Hospice of Lenawee
A hospice in Adrian, Michigan 49221
1903 Wolf Creek Hwy, Adrian, Michigan 49221. (517) 263-2323.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 2 deficiencies cited in the last three years
- 5of 5 family caregiver rating
- 9of 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?
2 deficiencies cited in the last three years
The middle of the 11 hospices serving ZIP code 49221 had 9.
The last inspection on record was on Jun 7, 2024: a reaccreditation inspection by the Community Health Accreditation Partner.
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
2 deficiencies in 1 month of the last 36. Last cited Jun 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.
Jun 7, 2024: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies
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Training (42 CFR 418.100(g)(2))
The inspectors’ words, 206 words
“It is required that the hospice provides an initial orientation for each employee that addresses the employee’s specific job duties, including infection control and organization procedures and policies and procedures on advance directives. This standard was not met as evidenced by document review, interview and personnel record review. In 1 of 5 (20%) personnel records reviewed of staff hired after 07/22/2021, it was revealed that the agency did not ensure that policy for orientation upon hire was followed. Document 4: Agency’s Orientation and Competency of Team Members policy number 203.1, version 2 (reviewed on 12/2023) stated in part, “Orientation will consist of general orientation and job specific training individualized for each staff member”. Personnel Record 2: The Spiritual Care Counselor was hired on 12/10/2022. The personnel record did not contain documentation of completion of the orientation process. The orientation document that was present in the personnel record and used to validate the successful completion of the orientation process was incomplete and blank in several areas of the hospice-specific education and unsigned by the designated reviewer. During interview with Director of Human Resources, she stated that she was unable to provide documentation of satisfactory completion of the orientation process, though she was confident that it was completed.”
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N/a (42 CFR 418.110(k))
The inspectors’ words, 182 words
“It is required that hospice inpatient facilities provide a sanitary environment by following current standards of practice, including nationally recognized infection control precautions, and avoiding sources and transmission of infections and communicable diseases. This standard was not met, as evidenced by an interview and observation. A tour of the inpatient facility on 06/05/2024, including the medication room, revealed expired supplies in the supply cabinet. The expired supplies included: 1 (one) Enteral extension expired on 04/20/2024; 1 (one) scalp vein needle expired on 05/20/2024; 2 (two) mini spikes expired 02/29/2024 and the other on 12/31/2023. During an interview with the Patient Resident Manager on 06/05/2024, she stated that she would take the supplies for education. A tour of the in-patient facility on 06/05/2024 including the medication room revealed expired supplies in the supply cabinet. The expired supplies included: 1 (one) Enteral extension expired on 04/20/2024; 1 (one) scalp vein needle expired on 05/20/2024; 2 (two) mini spikes expired 02/29/2024 and the other on 12/31/2023. During an interview with the Patient Resident Manager on 06/05/2024 stated that she would take the supplies for education.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 7, 2024 | Reaccreditation inspection by the Community Health Accreditation Partner | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 6, 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): 17.8 nurse care minutes per routine home care day, 16.1% of skilled nursing minutes at weekends and a visit near death for 98.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 42% at home, 28% in assisted living, 25% in a nursing facility, 4% in an inpatient hospice.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 17.8 min |
| Skilled nursing minutes at weekends | 16.1% |
| Visits near death | 98.4% of patients who died |
Who owns it?
- 28 owners or officers are people: Rosemary Abramovich (corporate director); Kimberly Jones (managing employee (on the payroll), 0%); Cathleen Ann Thielan (corporate director); Heather Perez (managing employee (on the payroll), 0%); Robert L Vogel (corporate director); Jennifer Meade (managing employee (on the payroll)); Megan Stevenson (corporate director); William Todd Carver (corporate director, 0%); Holleigh Baker (corporate director); Lee Ann Straub (managing employee (on the payroll), 0%); Mary Bohn (corporate director); Brian Nofzinger (corporate director, 0%); Matthew Swartzlander (corporate director, 0%); Travis Havens (corporate officer, 0%); Travis Havens (managing employee (on the payroll)); Margaret Agnes Daugherty (managing employee (on the payroll)); Matthew Hammond (corporate director); Patrick Michael Hayes (corporate director); Sally Whelan (corporate director); Bronna Kahle (corporate director); Christopher Clarke (corporate director); Jeffrey William Danley (corporate director); Amy Marie Bergman (corporate director, 0%); Justin Voorhees (managing employee (on the payroll)); Dane Nelson (corporate director, 0%); Joan Spade (corporate director); Heather Anne Rowe (managing employee (on the payroll)); Jeffery Brehmer (corporate director).
- 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.
What do families say?
- Family caregivers rate it 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 94% rated it 9 or 10 out of 10, and 98% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.78% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 84.3% 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 | 5 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 | 9 of 10 |
How does it compare nearby?
- Of the 11 hospices CMS’s data show serving patients in ZIP code 49221, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 9; this one had 2.
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 |
|---|---|
| Hospice of Lenawee This hospice | 2 |
| Henry Ford Health Hospice-Central Michigan | 7 |
| Arbor Hospice | 7 |
| Hospice of Hillsdale County | 9 |
| Elara Caring | 20 |
| Gentiva II | 12 |
| Heartland Hospice (Monroe) | 11 |
| Crossbridge Hospice | 9 |
| Optimal Care Hospice | 2 |
| Optimal Care Hospice | 3 |
| Hospice of Northwest Ohio | 9 |
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.