Hearth Record

Absolute Home Health & Hospice, Inc.

A hospice in Grand Blanc, Michigan 48439

9463 Holly Rd, Suite 104, Grand Blanc, Michigan 48439. (810) 694-1042.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 3 deficiencies in 1 month of the last 36. Last cited Mar 2025. Most serious: Standard-level. Every month

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?

3 deficiencies cited in the last three years

The middle of the 38 hospices serving ZIP code 48439 had 7.

The last inspection on record was on May 14, 2026: a reaccreditation inspection by the Community Health Accreditation Partner.

Source:

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 Mar 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

3 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Mar 17, 2025: complaint inspection by the Community Health Accreditation Partner3 deficiencies
  • Hospice aide assignments and duties (42 CFR 418.76(g)(1))

    The inspectors’ words, 208 words

    “It is required that hospice aides are assigned to a specific patient by a registered nurse who is a member of the Interdisciplinary Group. Written patient care instructions for a hospice aide are prepared by an RN who is responsible for the supervision of the hospice aide. This standard was not met as evidenced by clinical record review and interview. In 1 of 3 (33%) clinical records reviewed of patients that accepted hospice aide services, it was revealed that the agency did not ensure that the registered nurse prepared a plan of care for the aide that contained clear and specific instructions for the patient’s required care. CLINICAL RECORD 2: The aide plan of care documented on 01/07/2025 and updated 01/15/2025, 01/27/2025, and 02/24/2025 ordered the task to apply barrier cream every visit as directed. There were no directions on any of the assignments for the hospice aide as to where to apply the barrier cream. The aide visited 3 times a week and applied barrier cream each visit, it was not documented where the barrier cream was applied. During an interview the Director of Hospice who reviewed the record, stated that the barrier cream instructions for the aide did not document the specific location to be applied.”

    Rule L0625. Standard-level. From a complaint.

  • Hospice aide assignments and duties (42 CFR 418.76(g)(2)(i))

    The inspectors’ words, 225 words

    “It is required that a hospice aide provides services: Ordered by the Interdisciplinary Group and Included in the plan of care. This standard was not met as evidenced by clinical record review and interview. In 1 of 3 (33%) clinical records reviewed of patients that accepted the hospice aide for care, it was revealed that the agency did not ensure that the hospice aide followed all duties assigned in the hospice aide’s plan of care. CLINICAL RECORD 2: The aide plan of care was dated 02/24/2025, and the assigned task was to complete a bed bath on Wednesday and a shower with a shower chair on Monday and Friday. The aide visit note dated 03/03/2025 (a Monday) documented the aide provided a complete bed bath and a shower A shower was assigned. On 03/05/2025 (Wednesday) a complete bed bath and a shower were documented as provided. A complete bed bath was assigned. On 03/07/2025 (Friday) a complete bed bath was provided but a shower was assigned. On 03/10/2025 a complete bed bath and a shower were provided but only a shower was assigned and on 03/14/2025 (Friday) a complete bed bath and a shower were provided but only a shower was assigned. During an interview with the Director of Hospice, it was stated that the specific baths ordered each day were not followed as required.”

    Rule L0626. Standard-level. From a complaint.

  • Hospice aide assignments and duties (42 CFR 418.76(g)(4))

    The inspectors’ words, 205 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 3 (33%) clinical records reviewed, in which a hospice aide was accepted, it was revealed that the hospice agency did not ensure that the aide notified the case manager or supervisor when pain and skin changes were noted. CLINICAL RECORD 4: Aide assignment document noted 07/25/2024 assigned to evaluate pain and report if over 5. The Hospice Aide visit note dated 07/31/2024 with bath and personal care provided, documented the patient’s pain level was 7, and noted redness underneath right breast and armpit but no documentation of case manager or supervisor notification. During an interview with the Director of Hospice, she stated that the pain level of 7 should have been documented as reported and that the pain medication orders had been changed.”

    Rule L0628. Standard-level. From a complaint.

All 2 inspections in the last three years
Inspections on record
DateVisitWhat the record says
May 14, 2026Reaccreditation inspection by the Community Health Accreditation PartnerNo deficiencies cited
Mar 17, 2025Complaint inspection by the Community Health Accreditation Partner3 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Nov 25, 2014.
  • Ownership: for-profit.
  • No deficiency or on record in the last three years.
Source:

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.
  • 3 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

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): 10.5 nurse care minutes per routine home care day, 5.5% of skilled nursing minutes at weekends and a visit near death for 100% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 32% at home, 63% in assisted living, 4% in a skilled nursing facility, 1% elsewhere.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day10.5 min
Skilled nursing minutes at weekends5.5%
Visits near death100.0% of patients who died

Who owns it?

  • 9 owners or officers are people: Zakwan Aboudane (owns 5% or more directly, 50%); Deema Hannan (owns 5% or more directly, 50%); Zakwan Aboudane (corporate officer); Zakwan Aboudane (corporate director); Zakwan Aboudane (managing employee (on the payroll)); Deema Hannan (corporate officer); Deema Hannan (corporate director); Deema Hannan (managing employee (on the payroll)); Michelle Annette Templeton (managing employee (on the payroll)).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

What do families say?

  • Family caregivers rate it 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 81% rated it 9 or 10 out of 10, and 83% would definitely recommend it.
  • CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 90.88% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 91.5% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 53 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 threshold9 of 10

How does it compare nearby?

  • Of the 38 hospices CMS’s data show serving patients in ZIP code 48439, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 3.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

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

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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