Horisun Hospice
A hospice in Lincoln, Nebraska 68510
8055 O St., Ste 300, Lincoln, Nebraska 68510. (402) 484-6444.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency cited in the last three years
- 4of 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?
1 deficiency cited in the last three years
The middle of the 11 hospices serving ZIP code 68510 had 6.
The last inspection on record was on Dec 10, 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
1 deficiency in 1 month of the last 36. Last cited Dec 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.
Dec 10, 2024: recertification inspection by the state1 deficiency
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 557 words
“Based on record review, policy and procedure review, the observation of the provision of cares, and staff interview, 3 of 5 staff (Staff-E, -G, and -H) observed during the provision of cares to 3 of 4 patients (Patient 1, 2, and 3) failed to perform appropriate hand hygiene, glove use, and/or use of clean bag technique according to the agency policies and procedures to prevent the potential for cross contamination and home care acquired infections. The total sample size was 19. The census was 56. Findings are: A. Review of the agency policy and procedure titled Infection Control, Hand Hygiene, undated, revealed staff were to perform hand hygiene before and after patient contact. B. Review of the agency policy and procedure titled Infection Control, PPE [(personal protective equipment)]/Gloving, undated, revealed staff were to perform hand hygiene prior to donning [(applying)] and removing gloves, and after touching the patient or their surroundings. C. Review of the agency policy and procedure titled Home Care Bag Technique, undated, revealed staff were to wash hands prior to removing any equipment from the bag, remove all necessary equipment from the bag at the start of the visit, and enter the bag as few times as possible. D. Review of Patient 1’s clinical record revealed: 1. Recertification and Plan of Care for the certification period of 10/31/24 through 12/29/24 included orders for Hospice Aide (HA) services 1 time per week for 8 weeks. 2. The Hospice Aide Plan of Care dated 12/3/24, included tasks of bathing and personal cares. E. Review of Patient 2’s clinical record revealed: 1. Recertification and Plan of Care for the certification period of 11/5/24 through 1/3/25 included orders for Skilled Nurse (SN) 2 times per week for 9 weeks, for patient assessment. 2. The Comprehensive Plan of Care dated 10/29/24 included orders for SN to perform wound care. F. Review of Patient 3’s Initial Plan of Care for the certification period of 9/23/24 through 12/21/24 included orders for SN 1 time per week for 12 weeks, for patient assessment. G. The observation of the provision of HA services on 12/4/24 at 9:00 AM, by Staff-E to Patient 1, revealed Staff-E failed to perform hand hygiene when removing gloves and prior to applying clean gloves, and between clean and dirty tasks on four occasions while providing a bed bath to the patient. H. The observation of the provision of SN services and wound care on 12/4/24 at 10:45 AM, by Staff-G to Patient 2, revealed Staff-G failed to sanitize hands: 1. after removing a soiled dressing from the patient’s right heel wound and prior to applying clean gloves; and 2. after placing a barrier under the patient’s foot wound, removing gloves, and prior to applying clean gloves. I. The observation of the provision of SN services on 12/5/24 at 10:45 AM, by Staff-H to Patient 3, revealed the Staff-H failed to sanitize hands after touching the patient and the patient’s surrounding during the SN assessment, and prior to entering the clean supply bag to retrieve equipment on four separate occasions. J. During an interview on 12/10/24 at 8:00 AM, the Administrator confirmed Staff-E, -G, and -H failed to perform appropriate hand hygiene, glove use, and/or use of clean bag technique according to the agency policies and procedures, to prevent the potential for cross contamination and home care acquired infections.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 10, 2024 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Jul 22, 2004.
- 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): 16.5 nurse care minutes per routine home care day, 8.5% of skilled nursing minutes at weekends and a visit near death for 97.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 35% at home, 43% in assisted living, 22% 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 | 16.5 min |
| Skilled nursing minutes at weekends | 8.5% |
| Visits near death | 97.3% of patients who died |
Who owns it?
- 8 owners or officers are people: Susan Kay Burkey (owns 5% or more directly, 47.5%); Bob J Bleicher (owns 5% or more directly, 47.5%); Nancy Hulewicz (owns 5% or more directly, 5%); Nancy Hulewicz (managing employee (on the payroll)); Susan Kay Burkey (corporate officer); Susan Kay Burkey (managing employee (on the payroll)); Bob J Bleicher (corporate officer); Bob J Bleicher (managing employee (on the payroll)).
- 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?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 89% rated it 9 or 10 out of 10, and 91% would definitely recommend it.
- CMS’s Hospice Care Index: 9 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); 72.6% 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 | 4 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 11 hospices CMS’s data show serving patients in ZIP code 68510, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; 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 |
|---|---|
| Eventide Hospice | 1 |
| Chi Health at Home - Lincoln | 2 |
| Horisun Hospice This hospice | 1 |
| St. Croix Hospice | 20 |
| Aseracare Hospice | 6 |
| Heartland Hospice (Lincoln) | 9 |
| Gentiva I | 10 |
| Brookestone Home Health & Hospice | 0 |
| Hillcrest Hospice | 11 |
| St. Croix Hospice | 6 |
| Peaceful Hearts Hospice, LLC | 11 |
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.