In the latest auditor's report, staff and management were commended for a visible commitment to quality and a high standard of palliative care.
With Cranford in a good state it was "time to pass the baton on" and resign, Ms Blaxland said.
"The waka has a great crew and can confidently paddle on into the future," she said.
"There are many exciting plans for the continuing development of palliative care services for Hawke's Bay and the foundations are secure for these."
Greater partnerships with the community - not just health providers - were essential "because dying isn't just a health issue, it's about societies and how we value each other".
"We are all dying, it's just when and how."
Cranford Board of Trustees chair Hayley Anderson said Ms Blaxland was instrumental in raising Cranford to its level of excellence and created a great team at the hospice.
"The Board are very pleased with having such a positive audit result that gives our community confidence in their hospice and in the reputation it has nationally," she said.