Chi Health at Home - Hospice
A hospice in Valley City, North Dakota 58072
367 2nd St NW, Valley City, North Dakota 58072. (855) 860-3464.
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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.
- 2 deficiencies cited in the last three years
- Not rated family caregiver rating
- 10of 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?
2 deficiencies cited in the last three years
The middle of the 2 hospices serving ZIP code 58072 had 1.
The last inspection on record was on Jul 16, 2024: 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
2 deficiencies in 1 month of the last 36. Last cited May 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.
May 1, 2024: recertification inspection by the state2 deficiencies
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
The inspectors’ words, 460 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 3 of 8 sampled patients (Patient #3, #4, 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. -Review of patient #7’s medical record occurred on April 30-May 1, 2024. The patient’s plan of care for the certification period 2/13/24-5/12/24 identified home health aide services with a visit frequency of one time per week. The record showed the aide visits occurred as scheduled. Patient #7’s record identified RN supervisory visits occurred one time per month on 2/23/24, 3/19/24, and 4/22/24, therefore missing three required supervisory visits during this period. During an interview on 05/01/24 at 10:58 a.m., an administrative staff member (#2) confirmed the record lacked evidence the RN completed the required supervisory visits. Findings include: Review of the facility policy titled “Supervision” occurred on 05/01/24. This policy, dated 12/01/11, stated, “. . . Procedure: . . . A registered nurse . . . will be available whenever home health aide services are provided. Home health aide services will be supervised every fourteen (14) days by a registered nurse . . .” - Review of Patient #4’s medial record occurred on April 30-May 1, 2024. The patient’s plan of care for the certification period from 02/05/24 to 05/04/24 identified hospice aide services with a visit frequency of one time a week. The record showed the aide visits occurred as scheduled, with a certified nurse aide/physical therapy aide (PTA) completing the aide duties identified in the aide care plan. Patient #4’s record lacked evidence an RN performed six on-site supervisory visits required in the 12 weeks between 02/05/24 and 04/28/24. During an interview on 04/30/24 at 4:40 p.m., a supervisory nurse (#1) stated a PTA provided the aide services for Resident #4 and “didn’t think they needed supervisory visits as often.” The nurse (#1) confirmed Patient #4’s record lacked evidence an RN completed the required supervisory visits. Review of Patient #3s medical record occurred on April 30 – May 1, 2024. The patients plan of care for the certification period from 03/12/24 to 05/10/24 identified hospice aide services with a visit frequency of one time a week. The record showed the aide visits occurred as scheduled. Patient #3s record lacked evidence an RN completed a supervisory visit between 03/27/24 and 04/15/24 (20 days). During an interview on 04/30/24 at 4:00 p.m., a supervisory nurse (#1) confirmed a missed RN supervisory visit between 03/27/24 and 04/15/24 for Patient #3.”
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Level of activity (42 CFR 418.78(e))
The inspectors’ words, 246 words
“Based on review of policy and procedure, review of the hospice volunteer requirement report, and staff interview, the Hospice failed to ensure volunteers provided services which equaled five percent of the total patient care hours of all paid hospice employees and contract staff within a one-year period (April 2023 to April 2024). This resulted in the failure to use volunteers to the extent specified. Findings Include: Review of the policy titled “Volunteer Program - Hospice” occurred on 05/01/24. This policy, dated December 2010, stated, “. . . Cost Saving: It is the intention of hospice to utilize volunteers to supplement the care being provided by the paid staff who work directly with clients and their families, both in the client home and the inpatient setting. It is expected volunteers will provide administrative and/or direct patient care services in an amount that, at a minimum, equals 5 percent of the total patient care hours of all paid hospice employees and contract staff . . .” Review of the hospice volunteer requirement report occurred on 04/30/24. This document identified the Hospice provided 2609.08 total hospice patient hours and 93.30 total volunteer hours in the one-year period of April 2023-April 2024. The division of these values calculated a total of 3.57 percent and did not equal the required five percent minimum. During an interview the morning of 05/01/24, two administrative staff members (#2 and #3) confirmed the number of volunteer hours did not meet the required five percent minimum.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 16, 2024 | Recertification inspection by the state | No deficiencies cited |
| May 1, 2024 | Recertification inspection by the state | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 17, 1995.
- 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): 15.8 nurse care minutes per routine home care day, 8.9% of skilled nursing minutes at weekends and a visit near death for 94.8% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 33% at home, 7% in assisted living, 59% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 15.8 min |
| Skilled nursing minutes at weekends | 8.9% |
| Visits near death | 94.8% of patients who died |
Who owns it?
- Commonspirit Health owns 100% directly since Dec 26, 2010.
- 9 owners or officers are people: Wendy L Mcginley (corporate director); Laura J Archuleta (managing employee (under contract)); Nicole A Peyerl (corporate officer); Nicole A Peyerl (managing employee (on the payroll)); Gretchen K Dobervich (corporate director); Mary Quandt (corporate director, 0%); Caroline Stoltz (corporate director, 0%); Lance W Gulleson (corporate director); Gloria A Dohman (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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Commonspirit Health | Owns 5% or more directly | 100% | Dec 26, 2010 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 85% rated it 9 or 10 out of 10, and 88% would definitely recommend it.
- CMS’s Hospice Care Index: 10 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); 68.2% 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 | 10 of 10 |
How does it compare nearby?
- Of the 2 hospices CMS’s data show serving patients in ZIP code 58072, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 1; this one had 2.
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 |
|---|---|
| Chi Health at Home - Hospice This 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.