervisory visits between 06/24/25 and 07/28/25, a span of 34 days.During an interview on the morning of 08/13/25, an administrative nurse (#1) confirmed the RN failed to complete aide supervisory visits for Patients #1 and #7 as required.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 10, 2025 | Recertification inspection by the state | No deficiencies cited |
| Aug 13, 2025 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Dec 1, 1993.
- Ownership: other.
- 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): 3.8 nurse care minutes per routine home care day, 2.5% of skilled nursing minutes at weekends and a visit near death for 95% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 99% at home, 1% in a hospital.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 3.8 min |
| Skilled nursing minutes at weekends | 2.5% |
| Visits near death | 95.0% of patients who died |
Who owns it?
- 21 owners or officers are people: Richard D Anderson (corporate director); Tanner Lee Johnson (corporate director); Josalynne L Hoff Rue (managing employee (on the payroll)); Josalynne L Hoff Rue (runs it (operational or managerial control)); Craig Zachmeier (corporate director); Kimberley Bott (corporate director); Christine Jaeger (corporate director); Michael Graner (corporate officer); Michael Graner (corporate director); Wayne Trottier (corporate officer); Wayne Trottier (corporate director); Rebecca Hershey (managing employee (on the payroll)); Rebecca Hershey (runs it (operational or managerial control)); Erik Christenson (corporate officer); Erik Christenson (managing employee (on the payroll)); Erik Christenson (runs it (operational or managerial control)); Melissa Shepard (corporate officer); Melissa Shepard (managing employee (on the payroll)); Melissa Shepard (runs it (operational or managerial control)); Jesse Fahnestock (corporate director); Lisa Thorp (corporate director).
- 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?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- CMS’s Hospice Care Index: 7 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 38.7% 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 | Not 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 threshold | 7 of 10 |
How does it compare nearby?
- Of the 2 hospices CMS’s data show serving patients in ZIP code 58368, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 1.5; this one had 1.
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 |
|---|---|
| Heart of America Hospice This hospice | 1 |
| Caringedge Hospice of Minot | 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.