S&C QCOR HHA 2567s
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HHAs 2567s
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Time Interval

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Provider Characteristics

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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
▼ 237093 Michigan In-Home Parnter-I, Llc 722 W Washington St, Suite A Marquette MI 5 (Chicago) 06/25/2026 236525-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
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
▼ 237093 Michigan In-Home Parnter-I, Llc 722 W Washington St, Suite A Marquette MI 5 (Chicago) 06/29/2023 601BA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
G0528 Health, psychosocial, functional, cognition Element
G0532 Continuing need for home care Element
G0536 A review of all current medications Element
G0706 Interdisciplinary assessment of the patient Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 237093 Michigan In-Home Parnter-I, Llc 722 W Washington St, Suite A Marquette MI 5 (Chicago) 09/17/2020 JLH211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0534 Patient's needs Element
G0536 A review of all current medications 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
▼ 237094 Advisacare Healthcare Solutions, Inc 3290 West Big Beaver Road Troy MI 5 (Chicago) 03/07/2024 62594-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0724 Supervise skilled professional assistants Standard
G0520 5 calendar days after start of care Element
G0528 Health, psychosocial, functional, cognition Element
G0530 Strengths, goals, and care preferences 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
G0606 Integrate all services Element
G0710 Provide services in the plan of care Element
G0804 Aides are members of interdisciplinary team Element
G1022 Discharge and transfer summaries Element
▼ 237094 Advisacare Healthcare Solutions, Inc 3290 West Big Beaver Road Troy MI 5 (Chicago) 03/12/2021 YGT011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G1008 Clinical records Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
G0544 Update of the comprehensive assessment Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0654 Track adverse patient events Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0686 Infection control education Standard
G0798 Home health aide assignments and duties Standard
G1068 Physical Therapist Assistant Standard
G0434 Participate in care Element
G0528 Health, psychosocial, functional, cognition Element
G0534 Patient's needs 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
G0590 Promptly alert relevant physician of changes Element
G0962 Coordinate patient care Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 237094 Advisacare Healthcare Solutions, Inc 3290 West Big Beaver Road Troy MI 5 (Chicago) 08/13/2020 XYFP11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
G0704 Responsibilities of skilled professionals Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0584 Verbal orders Element
G0590 Promptly alert relevant physician of changes Element
G0706 Interdisciplinary assessment of the patient Element
G0964 Coordinate referrals; Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 237094 Advisacare Healthcare Solutions, Inc 3290 West Big Beaver Road Troy MI 5 (Chicago) 05/14/2020 G1U111 Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0686 Infection control education Standard
G0574 Plan of care must include the following Element
▼ 237094 Advisacare Healthcare Solutions, Inc 3290 West Big Beaver Road Troy MI 5 (Chicago) 04/26/2018 2RFW11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0750 Home health aide services Condition
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G0526 Content of the comprehensive assessment Standard
G0572 Plan of care Standard
G0774 12 hours inservice every 12 months Standard
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0590 Promptly alert relevant physician of changes Element
G0706 Interdisciplinary assessment of the patient Element
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
G0726 Nursing services supervised by RN Element
G0772 Documentation of competency evaluation Element
G0786 Unqualified HH aide providing services Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G0810 If concern identified, direct observation Element
▼ 237112 Beaumont Ashn, Llc 1975 Technology Dr, #J120 Troy MI 5 (Chicago) 09/26/2025 1D7694-H1 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
G0798 Home health aide assignments and duties Standard
G0436 Receive all services in plan of care Element
G0470 Document efforts to resolve problems Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
G0608 Coordinate care delivery Element
G0622 Name/contact information of clinical manager Element
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 237112 Beaumont Ashn, Llc 1975 Technology Dr, #J120 Troy MI 5 (Chicago) 05/11/2023 5FB8A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
G0800 Services provided by HH aide Element
G0962 Coordinate patient care Element