Universal Hospice Care, Inc
Southfield, Michigan · CCN 231621
24315 Northwestern Highway, Suite102
57 federal deficiencies across 7 surveys, November 17, 2022 to December 18, 2025.
Excludes the inspector’s preamble, which is not a finding
Federal surveys with at least one deficiency
Findings against a Condition of Participation — a compliance grade, not a measure of harm
What level the findings sit at
- Condition-level47.0%
- 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-level5393.0%
- 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
State Agency, CHAP.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0530Content of Comprehensive Assessment3
- L0545Content of Plan of Care3
- L0555Coordination of Services3
- L0557Coordination of Services3
- L0678Content3
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Dec 18, 2025 | Complaint | 3 | 1 |
| Nov 25, 2025 | Follow-Up | 4 | — |
| Oct 10, 2025 | Reaccreditation | 27 | 2 |
| Sep 17, 2025 | Complaint | 3 | 1 |
| Aug 28, 2025 | Complaint | 3 | — |
| Apr 28, 2023 | Follow-Up | 3 | — |
| Nov 17, 2022 | Reaccreditation | 14 | — |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 54 findings in full →
CMS publishes written findings for 54 of the 57 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from November 17, 2022 to December 18, 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.
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