Deficiency Index

Heart to Heart Hospice of Kalamazoo, LLC

Kalamazoo, Michigan · CMS number not yet issued

4341 S. Westnedge Avenue , Suite 2212

11 federal deficiencies across 2 surveys, September 18, 2025 to October 31, 2025.

Deficiencies11

Excludes the inspector’s preamble, which is not a finding

Surveys2

Federal surveys with at least one deficiency

Condition-level2

Findings against a Condition of Participation — a compliance grade, not a measure of harm

What level the findings sit at

Condition-level218.2%
The agency was out of compliance with a federal Condition of Participation — a requirement it must meet to take part in Medicare at all.
Standard-level981.8%
A requirement within a Condition of Participation. The Condition itself was not cited.

These are compliance grades, not harm grades: how deep in the regulation a finding sits, not whether anyone was harmed.

Who conducted the surveys

CHAP.

Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.

Most-cited requirements

Survey record

Federal surveys of Heart to Heart Hospice of Kalamazoo, LLC
SurveyTypeDeficienciesCondition-level
Oct 31, 2025Initial1—
Sep 18, 2025Initial102

In the inspector’s words

CMS publishes the deficiencies cited at this hospice but not the inspector’s written findings for them.

Hospice findings published by CMS on QCOR, covering surveys from September 18, 2025 to October 31, 2025. The inspectors’ written findings come from a single CMS survey-report extract.

Federal survey findings only. State licensure findings for hospices are not shown.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction