Premier Hospice
A hospice in Troy, Michigan 48083
33259 Dequindre Rd, Suite C, Troy, Michigan 48083. (248) 588-1885.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 10 deficiencies cited in the last three years
- Not rated family caregiver rating
- 8of 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?
10 deficiencies cited in the last three years
The middle of the 43 hospices serving ZIP code 48083 had 8.
The last inspection on record was on Jun 4, 2026: a reaccreditation 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
10 deficiencies in 1 month of the last 36. Last cited Jun 2026. 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 4, 2026: reaccreditation inspection by The Joint Commission10 deficiencies
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EP Testing Requirements (42 CFR 418.113(d)(2))
“Observed in Tracer Activities. Identified during the review of the organization;s Emergency Management Program, there was no documentation to validate that the hospice had conducted exercises to test the emergency plan or that the organization had initiated its emergency plan during an actual event in 2024 or 2025. This was discussed with the Director of Patient Clinical Services.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. In 1 of 10 patient records reviewed, the hospice did not conduct a patient-specific assessment that addressed anticipated discharge needs including bereavement. Identified during the record review for RRNHV#1 there was no evidence that an initial bereavement risk assessment was conducted. This was validated with the Director of Patient Clinical Services who was present during the record review session.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 162 words
“Observed in Record Review. In 10 of 10 patient records reviewed, the written plans of care did not reflect the patient and family goals and the timeframes required to meet those goals. Identified in all active patient records reviewed for all disciplines involved in the patients’ plans of care, the organization did not include goal dates or timeframes for which to measure patient outcomes. For example, RRHV#1 the goal for comfort was Objective signs and symptoms of pain will improve with prescribed interventions. In RRHV#2 the goal for falls was Patient will remain free from falls or injury resulting from impaired mobility. In RRHV#3, the goal for advanced care planning was Code status will be resolved with the patient/family to ensure the patient’s wishes are being honored This was validated with the Director of Patient Clinical Services and the Administrator who attributed the deficiency to the hospice clinical team’s recent transition in February 2026 to the new Electronic Medical Record documentation processes.”
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Content of plan of care (42 CFR 418.56(c)(3))
The inspectors’ words, 218 words
“Observed in Record Review. In 6 of 10 patient records reviewed, the plans of care did not include all services needed for the palliation and management of the terminal illness and related conditions. For example, identified during the record review for RRHV#3, the written plan of care did not include a plan to address psychosocial issues despite the patient’s recent suicide attempt documented in the patient’s history. In the RRNHV#1 there were no interventions to prevent falls despite documentation of recent multiple falls prior to hospice admission. In RRNHV#2 there was no interventions to prevent aspiration or choking risks despite documentation of dysphagia, and there was no care plan included to address burial/funeral needs despite the psychosocial assessment documenting no plans. In RRNHV#3 there was no care plan included to address bleeding risks despite the patient taking Eliquis. In RRNHV#4 there was no care plan developed to prevent aspiration or choking risks despite documentation of dysphagia. In RRNHV#6 there was no care plan developed for respiratory compromise despite the patient having a diagnosis of Acute Respiratory Failure and having supplemental oxygen; and there was no psychosocial care plans developed for the documented Depression diagnosis and the need for burial/funeral plans. This was validated with the Director of Patient Clinical Services who was present during the record review session.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Observed in Record Review. In 1 of 10 patient records reviewed, the organization had not included all interventions to manage the patient’s symptoms. Identified during the record review for RRHV#1, the medication record included an incomplete order for supplemental oxygen therapy as needed.: Oxygen as instructed, without listing the oxygen concentration/flow rate, the delivery source/device, or the reasons under which supplemental oxygen therapy should be initiated. This was validated with the Alternate Administrator/DPCS who was present during the home visit.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 138 words
“Observed in Record Review. In 5 of 10 patient records reviewed, who had hospice aide service, all written patient care instructions for the hospice aides were not included. For example, in RRNHV#1, the patient had a high risk for falls yet there was no falls precaution included in the Aide Care Plan. In RRNHV#2, the patient was evaluated at a high fall risk, and had dysphagia yet there were no precautions included for falls or aspiration/choking risks. In RRNHV#3 the patient was on an Anticoagulant yet there was no precaution included for bleeding risks. In RRNHV#4 and RRNHV#6, each of the patients were diagnosed with dysphagia yet there was no precaution included for aspiration/choking risks in their Aide Care Plans. This was validated with the Director of Patient Clinical Services who was present during the record review session.”
