Trinity Health at Home - Grand Haven
A hospice in Grand Haven, Michigan 49417
1027 S Beacon Blvd, Grand Haven, Michigan 49417. (616) 846-2015.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 8 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 10of 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?
8 deficiencies cited in the last three years
The middle of the 17 hospices serving ZIP code 49417 had 6.5.
The last inspection on record was on May 24, 2024: an initial inspection by The Joint Commission.
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
8 deficiencies in 1 month of the last 36. Last cited May 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.
May 24, 2024: initial inspection by The Joint Commission8 deficiencies
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Content of plan of care (42 CFR 418.56(c)(2))
“Observed in Record Review. In 1 of 16 patient records reviewed, it was noted that there was no frequency ordered for MSW services during review of record #4. This was confirmed by the hospice leadership assisting with record review.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 118 words
“Observed in Record Review. In 2 of 16 patient records reviewed, it was noted in review of record for hospice visit #1 that the patient was receiving ace wraps for treatment of lymphedema. This was not included in the hospice plan of care. In another example, in record review #6 it was noted that the plan of care indicated that the nurse was to teach about blood glucose monitoring, keeping a blood sugar log, and safe administration of insulin however although the patient had a diabetes diagnosis, there were no orders for glucose monitoring or insulin orders and she was not monitoring blood sugars and not receiving insulin. This was confirmed by hospice leadership assisting with record review.”
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Review of the plan of care (42 CFR 418.56(d ))
The inspectors’ words, 136 words
“Observed in Record Review. In 3 of 16 patient records reviewed, it was noted in review of record for home visit #2 that a newly developed issue of temporary limited use of left hand as reported by skilled nursing facility staff was not added to the care plan as a problem with interventions and goals. In another example, in review of record for home visit #4 it was noted that an antibiotic was ordered for a wound infection to the great toe however the care plan was not updated to include this new problem, interventions or goals. In another example, in record review #10 it was noted that the plan of care was not updated and still included wound care orders however the wound is healed. This was confirmed by hospice leadership assisting with record review.”
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Coordination of services (42 CFR 418.56(e)(2))
“Observed in Patient Home. In 2 of 2 home visits conducted, by a skilled nurse it was noted that a complete skin assessment was not done. For example, the plan of care stated, skilled nurse for observation/assessment of integumentary status for early identification of complications. In home visits #1 and #2 for patients that were primarily bed or chairbound and incontinent the nurse did not assess the skin on the back or buttocks during her weekly visit. This was confirmed by the Clinical Manager present on the visit.”
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Coordination of services (42 CFR 418.56(e)(4))
“Observed in Record Review. In 1 of 16 patient records reviewed, it was noted in review of record for home visit #2 that there was no documentation that the physician was notified of temporary limited use of left hand as reported by skilled nursing facility staff. This was confirmed by hospice leadership assisting with record review.”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 91 words
“Observed in Patient Home. In 1 of 4 home visits conducted, it was noted that bag technique was not performed according to agency protocol. For example, during home visit #1 the nurse was observed cleaning her equipment with a large alcohol wipe which was used on all equipment and then used to wipe down the disinfection wipes cannister followed by directly placing the cannister while still holding the wipe in her hand, back into the clean portion of the bag. This was observed by the Clinical Manager present on the visit.”
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Supervision of hospice aides (42 CFR 418.76(h)(1)(i))
“Observed in Record Review. In 2 of 16 patient records reviewed, it was noted in record review #5 and record review for home visit #2 that supervisory visits were made 15 days apart. This was confirmed with hospice leadership assisting with record review.”
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Content (42 CFR 418.104(a)(3))
The inspectors’ words, 136 words
“Observed in Tracer Visit. In 2 of 16 patient records reviewed, it was noted that in record review for home visit #1, the patient medication sheet at the skilled nursing facility did not contain a medication Occusoft eyelid scrub that was listed as a current medication on the Hospice medication list. In another example, in home visit #2 it was noted that there were discrepancies between the ALF medication sheet and the hospice medication sheet. For example, on the hospice medication list Bisacodyl 10 mg suppository was listed as a regularly scheduled medication 2 x per week but the ALF medication sheet listed it as a PRN medication. Also, Systane eye drops were on the hospice medication list as duplicatable at Bedtime and as Daily. This was observed by the Clinical Manager present on the visit.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 24, 2024 | Initial inspection by The Joint Commission | 8 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Mar 20, 1990.
- 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): 11.1 nurse care minutes per routine home care day, 8.6% of skilled nursing minutes at weekends and a visit near death for 95.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 54% at home, 37% in assisted living, 1% in a nursing facility, 8% 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 | 11.1 min |
| Skilled nursing minutes at weekends | 8.6% |
| Visits near death | 95.4% of patients who died |
Who owns it?
- 17 owners or officers are people: Cindy Napieralski (managing employee (on the payroll)); Ray Anderson (corporate director); Kelly O’sullivan (managing employee (on the payroll)); Marcus A Bowens (corporate officer); Corinne Francis (corporate director); Benjamin E Petersen (corporate officer); Daniel Roth (corporate director); Joshua Moore (corporate director); Donald Mathews (runs it (operational or managerial control)); Daniel Drake (corporate officer); Daniel Drake (corporate director); Daniel Drake (runs it (operational or managerial control)); Robert F Casalou (corporate officer); Robert F Casalou (corporate director); Carrie Scott (managing employee (on the payroll)); Daniel Isacksen (corporate director); Christine Seppala (corporate officer).
- 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 |
|---|---|---|---|
| Trinity Home Health Services | Owns 5% or more through other companies | 100% | Oct 1, 2022 |
| Trinity Health Corporation | Owns 5% or more through other companies | 100% | Oct 1, 2022 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 85% rated it 9 or 10 out of 10, and 85% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.58% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 76.2% 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 | 10 of 10 |
How does it compare nearby?
- Of the 17 hospices CMS’s data show serving patients in ZIP code 49417, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6.5; this one had 8.
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 |
|---|---|
| Trinity Health at Home - Grand Haven This hospice | 8 |
| Harbor Hospice | 15 |
| Hospice of Western Michigan | 0 |
| Corewell Health Hospice & Palliative Care - West Michigan | 4 |
| Hospice of Holland | 1 |
| Faith Hospice at Trillium Woods | 6 |
| Elara Caring | 11 |
| Heartland Hospice (Grand Rapids) | 0 |
| Gentiva I | 12 |
| Crossbridge Hospice | 12 |
| Emmanuel Hospice | 7 |
| Elara Caring | 10 |
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.