Heartland Hospice (Flint)
A hospice in Flint, Michigan 48507
3031 Airpark Dr N, Flint, Michigan 48507. (810) 230-1318.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 5 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 8of 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?
5 deficiencies cited in the last three years
The middle of the 23 hospices serving ZIP code 48507 had 7.
The last inspection on record was on Jul 1, 2024: a complaint inspection by the state.
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
5 deficiencies in 1 month of the last 36. Last cited Mar 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.
Mar 28, 2024: reaccreditation inspection by the Accreditation Commission for Health Care5 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 179 words
“Upon patient record review, 2 of 19 (Patient #1, 19) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient 1: Nystatin 100,000 units/gm topical powder listed on medication record to be applied twice daily “per instructions”. The instructions text box contained the “Nystatin” with no further instruction on location of medication application. Patient 19: Medication record includes Clonidine 0.1mg tablet, 1 by mouth twice daily as needed “for high blood pressure” with no evidence of parameters as to when administration would be indicated. Medication record also lists Hydralazine 50mg 1-2 tablets by mouth three times daily as needed “for hypertension. Max dose 6 tabs daily” with no parameters as to when medication administration would be appropriate and whether 1 or 2 tabs would be indicated.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 156 words
“Upon patient record review, 2 of 19 (Patient #10 & 15) did not have evidence the plan of care must includes all services necessary for the palliation and management of the terminal illness and related conditions, including the following: • A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs • The IDG demonstrates a proactive approach in developing each patient’s plan of care by planning ahead for anticipated patient changes and needs. Decisions should reflect the patient/family preferences rather than be solely a response to a crisis. Patient 10: Massage therapy frequency order “8 PRN”. No evidence of detailed scope and frequency of discipline to meet specific patient needs. Patient 15: MSW frequency on 6/6/23 recert plan of care is 28 PRN. Massage therapy frequency on this POC is 13 PRN. No evidence of detailed scope and frequency for either discipline to meet specific patient needs.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 113 words
“Upon patient record review, 1 of 19 (Patient #19) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient 19: Plan of Care includes Clonidine 0.1mg tablet, 1 by mouth twice daily as needed “for high blood pressure” with no evidence of parameters as to when administration would be indicated. Plan of Care also lists Hydralazine 50mg 1-2 tablets by mouth three times daily as needed “for hypertension. Max dose 6 tabs daily” with no parameters as to when medication administration would be appropriate and whether 1 or 2 tabs would be indicated.”
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Prevention (42 CFR 418.60(a))
“Upon observation, there was no evidence the hospice follows acceptable standards of practice to prevent the transmission of infections and communicable diseases, including standard precautions. Patient 2: During the provision of wound care the RN did not doff gloves, cleanse hands, and don clean gloves after removing soiled dressing and before continuing with application of clean dressing to breast wound.”
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Authentication (42 CFR 418.104(b))
The inspectors’ words, 136 words
“Upon patient client record review, 2 of 19 (Patient # 10 & 11) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient 10: 3/25/24 aide supervisory visit indicates aide is not present under supervisory section of documentation. The clinician states aide is present in home during visit in the narrative note. Patient 11: Plan of Care indicates presence of urinary catheter with SN visit note on 3/13/24 and 3/20/24 indicating suprapubic catheter in place. SN note dated 3/27/24 indicates GU status as “incontinent with use of briefs/under pads”. No evidence of discontinuation of catheter.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 1, 2024 | Complaint inspection by the state | No deficiencies cited |
| Mar 28, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 5 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Apr 11, 2000.
- Ownership: for-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): 10.7 nurse care minutes per routine home care day, 11% of skilled nursing minutes at weekends and a visit near death for 95.7% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 63% at home, 17% in assisted living, 19% in a nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 10.7 min |
| Skilled nursing minutes at weekends | 11% |
| Visits near death | 95.7% of patients who died |
Who owns it?
- Odyssey Healthcare Inc. owns 100% directly since Jul 1, 2001.
- 10 owners or officers are people: Jeffrey Vanwingen (managing employee (under contract), 0%); Ronald C Lazas (corporate officer, 0%); Ronald C Lazas (corporate director, 0%); Tabatha Sack (managing employee (on the payroll), 0%); David Robinson Arnold (corporate officer, 0%); David Robinson Arnold (runs it (operational or managerial control), 0%); Thomas Joseph Dolan (corporate officer, 0%); David Allen Causby (corporate officer, 0%); David Allen Causby (corporate director, 0%); Janet L Combs (corporate officer, 0%).
- 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 |
|---|---|---|---|
| Ch Services Midco Holdings Inc. | Owns 5% or more through other companies | 100% | Feb 5, 2015 |
| Curo Health Services Holdings, Inc. | Owns 5% or more through other companies | 100% | Jun 6, 2014 |
| Odyssey Healthcare Inc. | Owns 5% or more directly | 100% | Jul 1, 2001 |
| Charlotte Midco, LLC | Owns 5% or more through other companies | 100% | Aug 11, 2022 |
| Falcon Hospice, LP | Owns 5% or more through other companies | 100% | Aug 11, 2022 |
| Charlotte Buyer, Inc. | Owns 5% or more through other companies | 100% | Jul 11, 2018 |
| Curo Health Services LLC | Owns 5% or more through other companies | 100% | Jul 11, 2018 |
| Kah Hospice Company, Inc. | Owns 5% or more through other companies | 100% | Mar 1, 2022 |
| Ch Services Group Holdings Inc. | Owns 5% or more through other companies | 100% | Feb 5, 2015 |
| Ch Services Holdings Inc. | Owns 5% or more through other companies | 100% | Jun 6, 2014 |
| Cd&r Falcon Holdings, LP | Owns 5% or more through other companies | 60% | Aug 11, 2022 |
| Kentucky Homecare Parent Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Kentucky Homecare Holdings, Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Humana Inc. | Owns 5% or more through other companies | 40% | Aug 11, 2022 |
| Centerwell Health Services Inc. | Owns 5% or more through other companies | 40% | Dec 22, 2022 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 80% rated it 9 or 10 out of 10, and 85% would definitely recommend it.
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 91.38% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 70.9% 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 | 8 of 10 |
How does it compare nearby?
- Of the 23 hospices CMS’s data show serving patients in ZIP code 48507, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 5.
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 |
|---|---|
| Heartland Hospice (Flint) This hospice | 5 |
| The Medical Team | 4 |
| The Care Team Hospice | 17 |
| First Hospice Care, Inc. | 7 |
| Swan Hospice | 21 |
| Gentiva | 25 |
| Heart to Heart Hospice of Flint | 6 |
| All Americans Hospice Care, Inc. | 5 |
| Mid Michigan Home Health & Hospice, LLC | 11 |
| Best Care Hospice, LLC | 7 |
| Compassus - Grand Blanc | 10 |
| Mclaren Hospice | 1 |
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.