S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

Please select the calendar year or years for which you would like data.

Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific HHA deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
237035 Community Home Health Care Of Michigan, Inc 183 W River Valley Dr Newaygo MI 5 (Chicago) 05/15/2019 E8L111 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G1022 Discharge and transfer summaries Element
237036 Mclaren Health Management Group 501 S Mission St Mount Pleasant MI 5 (Chicago) 01/30/2020 ZO9411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
237051 Community Health Center Of Branch County 300 East Chicago St Coldwater MI 5 (Chicago) 05/05/2022 389D9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0526 Content of the comprehensive assessment Standard
G0704 Responsibilities of skilled professionals Standard
G0942 Governing body Standard
G0434 Participate in care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0622 Name/contact information of clinical manager Element
237051 Community Health Center Of Branch County 300 East Chicago St Coldwater MI 5 (Chicago) 05/10/2019 CXBM11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0424 Exercise of rights Standard
G0526 Content of the comprehensive assessment Standard
G0578 Conformance with physician orders Standard
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G0718 Communication with physicians Element
G0800 Services provided by HH aide Element
G1016 Goals in the patient's plans of care Element
G1022 Discharge and transfer summaries Element
237059 Visiting Nurse Association Health Services 3403 Lapeer Rd, Suite B101 Port Huron MI 5 (Chicago) 10/30/2018 JH4H11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
G0436 Receive all services in plan of care Element
237069 Trinity Home Health Services 20555 Victor Parkway Livonia MI 5 (Chicago) 08/08/2022 4F29B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
G0682 Infection Prevention Standard
G0684 Infection control Standard
237069 Trinity Home Health Services 20555 Victor Parkway Livonia MI 5 (Chicago) 12/13/2018 25JX11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G0424 Exercise of rights Standard
G0798 Home health aide assignments and duties Standard
G0538 Primary caregiver(s), if any Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
237073 Reverence Home Health And Hospice, Llc 5445 Ali Drive, Dept 500 Grand Blanc MI 5 (Chicago) 02/22/2022 38541-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
G0514 RN performs assessment Element
237085 Centerwell Certified Healthcare Corp 5148 Lovers Lane, Ste 210 Portage MI 5 (Chicago) 10/06/2023 611C2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0528 Health, psychosocial, functional, cognition Element
G0534 Patient's needs Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
237085 Centerwell Certified Healthcare Corp 5148 Lovers Lane, Ste 210 Portage MI 5 (Chicago) 10/08/2020 L9YB11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0424 Exercise of rights Standard
G0572 Plan of care Standard
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element