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Cost saving (42 CFR 418.78(d)(3))
“Observed in Tracer Activities. The organization had no documented cost savings during 2024. Identified during the Volunteer Program session, there was no cost savings realized in 2024 as the organization had no active volunteers. This was validated by the Volunteer Coordinator and the Director of Patient Clinical Services.”
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Level of activity (42 CFR 418.78(e))
“Observed in Tracer Activities. The organization had not met the requirement of Volunteer staff providing day-to-day administrative or direct patient care equal to 5% of the total patient care hours of all paid hospice employees and contract staff during 2024 and 2025. Identified during the review of the Volunteer Program there were was no volunteer cost savings in 2024 and there was no calculation of cost savings in 2025. This was validated by the Volunteer Coordinator and the Director of Patient Clinical Services.”
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Content (42 CFR 418.104(a)(3))
“Observed in Patient Home. In 1 of 10 home visits conducted, the patient record did not include all medications administered. Identified during the home visit conducted for RRHV#2, it was identified that the patient was on a Lidocaine 5% topical patch daily, 12 hours on - 12 hours off. This medication was not included in the hospice organization’s medication record. This was validated with the Hospice Skilled Nurse and the Administrator who was present during the home visit.”
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Federal, state, local laws & regulations (42 CFR 418.116)
The inspectors’ words, 123 words
“Observed in Regulatory Review. The hospice organization did not provide services in accordance with regulations. Identified during the review of the Governing Body minutes on day one of the survey it was identified that the organization had not updated the change in Managing Employees: Administrator & Alternate Administrator who assumed the positions 10 months prior to the survey, and the change in Medical Director who assumed the position seven months prior to the survey, within the timeframes required for all Medicare providers. This was validated with the Administrator and Alternate Administrator on day one. On day two of the survey the Administrator provided documentation that the appropriate application had been submitted and accepted by Medicare in PECOS on day two of the survey..”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 4, 2026 | Reaccreditation inspection by The Joint Commission | 10 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jun 15, 2011.
- Ownership: other.
- 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): 12.3 nurse care minutes per routine home care day, 2.4% of skilled nursing minutes at weekends and a visit near death for 90.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 24% at home, 11% in a nursing facility, 64% 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 | 12.3 min |
| Skilled nursing minutes at weekends | 2.4% |
| Visits near death | 90.1% of patients who died |
Who owns it?
- 8 owners or officers are people: Mohammad A. Qazi (owns 5% or more directly, 100%); Mohammad A. Qazi (corporate officer); Mohammad A. Qazi (corporate director); Mohammad A. Qazi (managing employee (on the payroll)); Suzan K Brown (managing employee (on the payroll)); Azeem Qazi (corporate officer); Talha Mirza (managing employee (under contract)); Samuel Ross (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.
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: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 94.87% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 41.7% 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 | 8 of 10 |
How does it compare nearby?
- Of the 43 hospices CMS’s data show serving patients in ZIP code 48083, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 8; this one had 10.
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 |
|---|---|
| Beaumont Hospice | 29 |
| Premier Hospice This hospice | 10 |
| Advisacare Hospice | 38 |
| Crossbridge Hospice | 9 |
| Residential Hospice | 9 |
| St Croix Hospice | 4 |
| Custom Hospice, LLC | 8 |
| Lily Hospice | 17 |
| Hospice of Southeastern Michigan, Inc. | 8 |
| Trinity Health at Home Southeast Michigan | 10 |
| Henry Ford Hospice | 2 |
| Michigan Palliative and Hospice Care | Not given |
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.