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
▼ 237447 Unicare Home Health System, Inc 34514 Dequindre Rd, Ste B Sterling Heights MI 5 (Chicago) 09/10/2020 US6911 Complaint, 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
G0982 Skilled services furnished Standard
G0414 HHA administrator contact information Element
G0446 Contact info Federal/State-funded entities Element
▼ 237447 Unicare Home Health System, Inc 34514 Dequindre Rd, Ste B Sterling Heights MI 5 (Chicago) 05/24/2018 BWST11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0640 Quality assessment/performance improvement Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
E0033 Methods for Sharing Information Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0686 Infection control education Standard
G0798 Home health aide assignments and duties Standard
G1024 Authentication 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
G0590 Promptly alert relevant physician of changes Element
G0950 Ensure clinical manager is available Element
G1022 Discharge and transfer summaries Element
▼ 237459 Residential Home Health 5440 Corporate Dr, Suite 400 Troy MI 5 (Chicago) 07/26/2022 4F1CD-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
▼ 237459 Residential Home Health 5440 Corporate Dr, Suite 400 Troy MI 5 (Chicago) 12/01/2020 92LA11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0578 Conformance with physician orders Standard
▼ 237460 Integrity Home Health Care, Inc 530 Stephenson Hwy, Ste 110 Troy MI 5 (Chicago) 10/03/2024 64478-H1 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
E0006 Plan Based on All Hazards Risk Assessment Standard
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G0702 Services by skilled professionals Standard
G0534 Patient's needs Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 237460 Integrity Home Health Care, Inc 530 Stephenson Hwy, Ste 110 Troy MI 5 (Chicago) 12/08/2021 3806C-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
▼ 237460 Integrity Home Health Care, Inc 530 Stephenson Hwy, Ste 110 Troy MI 5 (Chicago) 10/29/2021 37D8F-H1 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
G0572 Plan of care Standard
G1024 Authentication Standard
G0434 Participate in care Element
G0528 Health, psychosocial, functional, cognition Element
G0616 Patient medication schedule/instructions Element
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G1022 Discharge and transfer summaries Element
▼ 237460 Integrity Home Health Care, Inc 530 Stephenson Hwy, Ste 110 Troy MI 5 (Chicago) 10/16/2018 8IDP11 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
G0750 Home health aide services Condition
E0009 Local, State, Tribal Collaboration Process Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
G0578 Conformance with physician orders Standard
G0768 Competency evaluation Standard
G0774 12 hours inservice every 12 months Standard
G0798 Home health aide assignments and duties Standard
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0606 Integrate all services Element
▼ 237463 Priority One Home Health Services, Inc. 27196 Dequindre Rd Warren MI 5 (Chicago) 08/27/2024 63F62-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0434 Participate in care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 237463 Priority One Home Health Services, Inc. 27196 Dequindre Rd Warren MI 5 (Chicago) 10/29/2020 QWO411 Focused Infection Control, Other-Fed, 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
G0572 Plan of care Standard
G0704 Responsibilities of skilled professionals Standard
G0536 A review of all current medications Element