HEART OF AMERICA HOSPICE
Provider Information
- Address
- 406 10TH ST SE SUITE 36
RUGBY, ND 58368 - Ownership Type
- For-Profit
- Medicare Certified Since
- December 1, 1993
Are you this hospice's administrator? Update your information
CMS Quality Ratings
Composite score combining quality measures and patient survey results.
Based on the CMS Hospice Care Index — 10 operational quality indicators including visits near death, nursing minutes, and care transitions.
CAHPS Hospice Survey — family caregivers rate communication, symptom management, respect, and overall experience.
CMS scores as of May 2026. Quality of Care derived from CMS Hospice Care Index. Patient Satisfaction from the CMS CAHPS Hospice Survey. Overall is the equally-weighted average of both. All source data published by the Centers for Medicare & Medicaid Services.
Staffing & Capacity
| Role | Staff Count |
|---|---|
| Registered Nurses (RN) | 4 |
| Physicians | 0 |
| Volunteers | 0 |
5
Total Employees
Staffing data as reported to the Centers for Medicare & Medicaid Services.
Inpatient Care and Medical Equipment
Hospices report these services to Medicare when they are certified. This is what HEART OF AMERICA HOSPICE reported, not a check of what it offers today. Confirm current arrangements with the hospice.
- Short-term inpatient care
- Arranged through another hospital or nursing home
- Type of inpatient care
- Both general inpatient care and respite care
- Medical supplies and equipment
- Brought in through an outside supplier
Short stays in a hospice inpatient unit, hospital, or nursing home for pain or symptoms that cannot be managed where the patient lives, or to give family caregivers a break.
Equipment and supplies tied to the terminal illness and the plan of care, such as a hospital bed, oxygen, wound supplies, or a wheelchair.
Medicare lets hospices provide these services through arrangements with other organizations. Either way, the hospice stays responsible for the covered care in the patient’s plan of care.
Reported by this hospice to the Centers for Medicare & Medicaid Services when it was certified in 2022.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how HEART OF AMERICA HOSPICE compares to hospices nationwide.
3.8 minutes
of nurse care per routine home care day, on average
That is the 1st percentile among hospices nationally. The national median is about 12 minutes.
4
patients in care on an average day
A rough measure of size. Smaller can mean more personal. Larger can mean more resources.
How this hospice compares nationally
Bars show national standing on measures from the CMS Hospice Care Index. A fuller bar means this hospice does better than more of the hospices CMS tracks.
- Nurse care minutes per home care day3.8 min
Ranks better than about 1% of hospices nationally on this measure.
What this measures
The average minutes of nursing care per day for patients getting routine care at home, based on Medicare claims. More nurse time usually means more hands-on support.
- Skilled nursing on weekends2.5%
Ranks better than about 3% of hospices nationally on this measure.
What this measures
The share of skilled nursing time delivered on Saturdays and Sundays. Symptoms do not wait for weekdays, so weekend coverage matters.
- Nurse visits in the last days of life95%
Ranks better than about 61% of hospices nationally on this measure.
What this measures
The share of patients who got nurse visits in their final days of life. This is when families tend to need the most support.
- Gaps in nursing visits14.3%
Ranks better than about 93% of hospices nationally on this measure.
What this measures
How often patients went more than a week without a nursing visit. Fewer gaps mean steadier attention.
- Patients discharged alive early in care0%
Ranks better than about 81% of hospices nationally on this measure.
What this measures
The share of patients who left hospice alive within the first week of care. A rate of 0% means it did not happen to any of their patients.
- Patients discharged alive after 6 months11.1%
Ranks better than about 95% of hospices nationally on this measure.
What this measures
The share of patients discharged alive after six months or more in hospice care.
- Hospital transfers near the end of care0%
Ranks better than about 81% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, spent time in the hospital, then came back to hospice.
- Hospital stays that interrupt hospice0%
Ranks better than about 55% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, went to the hospital, and died there soon after.
