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

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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
▼ 237145 Sturgis Hospital, Inc 664 E Main St, Suite C Centreville MI 5 (Chicago) 10/10/2018 X3H511 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0644 Program data Standard
G0798 Home health aide assignments and duties Standard
G0976 Services under arrangement Standard
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
G0978 Must have a written agreement Element
G1022 Discharge and transfer summaries Element
▼ 237162 Midwest Rockets Hh, Llc 1320 Waldo Ave, Suite 300 Midland MI 5 (Chicago) 06/07/2018 3JD411 Recertification, Sample Validation
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
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0438 Have a confidential clinical record Element
G0516 Skilled professional 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
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0718 Communication with physicians Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 237164 Sparrow Community Care 3301 E Michigan Avenue, Ste A Lansing MI 5 (Chicago) 04/08/2021 N1K811 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 237165 Mclaren Health Management Group 2110 16th St Ste 7 Bay City MI 5 (Chicago) 10/04/2018 OQ1E11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard
G0798 Home health aide assignments and duties Standard
G0418 Patient's or legal representative's signature Element
G0446 Contact info Federal/State-funded entities Element
G0528 Health, psychosocial, functional, cognition 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
G0706 Interdisciplinary assessment of the patient Element
G0800 Services provided by HH aide Element
G1022 Discharge and transfer summaries Element
▼ 237169 Advisacare Healthcare Solutions, Inc 2367 S Linden Rd, Suite B Flint MI 5 (Chicago) 05/02/2024 62E44-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
E0004 Develop EP Plan, Review and Update Annually Standard
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G0798 Home health aide assignments and duties Standard
G0514 RN performs assessment Element
G0534 Patient's needs Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0614 Visit schedule Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 237169 Advisacare Healthcare Solutions, Inc 2367 S Linden Rd, Suite B Flint MI 5 (Chicago) 05/06/2021 HDI711 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 237169 Advisacare Healthcare Solutions, Inc 2367 S Linden Rd, Suite B Flint MI 5 (Chicago) 02/05/2019 1MEU11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0970 Parent-branch relationship Standard
G0972 Report all branch locations to SA Element
▼ 237169 Advisacare Healthcare Solutions, Inc 2367 S Linden Rd, Suite B Flint MI 5 (Chicago) 07/16/2018 H6S011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0031 Emergency Officials Contact Information Standard
E0033 Methods for Sharing Information Standard
E0037 EP Training Program Standard
G0424 Exercise of rights Standard
G0798 Home health aide assignments and duties Standard
G0410 Information to patient Element
G0528 Health, psychosocial, functional, cognition Element
G0538 Primary caregiver(s), if any Element
G0574 Plan of care must include the following Element
G0706 Interdisciplinary assessment of the patient Element
G1016 Goals in the patient's plans of care Element
▼ 237172 Mclaren Health Management Group 22500 Metro Pkwy, Suite 300 Clinton Township MI 5 (Chicago) 10/29/2021 37D96-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0704 Responsibilities of skilled professionals Standard
▼ 237172 Mclaren Health Management Group 22500 Metro Pkwy, Suite 300 Clinton Township MI 5 (Chicago) 09/27/2019 LHGW11 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
G0578 Conformance with physician orders Standard
G0798 Home health aide assignments and duties Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element