Hearth Record

Harper University Hospital

An acute care hospital in Detroit, Michigan 48201

3990 John R Street, Detroit, Michigan 48201. (313) 745-6211.

  • Medicare payments cut under the HAC Reduction Program (fiscal year 2026)
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The short answer

Record last released by CMS on Oct 20, 2026.

The last 24 months 2 deficiencies in 2 months of the last 36. Last cited Aug 2026. 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?

The last inspection on record was on Aug 12, 2026: a complaint inspection.

2 deficiencies cited in the last three years.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

When those deficiencies happened

2 deficiencies in 2 months of the last 36. Last cited Aug 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.

2 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

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 Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Aug 12, 2026: complaint inspection1 deficiency

  • Rn Supervision Of Nursing Care

    The inspectors’ words, 697 words

    “RN SUPERVISION OF NURSING CARE CFR(s): 482.23(b)(3) A registered nurse must supervise and evaluate the nursing care for each patient. This Standard is not met as evidenced by: 50223 Based on interview, medical record review, incident report log review, and policy review, the facility failed to ensure nursing staff provided appropriate pressure injury prevention and management for one (P-1) of ten patients reviewed for pressure injury prevention. P-1 subsequently developed a Stage 2 hospital-acquired pressure injury. Findings include: Review of Patient #1’s (P-1) medical record revealed the patient was a 71-year-old female admitted to the facility on 04/23/26 for a planned right total hip arthroplasty. The admission skin assessment identified the right hip surgical wound and did not identify any other wounds. Review of P-1’s mobility documentation revealed decreased mobility following surgery. Physical Therapy documentation dated 04/24/26 indicated the patient required total assistance. On 04/25/26, the patient required moderate assistance, and skilled rehabilitation placement was recommended. Nursing documentation also identified periods when P-1 required two-person assistance with positioning. Review of P-1’s Braden assessments revealed a score of 19 on admission, which decreased to 17 and subsequently to 14 during the hospitalization, indicating increased risk for pressure injury. Review of P-1’s repositioning documentation revealed multiple periods in which repositioning or position changes were not documented, including: o 04/25/26 from 12:23 AM to 6:00 AM, 6:00 AM to 2:00 PM, and 2:00 PM to 8:00 PM; and o 04/26/26 from 9:00 AM to 12:00 PM and 12:00 PM to 4:00 PM. On 04/27/26, nursing documentation identified a Stage 2 pressure injury to P-1’s medial buttocks. The pressure injury was not documented as present on admission and was identified more than 24 hours after admission, meeting the facility’s definition of a hospital-acquired pressure injury (HAPI). Review of P-1’s medical record prior to identification of the pressure injury failed to reveal evidence that pressure injury prevention interventions were initiated based on the patient’s declining Braden score and decreased mobility. Review of P-1’s medical record following identification of the Stage 2 HAPI failed to reveal evidence that a wound care consultation was initiated or that the Wound Care RN evaluated P-1 and provided recommendations for management of the pressure injury. During an interview on 08/12/26 at 9:51 AM, the Wound Care RN (Staff N) stated the facility expectation was for patients to be repositioned every two hours. Staff N stated nursing staff were expected to consult wound care when a hospital-acquired wound was identified so the wound could be assessed and recommendations made. During an interview on 08/11/26 at 2:30 PM, the Chief Nursing Officer (CNO), Staff C, stated skin prevention and immobility interventions should be implemented for patients with limited mobility and patients identified as being at risk for pressure injury. Staff C stated hospital-acquired pressure injuries were expected to be entered into the facility’s incident reporting system, and a root cause analysis was conducted for pressure injuries identified as Stage 3 or greater. Review of the facility’s incident report log revealed P-1’s Stage 2 HAPI was not reported in the facility’s incident reporting system. Review of the facility policy titled “Skin and Wound Care” (07/21/2024) revealed, “Patients are repositioned minimally every 2 hours.” The policy further indicated that able patients were taught to shift their body weight while in bed and while sitting in a chair, and repositioning was documented in the electronic medical record. The policy further stated, “RN staff members initiate EMR orders for pressure injury prevention and management based on patient risk assessment and/or presence of pressure injury (injuries).” The policy defined any pressure injury that developed more than 24 hours after admission, or was not documented as present on admission within 24 hours, as a HAPI. The policy identified the RN as responsible for the assessment, planning, evaluation, and documentation of skin and wound care. Review of the facility policy titled “Patient Assessment & Documentation” (03/23/2025) revealed the RN was responsible for patient assessment, interpretation of assessment data, determination of patient needs, establishment of nursing intervention priorities, and evaluation of the effectiveness of nursing interventions. The policy further indicated that selected consultations could be initiated by the RN based on admission screening and ongoing assessment findings.”

