S&C QCOR HHA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
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
▼ 237112 Beaumont Ashn, Llc 1975 Technology Dr, #J120 Troy MI 5 (Chicago) 10/06/2022 4F7AC-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0700 Skilled professional services Condition
G0750 Home health aide services Condition
G1050 Personnel qualifications Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0036 EP Training and Testing Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0704 Responsibilities of skilled professionals Standard
G0768 Competency evaluation Standard
G0798 Home health aide assignments and duties Standard
G0414 HHA administrator contact information Element
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition 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
G0616 Patient medication schedule/instructions Element
G0622 Name/contact information of clinical manager 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
G0714 Patient and caregiver education Element
G0726 Nursing services supervised by RN Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 237112 Beaumont Ashn, Llc 1975 Technology Dr, #J120 Troy MI 5 (Chicago) 09/24/2021 19715-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
▼ 237112 Beaumont Ashn, Llc 1975 Technology Dr, #J120 Troy MI 5 (Chicago) 10/11/2019 X3WG11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following 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
▼ 237122 North Oakland Home Health Care 7736 Ortonville Rd, Suite B Clarkston MI 5 (Chicago) 01/21/2021 NK5X11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0954 Ensures qualified pre-designated person Element
▼ 237122 North Oakland Home Health Care 7736 Ortonville Rd, Suite B Clarkston MI 5 (Chicago) 01/25/2018 S75M11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0704 Responsibilities of skilled professionals Standard
G0718 Communication with physicians Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 237124 Reverence Home Health & Hospice, Llc 2251 North Squirrel Road, Suite 320 Auburn Hills MI 5 (Chicago) 02/23/2023 5F00F-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0476 Investigation of complaints Standard
G0466 Make efforts to resolve the problem(s) Element
G0470 Document efforts to resolve problems Element
G0478 Investigate complaints made by patient Element
G0480 Treatment or care Element
G0484 Document complaint and resolution Element
G0486 Protect patient during investigation Element
G0590 Promptly alert relevant physician of changes Element
G0706 Interdisciplinary assessment of the patient Element
G0966 Assure patient needs are continually assessed Element
▼ 237124 Reverence Home Health & Hospice, Llc 2251 North Squirrel Road, Suite 320 Auburn Hills MI 5 (Chicago) 06/11/2021 G99Z11 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
G0572 Plan of care Standard
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
G0442 Written notice for non-covered 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
G1022 Discharge and transfer summaries Element
▼ 237124 Reverence Home Health & Hospice, Llc 2251 North Squirrel Road, Suite 320 Auburn Hills MI 5 (Chicago) 07/26/2018 SC0W11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
G0798 Home health aide assignments and duties Standard
G0550 At discharge Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
▼ 237136 Centerwell Certified Healthcare Corp 5406 Gateway Centre Drive, Ste B Flint MI 5 (Chicago) 02/14/2025 65488-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0444 State toll free HH telephone hotline Element
G0574 Plan of care must include the following Element
▼ 237136 Centerwell Certified Healthcare Corp 5406 Gateway Centre Drive, Ste B Flint MI 5 (Chicago) 02/16/2022 384A3-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
G0536 A review of all current medications Element