Guardian Angel Home Care & Hospice of Rochester Hills
A hospice in Rochester Hills, Michigan 48309
1715 Northfield Dr, Rochester Hills, Michigan 48309. (248) 293-2441.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 3 deficiencies cited in the last three years
- Not rated family caregiver rating
- 6of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean2
- 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?
3 deficiencies cited in the last three years
The middle of the 45 hospices serving ZIP code 48309 had 8.
The last inspection on record was on Sep 5, 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
3 deficiencies in 1 month of the last 36. Last cited Sep 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.
Sep 5, 2024: reaccreditation inspection by the Community Health Accreditation Partner3 deficiencies
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Timeframe for completion of assessment (42 CFR 418.54(b))
The inspectors’ words, 265 words
“It is required that the hospice Interdisciplinary Group, in consultation with the individual’s attending physician (if any), completes an initial comprehensive assessment no later than five (5) calendar days after the election of hospice care, in accordance with CMS §418.24–the elements of the hospice care election statement. This standard was not met as evidenced by clinical record review and interview. In 2 of 14 (14%) clinical records reviewed, the hospice did not ensure that an initial psychosocial assessment was completed no later than five days after the election of hospice care. Clinical Record 5: The patient elected hospice care on 03/04/2024. The Social Worker (SW) documented an initial psychosocial assessment on 03/13/2024, with eight (8) days outstanding. There was no documented evidence that the initial psychosocial assessment was completed no later than five (5) calendar days after the election of hospice care. There was no documented reason for the delay. Clinical Record 13: The patient elected hospice care on 06/15/2023. The SW documented an initial psychosocial assessment on 06/26/2023, with 11 days outstanding. There was no documented evidence that the initial psychosocial assessment was completed no later than five (5) calendar days after the election of hospice care. There was no documented reason for the delay. During a joint record review and interview on 09/05/2024, the Director of Patient Care Services agreed there was no documented evidence that the initial psychosocial comprehensive assessment was completed in the first five days. The Director of Patient Care Services stated, “I don’t see anything documented as to why the Social Worker did these visits after the five-day requirement.””
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Hospice aide assignments and duties (42 CFR 418.76(g)(4))
The inspectors’ words, 201 words
“It is required that hospice aides must report changes in the patient’s medical, nursing, rehabilitative, and/or social needs to a registered nurse as the changes relate to the plan of care and any quality assessment and improvement activities. The hospice aide must also complete appropriate records of service, including the report of changes in the patient’s needs. Hospice aide documentation complies with hospice policies and procedures. This standard was not met as evidenced by clinical record review and interview. In 1 of 7 (14%) clinical records reviewed for patients who elected Hospice Aide (HA) services, the hospice did not ensure the HA reported changes in the patient’s needs to the Registered Nurse (RN). Clinical Record 1: The patient elected hospice care on 06/28/2024 with a diagnosis of Alzheimer’s disease. The HA visit notes dated 08/15/2024 and 08/30/2024 documented that the patient refused the assigned tasks of bed bath and shampoo. There was no documented evidence that the hospice aide reported the changes to the HA care plan to the Registered Nurse. During a joint record review and interview on 09/05/2024, the Director of Patient Care Services agreed there was no documented evidence that the HA reported the change to the RN.”
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Criminal background checks (42 CFR 418.114(d)(1))
The inspectors’ words, 168 words
“It is required that the hospice obtains a criminal background check on all hospice employees who have direct patient contact or access to patient records. Hospice contracts require that all contracted employees who have direct patient contact or access to patient records obtain criminal background checks. This standard was not met, as evidenced by document review, interview, and personnel record review. In 1 of 10 (10%) personnel records reviewed, the hospice did not ensure a criminal background check was completed for the Hospice Medical Director. Contract 1: A review of the Hospice Medical Director’s contract dated 08/01/2023 revealed that a background check was required upon hire. Personnel Record 4: The Hospice Medical Director was hired as a contracted employee on 08/01/2023. The personnel record did not include documented evidence that a background check was completed. During a joint record review and interview on 09/05/2024, the Director of Compliance agreed there was no documented evidence that a background check was completed as required in the Hospice Medical Director’s contract.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Sep 5, 2024 | Reaccreditation inspection by the Community Health Accreditation Partner | 3 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 27, 2009.
- 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): 14.6 nurse care minutes per routine home care day, 1.9% of skilled nursing minutes at weekends and a visit near death for 85.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 67% at home, 21% in assisted living, 2% in a nursing facility, 9% 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 | 14.6 min |
| Skilled nursing minutes at weekends | 1.9% |
| Visits near death | 85.5% of patients who died |
Who owns it?
- Guardian Angel Home Care of Michigan owns 100% directly since Apr 1, 2020.
- 9 owners or officers are people: Sam D Kassab (owns 5% or more through other companies, 100%); Gerald Kustra (corporate director); Faye Kassab (corporate director); Sam D Kassab (corporate officer); Sam D Kassab (corporate director); Sam D Kassab (managing employee (on the payroll)); Sam D Kassab (runs it (operational or managerial control)); Madeline Boyd (managing employee (on the payroll)); Madeline Boyd (runs it (operational or managerial control)).
- 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 |
|---|---|---|---|
| Guardian Angel Home Care Inc. | Owns 5% or more through other companies | 100% | Apr 1, 2020 |
| Guardian Angel Home Care of Michigan | Owns 5% or more directly | 100% | Apr 1, 2020 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- CMS’s Hospice Care Index: 6 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 93.33% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 43.1% 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 | Not rated |
| 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 | 6 of 10 |
How does it compare nearby?
- Of the 45 hospices CMS’s data show serving patients in ZIP code 48309, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; this one had 3.
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 |
|---|---|
| Guardian Angel Home Care & Hospice of Rochester Hills This hospice | 3 |
| Hospice of Southeastern Michigan, Inc. | 8 |
| Trinity Health at Home Southeast Michigan | 10 |
| Munson Hospice and Palliative Care | 7 |
| Henry Ford Hospice | 2 |
| Michigan Palliative and Hospice Care | Not given |
| Mclaren Hospice | 1 |
| Angela Hospice Home Care, Inc. | 9 |
| Advisacare Hospice | 38 |
| Mclaren Hospice | 5 |
| Hospice Compassus-Detroit | Not given |
| Gentiva I | 15 |
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.