    Rule A0395. Standard-level. From a complaint.

Aug 7, 2024: complaint inspection1 deficiency

  • Rn Supervision Of Nursing Care

    The inspectors’ words, 332 words

    “RN SUPERVISION OF NURSING CARE CFR(s): 482.23(b)(3) A registered nurse must supervise and evaluate the nursing care for each patient. This Standard is not met as evidenced by: 47415 Based on interview and record review, the facility failed to implement precautions to prevent skin care breakdown for 1 (P-1) of 10 patients reviewed, resulting in the worsening of wound. Findings include: On 8/6/24 at 1400, record review conducted in the conference room with the assistance of Staff D revealed, P-1 was a 59-year-old female who was admitted on 3/29/24 at 1143, chief complaints on presentation included leg swelling and right lower extremity pain, which required urgent cardiovascular surgery. A review of wound assessment documentation revealed: On 3/30/24, P-1 was assessed with a stage II coccyx pressure injury by nursing staff. On 4/2/24, at 1320 wound care RN documented coccyx area breakdown was a deep tissue injury evolving. On 4/11/24, coccyx breakdown documented as stage 4. On 4/11/24, wound care RN documented an unstageable, deep tissue injury on the left foot. Review of sampled nursing flow sheets reviewed for documentation (P-1), revealed low Branden scores ranging between 11-13, documentation of turning and reposition was not found on 4/3/24 between 2300 and 0600 and on 4/6/24 between 2100 and 7 am. Staff D confirmed the turning and repositioning was not documented at time of record review. Facility policy, 2 PC 201, titled, “Patient Assessment and Documentation”, dated 2/23/22 revealed, “The RN documents admission and on-going and focused assessments ...intervention in the medical record”. Facility policy, 2 PC 5202, titled, “Pressure Injuries: Prevention and Care”, dated 8/10/21 revealed: “Braden Scale score of < 18 ...indicates that the patient is at risk for pressure injury ...reposition patient to 30-degree side lying position ensuring sacrum/coccyx and heels are offloaded at least every 2 hours while in bed, unless contraindicated. On 8/7/24 at approximately 1130 Interview with Chief Nursing Officer Staff S revealed it is her expectation that nursing staff follow the policies and procedures of the facility.”

    Rule A0395. Standard-level. From a complaint.

All 6 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Aug 12, 2026Complaint inspection1 deficiency cited
Dec 16, 2025Complaint inspectionNo deficiencies cited
Dec 2, 2025Complaint inspectionNo deficiencies cited
Oct 9, 2024Complaint inspectionNo deficiencies cited
Aug 7, 2024Complaint inspection1 deficiency cited
Mar 27, 2024Complaint inspectionNo deficiencies cited

How do patients fare?

