Safe Hands Hospice, LLC
A hospice in Farmington Hills, Michigan 48334
31300 Rexwood St, Suite A, Farmington Hills, Michigan 48334. (248) 223-4433.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 5 deficiencies cited in the last three years
- Not rated family caregiver rating
- Not available CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- 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.
- Condition-level deficiency
- 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.
What did inspectors find?
5 deficiencies cited in the last three years
The middle of the 37 hospices serving ZIP code 48334 had 6.
The last inspection on record was on Jul 9, 2026: a complaint inspection by the state.
1 deficiency at condition level, the more serious of CMS’s two levels
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 2 months of the last 36. Last cited Mar 2026. Most serious: Condition-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 18, 2026: complaint inspection by the state2 deficiencies
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IDG, care planning, coordination of services (42 CFR 418.56)
“Based on record review and interview, the hospice failed to ensure services were provided at the frequency ordered in the plan of care for 1 (P-1) of 3 records reviewed, resulting in the patient not receiving care as ordered (See L 547). The cumulative effect of these systemic problems resulted in the Hospice Agency’s inability to ensure the provision of quality Hospice care at the end of life, in a safe environment for the Condition of Participation: 42 CFR §418.56 Interdisciplinary Group, Care Planning, and Coordination of Services.”
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Content of plan of care (42 CFR 418.56(c)(2))
The inspectors’ words, 261 words
“Based on record review and interview, the hospice failed to ensure services were provided at the frequency ordered in the plan of care for 1 (P-1) of 3 records reviewed, resulting in the patient not receiving care as ordered. Findings include: Patient #1 (P-1) was admitted to this hospice agency on 1/16/26 with the terminal diagnosis of severe protein-calorie malnutrition. During record review on 3/17/26, it was noted that the Frequency Profile and IDG (Inter-Disciplinary Group) Summary/Comprehensive Assessment Update ordered Skilled Nursing (SN) at frequency of 1w13 (1 time a week for 13 weeks), 10 PRN (as needed). Medical Social Worker (MSW) 1m4 (1 time a month for 4 months), 5 PRN. Spiritual Counselor 1m4, 5 PRN. Hospice Aide (HA) 2w12. The record failed to contain any documentation of completed visits or refused visits for the HA. The agency failed to provide services as ordered. A review of the agency policy occurred on 3/18/26 titled “IDG Care Planning Process” (Revised June 2019). The policy states, “8. An individualized written plan of care is developed for each patient. The plan of care reflects patient and family goals and interventions based on the problems identified in the initial, comprehensive and updated comprehensive assessments. The plan of care includes al services necessary for the palliation and management of the terminal illness and related conditions, including: A detailed statement of the scope and frequency of services necessary to meet the specific patient and family needs...”The Director of Nursing (Staff C) reviewed and acknowledged the findings listed above in an interview on 3/18/26 at 11:50 am.”
Nov 10, 2023: initial inspection by the Accreditation Commission for Health Care3 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 131 words
“Upon patient record review, 1 of 5 (Patient #3) 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 3: Medication profile has duplicate drug therapy without evidence of instructions on which medication to administer first. “Morphine 20mg/5ml 5mg orally Q6 PRN for pain. Patient also has an order for Tylenol 325mg 2 tabs orally PRN for pain. Stimulant Laxative 1-2tabs PRN as needed for constipation. No evidence that instructions were listed to define when to give laxative.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 98 words
“Upon patient record review, 1 of 5 (Patient #3) 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 3: Medication order has duplicate drug therapy without evidence of instructions on which medication to administer first. “Morphine 20mg/5ml 5mg orally Q6 PRN for pain. Patient also has an order for Tylenol 325mg 2 tabs orally PRN for pain. Stimulant Laxative 1-2tabs PRN as needed for constipation. No evidence that instructions were listed to define when to give laxative.”
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Content (42 CFR 418.104(a)(2))
“Upon patient client record review, 1 of 5 (Patient #5) did not have evidence that each patient record contains: • Signed copies of the notice of patient rights in accordance with 418.52 • Signed election statement in accordance with 418.24 Patient 5: Start of care date left blank on election form.”
All 3 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 9, 2026 | Complaint inspection by the state | No deficiencies cited |
| Mar 18, 2026 | Complaint inspection by the state | 2 deficiencies cited |
| Nov 10, 2023 | Initial inspection by the Accreditation Commission for Health Care | 3 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 8, 2023.
- CMS doesn’t list its type of ownership.
- Cited at 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. in the last three years: it didn’t meet a whole condition of Medicare’s rules.
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.
- 2 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?
- CMS hasn’t published nursing time from Medicare claims for this hospice.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 32% at home, 61% in assisted living, 7% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
Who owns it?
- 20 owners or officers are people: Nazia Naz (owns 5% or more directly, 25%); Nazia Naz (limited partner, 25%); Nazia Naz (corporate director, 25%); Nazia Naz (managing employee (on the payroll), 25%); Nazia Naz (runs it (operational or managerial control), 25%); Fahad Khan (owns 5% or more directly, 25%); Fahad Khan (limited partner, 25%); Fahad Khan (corporate officer, 25%); Fahad Khan (corporate director, 25%); Fahad Khan (managing employee (on the payroll), 25%); Athraa Samir Hannawa (owns 5% or more directly, 25%); Athraa Samir Hannawa (limited partner, 25%); Athraa Samir Hannawa (corporate officer, 25%); Athraa Samir Hannawa (corporate director, 25%); Athraa Samir Hannawa (managing employee (on the payroll), 25%); Naeem Shakoor (owns 5% or more directly, 25%); Naeem Shakoor (limited partner, 25%); Naeem Shakoor (corporate officer, 25%); Naeem Shakoor (corporate director, 25%); Naeem Shakoor (managing employee (on the payroll), 25%).
- 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 gives no Hospice Care Index for this hospice.
- 92.31% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
How does it compare nearby?
- Of the 37 hospices CMS’s data show serving patients in ZIP code 48334, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; 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 |
|---|---|
| Michigan Palliative and Hospice Care | Not given |
| Hospice Compassus-Detroit | Not given |
| Caretenders Hospice | Not given |
| Parc Hospice, LLC | Not given |
| Safe Hands Hospice, LLC This hospice | 5 |
| Hospice of Southeastern Michigan, Inc. | 8 |
| Trinity Health at Home Southeast Michigan | 10 |
| Henry Ford Hospice | 2 |
| Mclaren Hospice | 1 |
| Angela Hospice Home Care, Inc. | 9 |
| Gentiva I | 15 |
| Michigan Community VNA Hospice | 4 |
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.