Hillside Hospice
A hospice in Beaver Dam, Wisconsin 53916
707 S University Ave, Beaver Dam, Wisconsin 53916. (920) 887-4050.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency cited in the last three years
- Not rated family caregiver rating
- 9of 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 14 hospices serving ZIP code 53916 had 5.5.
The last inspection on record was on Oct 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 Oct 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
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.
Oct 10, 2024: recertification inspection by the state1 deficiency
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Counseling services (42 CFR 418.64(d)(3))
The inspectors’ words, 291 words
“Based on record review and interview, the agency failed to provide spiritual counseling services at end-of-life for 1 of 2 patients (Patient #13) that passed away in a total of 14 patient records reviewed. Findings include: Review of agency policy titled “Hospice Services and Admission Policy” dated 10/09/2023 revealed “Purpose: To describe Hospice services provided by the agency. 3.1 Core Services: a Services are available 24 hours a day. g. Counseling.” Record review for Patient #13 revealed patient was admitted 07/23/2024 with terminal diagnosis of Acute and Chronic Respiratory Failure with Hypoxia. Initial MSW (Medical Social Worker) admission assessment dated 07/23/2024 revealed patient was not spiritual, was offered and declined Chaplain services. On 08/11/2024, Patient #13 passed away. Record review of SW “Collaboration Note” dated 08/08/2024 at 12:54 PM revealed “Chaplain Referral: Request for Spiritual Support. Referral being requested for: Patient and family. Spiritual beliefs: Upon admission this MSW was informed that they were not really religious and/or affiliated with any specific church but was informed by the nursing home SW that the wife was requesting spiritual support now that patient is declining. Specific Needs: Spiritual support as requested as patient is declining in condition. Wife has been sitting bedside and will be able to express any specific support needs.” Record review for Patient #3 revealed no spiritual support/counseling/chaplain services were provided from referral on 08/08/2024 to patient passing 08/11/2024. During an interview with Administrative Secretary D on 10/10/2024 at 1:40PM, the above findings were reviewed. Administrative Secretary D stated, “We cannot find documentation. The patient refused Chaplain initially and was not spiritual. We have a volunteer who is also a Chaplain and may have made a visit, but we have no documentation of that or why a visit wasn’t made.””
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 10, 2024 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Apr 13, 1988.
- 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): 12.2 nurse care minutes per routine home care day, 7.4% of skilled nursing minutes at weekends and a visit near death for 98% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 43% at home, 33% in assisted living, 1% in a nursing facility, 24% 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 | 12.2 min |
| Skilled nursing minutes at weekends | 7.4% |
| Visits near death | 98.0% of patients who died |
Who owns it?
- Mchs Hospitals Inc. owns 100% directly since May 1, 2019.
- 20 owners or officers are people: Brian D Hoerneman (corporate officer); Brian D Hoerneman (corporate director); Tony Lee Morrison (managing employee (on the payroll)); John F Baltus (corporate officer); John F Baltus (corporate director); Lindsey A Buswell Cleary (managing employee (on the payroll)); Jolyn Joy Munson (managing employee (on the payroll)); Dennis H Smith (corporate director); Jeffrey Douglas Poppen (corporate officer); Jeffrey Douglas Poppen (managing employee (on the payroll)); Edward G Fernandez (corporate officer); Edward G Fernandez (corporate director); Kelly Danner (managing employee (on the payroll)); Kelly Danner (runs it (operational or managerial control)); Samantha L Klebe (corporate director); Samantha L Klebe (managing employee (on the payroll)); Linda Laverne Procci (corporate director); Everett W Newcomb (corporate director); Douglas Mathison (corporate director); Nicholas Wayne Olson (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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Mchs Hospitals Inc. | Owns 5% or more directly | 100% | May 1, 2019 |
| Marshfield Clinic Health System Inc. | Owns 5% or more through other companies | 100% | May 1, 2019 |
| Sanford | Owns 5% or more through other companies | Jan 1, 2025 |
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): 82% rated it 9 or 10 out of 10, and 81% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 83.33% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 84.8% 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 | 9 of 10 |
How does it compare nearby?
- Of the 14 hospices CMS’s data show serving patients in ZIP code 53916, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 5.5; 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 |
|---|---|
| Hillside Hospice This hospice | 1 |
| Agrace Hospicecare | 15 |
| SSM Health at Home Hospice | 13 |
| Compassus Neenah | 5 |
| Rainbow Hospice Care | 10 |
| Commonheart Hospice | 2 |
| Heartland Hospice Fond Du Lac | 18 |
| Generations Hospice | 6 |
| St Croix Hospice Baraboo | 5 |
| Preceptor Hospice | 5 |
| St Croix Hospice Waukesha | 6 |
| Moments Hospice of Madison | 6 |
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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 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.