- Days at higher levels of care (CHC or GIP)52nd percentile
What this measures
The share of care days delivered at higher levels, such as continuous home care or inpatient care. Shown only as a national rank because small percentages round to zero.
- Medicare spending per patient$10,361 · 12th percentile
What this measures
What Medicare paid per patient for this hospice's care. Higher or lower spending is not a quality judgment by itself.
Care steps completed at admissionShow detailsMedicare tracked 8 required care steps for new patients here, completed for 38.7% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Pain assessment100%
- Breathing difficulty screening100%
- Breathing difficulty treatment100%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Visits in the last days of life38.7%
- All care steps completed100%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer61%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Compassionate Care in Rugby
Heart of America Hospice offers end-of-life support to families in Rugby, North Dakota. They focus on comfort, dignity, and quality of life for patients facing a life-limiting illness. Based at 406 10th St SE, they serve the Pierce County area with dedicated care teams. The goal is simple: to help your loved one stay comfortable and surrounded by family. Choosing a hospice provider is a deeply personal decision. Having a local team that knows the community can make a big difference during a difficult time. They aim to provide peace of mind for both the patient and their loved ones.
About Heart of America Hospice
Heart of America Hospice is a for-profit provider that has been Medicare certified since December 1993. That is over thirty years of experience helping families in the region. Being Medicare certified means they meet federal standards for the care they provide. For-profit status simply describes how they are organized, but the focus remains on the patient. What families should know is that their long history in the community shows a commitment to their neighbors. They have seen many changes in healthcare over three decades. But they have stuck to their core mission of supporting patients in Pierce County. You should feel comfortable asking them about their specific experience with your loved one's needs.
Quality of Care
Understanding Hospice Care in Rugby
Hospice care in rural areas like Rugby works a bit differently than in big cities. Teams often travel to visit patients in their own homes or local nursing facilities. The thing is, this local presence allows for more personal attention. You get to know the nurses and aides who visit your home. That builds trust, which is vital when you are dealing with a serious health condition. Access to local services means your team is never too far away when an urgent question comes up. And since they know the local doctors and clinics, the transition to hospice care is usually much smoother. It is about keeping the care close to home where your family feels the most comfortable.
What to Ask When Choosing a Hospice Provider
You should never feel rushed when picking a hospice team. Start by asking these questions to see if they are a good fit for your family. First, ask how quickly a nurse can get to your home if an emergency happens at night. Second, ask how they handle pain management and if they have a doctor who specializes in this. Third, ask what kind of support they offer for grieving family members after the patient passes. Finally, ask if they have experience with your loved one's specific diagnosis. The answers should be clear and easy to understand. If they use too much medical jargon, ask them to explain it in plain English. You deserve to feel confident in your choice.
Preserve Your Family Stories
This time is hard, but it is also a chance to capture the life stories and wisdom of your loved one. We can help you keep those memories safe for future generations.
Start Preserving MemoriesOther Hospice Providers Nearby
ETHOS HOSPICE
CHI HEALTH AT HOME - HOSPICE
SANFORD HOME CARE - HOSPICE
HIA HOSPICE
JAMESTOWN REGIONAL MEDICAL CENTER HOSPICE
CHI HEALTH AT HOME
Helpful Guides for Families
What Does Medicare Cover for Hospice Care?
Confused about medicare hospice coverage? Discover exactly what is covered, how to manage costs, and navigate your benefits with our simple, expert guide.
Choosing a Hospice Provider: A 5-Step Quality Guide
Feeling overwhelmed? Use our expert 5-step guide to choosing a hospice provider that offers the compassionate, high-quality care your loved one deserves.
A Complete End of Life Planning Checklist for Families
Feeling overwhelmed by end of life planning? Use our comprehensive hospice planning checklist to organize your loved one's care and simplify difficult decisions.
Some stories are worth writing down
Between the calls and the paperwork, many families wish they had asked more about the person at the center of it all. A recorded conversation, a favorite recipe, the story behind an old photo. Small things now can mean a great deal later. Our legacy guides show simple ways to start.