Essentia Health St Marys Hospice & Palliative Care Services
Duluth, Minnesota · CCN 241521
407 East 4th Street
17 federal deficiencies across 4 surveys, July 24, 2023 to December 3, 2025.
Excludes the inspector’s preamble, which is not a finding
Federal surveys with at least one deficiency
Findings against a Condition of Participation — a compliance grade, not a measure of harm
What level the findings sit at
- Standard-level17100.0%
- A requirement within a Condition of Participation. The Condition itself was not cited.
These are compliance grades, not harm grades: how deep in the regulation a finding sits, not whether anyone was harmed.
Who conducted the surveys
State Agency, TJC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0505Exercise of Rights/Respect for Proprty/Person1
- L0508Exercise of Rights/Respect for Proprty/Person1
- L0511Exercise of Rights/Respect for Proprty/Person1
- L0513Rights of the Patient1
- L0519Rights of the Patient1
Survey record
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Dec 3, 2025 | Complaint | 3 | — |
| Apr 18, 2025 | Initial | 5 | — |
| Sep 12, 2023 | Complaint | 1 | — |
| Jul 24, 2023 | Recertification | 8 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Hospice findings published by CMS on QCOR, covering surveys from July 24, 2023 to December 3, 2025. The inspectors’ written findings come from a single CMS survey-report extract.
Federal survey findings only. State licensure findings for hospices are not shown.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction