Residential Home Health and Hospice
A hospice in Lapeer, Michigan 48446
1681 Woodbridge Park Drive, Lapeer, Michigan 48446. (810) 245-3300.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 6 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 7of 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?
6 deficiencies cited in the last three years
The middle of the 31 hospices serving ZIP code 48446 had 8.
The last inspection on record was on Mar 1, 2024: a reaccreditation inspection by the Accreditation Commission for Health Care.
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
6 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 1, 2024: reaccreditation inspection by the Accreditation Commission for Health Care6 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 156 words
“Upon patient record review, 3 of 19 (Patient #5,#9,#11) 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 5:The medical record incudes an entry on 9/1/23 for Amoxicillin 500 mg po BID for mouth ulcer. The medication remains profiled as a current medication on 2/28/24. COS Patient 9: The medical record incudes an entry on 2/16/24 for Lidocaine Patch 4%, apply every 8 hours. There is no indication of the location for application of the patch. Patient 11:The medical record includes duplicate entries for oxygen dated 12/7/23 of 2 LPM continuous via NC and 1/8/24 of 4 LPM continuous via NC. COS”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 153 words
“Upon patient record review, 2 of 19 (Patient #8,#10) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient 8:The medical record contains documentation on admission that the patient has cholecystitis to include a drain to right flank. There is no evidence on the plan of care of problem, goals and interventions to care for right flank drain. COS Patient 10: The medical record contains documentation on admission of current anticoagulant therapy using Xarelto. There is no evidence on the plan of care of problem, goals and interventions for potential of bleeding and anticoagulant therapy. COS”
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Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 1 of 19 (Patient #9) 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 9: The medical record incudes an order on 2/16/24 for Lidocaine Patch 4%, apply every 8 hours. There is no indication in the order of the location for application of the patch.”
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Content of plan of care (42 CFR 418.56(c)(5))
The inspectors’ words, 182 words
“Upon patient record review, 4 of 19 (Patient #3,#5,#6,#7) 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 equipment and supply needs. Patient 3:The medical record contains documentation that the patients equipment and supply needs include a hospital bed, wheelchair and overbed table. There is no evidence of a hospital bed, wheelchair and overbed table on the plan of care. COS Patient 5:The medical record contains documentation that the patients equipment and supply needs include a hospital bed and walker. There is no evidence of a hospital bed and walker on the plan of care. COS Patient 6:The medical record contains documentation that the patients equipment and supply needs include a hospital bed and wheelchair. There is no evidence of a hospital bed and wheelchair on the plan of care. COS Patient 7:The medical record contains documentation that the patients equipment and supply needs include fall mats, bolster and a wheelchair. There is no evidence of fall mats, bolster on the plan of care. COS”
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Review of the plan of care (42 CFR 418.56(d))
“Upon patient record review, 1 of 19 (Patient #1) did not have evidence that a revised plan of care includes information from the patient’s updated comprehensive assessment and must note the patient’s progress towards outcome/goals from the plan of care. Patient 1:The medical record includes documentation of chronic urinary tract infections with subsequent prophylactic order by physician on 2/16/24 of Bactrim 800 mg daily. There is no evidence of an update to problem, goals and interventions on the plan of care to reflect Infection. COS”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 166 words
“Upon patient record review, 3 of 19 (Patient #2,7,10) did not have evidence in the patient record that hospice aide assignments and duties are: • Assigned to a specific patient by a registered nurse that is a member of the interdisciplinary group • Written patient care instructions for a hospice aide must be prepared by a Registered Nurse who is responsible for the supervision of a hospice aide as specified under paragraph (h) of 418.76 • There is evidence in the patient record that the plan of care; indicate what tasks are to be done by the Aide and the frequency of these tasks. The use of “PRN” or “per patient choice”, for any task, whether personal care or non-personal care tasks, are not acceptable Patient 2:The aide plan of care dated 12/28/23 does not include seizure precautions. Patient 7:The aide plan of care dated 1/31/24 does not include aspiration precautions. Patient 10:The aide plan of care dated 9/9/23 does not include fall and bleeding precautions.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 1, 2024 | Reaccreditation inspection by the Accreditation Commission for Health Care | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 30, 2006.
- 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): 11.3 nurse care minutes per routine home care day, 8.1% of skilled nursing minutes at weekends and a visit near death for 92.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 50% at home, 32% in assisted living, 18% 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 | 11.3 min |
| Skilled nursing minutes at weekends | 8.1% |
| Visits near death | 92.3% of patients who died |
Who owns it?
- Residential Healthcare Group Inc. owns 100% directly since Jun 26, 2017.
- 11 owners or officers are people: David M Schwartzenfeld (managing employee (under contract)); Karen Sloaf (runs it (operational or managerial control)); Matthew Greisler (corporate director); Leeann Lang (corporate officer); Wendy R Bongero (runs it (operational or managerial control)); Michele M Bedford (managing employee (on the payroll)); Deedrea Grein (corporate officer); Stacey Anne Lambert (managing employee (on the payroll)); Jason Pierce (corporate officer); Frank D Winters (managing employee (under contract)); Jay Patel (managing employee (under contract)).
- 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 |
|---|---|---|---|
| Graham Healthcare Group Inc. | Owns 5% or more through other companies | 100% | Jun 26, 2017 |
| Residential Healthcare Group Inc. | Owns 5% or more directly | 100% | Jun 26, 2017 |
| Graham Holdings Company | Owns 5% or more through other companies | 100% | Jun 26, 2017 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 84% rated it 9 or 10 out of 10, and 85% would definitely recommend it.
- CMS’s Hospice Care Index: 7 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 63.2% 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 | 7 of 10 |
How does it compare nearby?
- Of the 31 hospices CMS’s data show serving patients in ZIP code 48446, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; this one had 6.
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 |
|---|---|
| Residential Home Health and Hospice This hospice | 6 |
| Hospice of Southeastern Michigan, Inc. | 8 |
| Compassus - Grand Blanc | 10 |
| United Hospice Service | 17 |
| Mclaren Hospice | 1 |
| Gentiva | 25 |
| Advisacare Hospice | 38 |
| Blue Water Hospice | 8 |
| Heartland Hospice | 16 |
| Beaumont Hospice | 29 |
| Elara Caring | 20 |
| Compassus-Northern Detroit | 14 |
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.