Methodist Fremont Health Hospice
A hospice in Fremont, Nebraska 68025
450 East 23rd St, Ste 2224, Fremont, Nebraska 68025. (402) 941-1699.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 5 deficiencies cited in the last three years
- 3of 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?
5 deficiencies cited in the last three years
The middle of the 16 hospices serving ZIP code 68025 had 5.5.
The last inspection on record was on Feb 14, 2025: a reaccreditation inspection by The Joint Commission.
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 Feb 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.
Feb 14, 2025: reaccreditation inspection by The Joint Commission5 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
“Observed in Record Review. In 1 of 10 patient records reviewed, the hospice’s interdisciplinary group did not comply with their policy Assessment and Reassessment which states that the comprehensive assessment will be completed no later than five calendar days after the election of hospice care. In review of the medical record for RRHV #1 the psychosocial assessment had not been completed until 11 days following the election of the hospice benefit. This was validated by the Hospice Director.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6)(i))
The inspectors’ words, 150 words
“Observed in Patient Home. In 1 of 3 home visits conducted, the organization did not follow their policy Medication Management which states the patient’s medication list is reconciled on each visit . A licensed professional will update the medication list whenever changes occur (omissions, duplications, adjustments, deletions, additions). For HOS RRHV #3 the RN did not perform a complete medication reconciliation of the patient’s medications. The RN was observed to set up a weekly medication planner for the patient and reconciled the scheduled medications. At the surveyor request the RN completed the reconciliation of the prn and comfort kit medications noting several issues including MiraLAX which was on the medication list as daily but was being used prn, Acetaminophen which the patient did not have and needed to be ordered and Glycopyrrolate (Robinul) with only 2 tablets left and needed to be refilled. This was validated by the Hospice Manager.”
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Content of plan of care (42 CFR 418.56(c)(3))
The inspectors’ words, 119 words
“Observed in Record Review. In 3 of 10 patient records reviewed, the plan of care did not include goals that were specific, measurable, achievable with time frames to meet those goals. For example for HOS RRHV #3 and RRNHV #1 for the pain problem the goal was; patient will have satisfactory pain control as evidence by caregiver report of perceived satisfaction however the goal did not identify a pain rating that would be satisfactory for the patient or a time frame to meet the goal. Also for HOS RRNHV #3 the pain goal was patient’s pain will be within a comfortable level within 2 days however failed to identify a pain rating. This was validated by the Hospice Manager.”
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Coordination of services (42 CFR 418.56(e)(2))
“Observed in Record Review. In 1 of 10 patient records reviewed, the organization did not provide the patient with care, treatment, or services according to the hospice plan of care. In review of the medical record for HOS RRHV #1 the plan of care included for the social worker to visit the patient 1 time per month however there was no evidence of a visit by the social worker in the third month of hospice care. This was validated by the Hospice Director.”
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Prevention (42 CFR 418.60(a))
“Observed in Patient Home. In 1 of 3 home visits conducted, Device or disinfectant manufacturer instructions for use (IFU) were not followed but patient was not likely placed at risk for BBP transmission as evidenced by: staff did not follow contact time (wet time) when cleaning equipment used in patient care as specified by the disinfectant manufacturer’s IFUs for Oxiver. This was validated by the Hospice Director.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 14, 2025 | Reaccreditation inspection by The Joint Commission | 5 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jan 12, 1994.
- Ownership: non-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): 16.7 nurse care minutes per routine home care day, 6.1% of skilled nursing minutes at weekends and a visit near death for 93.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 54% at home, 8% in assisted living, 38% 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 | 16.7 min |
| Skilled nursing minutes at weekends | 6.1% |
| Visits near death | 93.3% of patients who died |
Who owns it?
- Visiting Nurse Association of the Midlands and Nebraska Methodist Health System Inc. run it.
- 21 owners or officers are people: Adam Lamprecht (corporate director); Melinda Kentfield (managing employee (on the payroll)); Melinda Kentfield (runs it (operational or managerial control)); Jeffrey E Francis (corporate officer); Jeffrey E Francis (corporate director); Jennifer Bixby (corporate director); Monty R Sellon (corporate director); Todd M Sauer (managing employee (on the payroll)); Todd M Sauer (runs it (operational or managerial control)); Steven Navarrette (corporate director); Fred T Waring (corporate director); Jody L Horner (corporate director); Nicole L Wagner Dix (corporate director); William N Vobejda (corporate officer, 0%); William N Vobejda (managing employee (on the payroll)); William N Vobejda (runs it (operational or managerial control), 0%); Bret C Griess (corporate director); Kenneth D Beebe (corporate director); Shaun Custard (managing employee (on the payroll)); Kathryn Bonham (managing employee (on the payroll)); Kathryn Bonham (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 |
|---|---|---|---|
| Visiting Nurse Association of the Midlands | Runs it (operational or managerial control) | Oct 1, 2018 | |
| Nebraska Methodist Health System Inc. | Runs it (operational or managerial control) | Jun 29, 2018 |
What do families say?
- Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 79% rated it 9 or 10 out of 10, and 84% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 97.32% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 56.7% 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 | 3 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 16 hospices CMS’s data show serving patients in ZIP code 68025, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5.5; 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 |
|---|---|
| Methodist Fremont Health Hospice This hospice | 5 |
| Hillcrest Hospice | 8 |
| Chi Health at Home - Omaha | 7 |
| Eventide Hospice | 1 |
| Endless Journey, LLC | 0 |
| Hospice of Columbus Community Hospital | 1 |
| Aseracare Hospice | 13 |
| Gentiva I | 10 |
| Aseracare Hospice | 6 |
| Angels Care Hospice | 0 |
| St. Croix Hospice | 6 |
| Oncare Hospice, LLC | 1 |
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.