  • CMS’s overall for it is 1 of 5.
  • Of the measures behind its , CMS counts against the national value: mortality, 0 better and 0 worse of 7; safety of care, 1 better and 1 worse of 7; readmission, 1 better and 0 worse of 8.
  • Patients rate it 1 of 5 in CMS’s patient survey (548 surveys completed, Oct 1, 2024 to Sep 30, 2025): 51% rated it 9 or 10 out of 10, and 47% would definitely recommend it.
  • Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), better than the national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
  • CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: worse than the national value.
  • Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 13.9%, heart failure 10.1%, pneumonia 14.3%, COPD 7%, stroke 10.3%, heart bypass surgery 3.7%. CMS gives no comparison with the national rate for them in this release.
  • Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 15.6%, heart failure 21.3%, pneumonia 16.5%, COPD 18.6%, heart bypass surgery 11.4%, hip or knee replacement 5.4%. CMS gives no comparison with the national rate for them in this release.
  • After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
  • Emergency department patients spent a median of 162 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 2% left before being seen.
  • 28% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
  • Medicare’s spending per patient here is 0.95 times the national median (Jan 1, 2024 to Dec 31, 2024).
Source:

CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.

CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Overall ratingCMS’s overall hospital quality star rating, 1 to 51 of 5
Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 51 of 5

Is it certified, and in good standing?

  • Medicare-certified acute care hospital since Jul 1, 1966.
  • Ownership: proprietary.
  • It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
  • No deficiency on record in the last three years.
  • Proprietary.
Source:

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Has it been penalized?

  • CMS doesn’t publish fines or other penalties for hospitals.
  • CMS cut its Medicare payments by 1% for fiscal year 2026 under the Hospital-Acquired Condition Reduction Program, which does so for the quarter of hospitals that fare worst on conditions patients get in hospital.
  • 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

On record, newest first
DateWhatDetail
Medicare payment reduction (HAC Reduction Program)Fiscal year 2026: 1% of Medicare payments

What do patients say about their care?

  • CMS doesn’t publish staffing levels for hospitals.
  • In CMS’s patient survey, patients rate how well its nurses communicated 1 of 5.
  • 85% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
Source:

CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.

Who owns it?

  • Vhs of Michigan Inc. owns 100% directly since Jan 1, 2011.
  • 7 owners or officers are people: Sharilee Smith (corporate director, 0%); Angelo P Pagano (corporate officer, 0%); Saumya Sutaria (other role (CMS gives no detail), 0%); Kristina A Mack (corporate officer); Joshua D Hester (corporate officer, 0%); Joshua D Hester (managing employee (on the payroll), 0%); Joshua Burkett (corporate officer, 0%).
  • CMS’s Provider of Services file records 2 changes of ownership, the latest on Apr 1, 1991.
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
Tenet Healthcare CorporationOwns 5% or more through other companies100%Oct 1, 2013
Vanguard Health Management Inc.Owns 5% or more through other companies100%Jan 1, 2011
Vanguard Health Holding Company II LLCOwns 5% or more through other companies100%Jan 1, 2011
Vanguard Health Financial Company LLCOwns 5% or more through other companies100%Jan 1, 2011
Vanguard Health Systems Inc.Owns 5% or more through other companies100%Jan 1, 2011
Vhs of Michigan Inc.Owns 5% or more directly100%Jan 1, 2011
Vanguard Health Holding Company I LLCOwns 5% or more through other companies100%Jan 1, 2011

How does it compare nearby?

  • Of the 21 hospitals CMS lists in Wayne County, 16 have an overall star rating from CMS: 1 rated 5 of 5, 1 rated 4 of 5, 3 rated 3 of 5, 7 rated 2 of 5, 4 rated 1 of 5.
  • CMS rates this one 1 of 5.
Source:

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

12 compared
PlaceOverall star rating
Detroit Receiving Hospital1
Karmanos Cancer Center3
Detroit (John D. Dingell) VA Medical Center5
Children’s Hospital of MichiganNot given
St Joe Mercy Hospital System Livonia2
Beaumont Hospital - Dearborn2
Sinai-Grace Hospital1
Henry Ford Health Hospital3
Beaumont Hospital - Grosse Pointe4
Corewell Health Wayne Hospital2
Wyandotte Hospital and Medical Center2
Henry Ford Health St John Hospital1

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
  • QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
  • CMS doesn’t publish staffing levels for hospitals.
  • In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.

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 Nov 5, 2026.

From the hospital

The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the hospital 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 hospital”, 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.

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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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