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

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
237489 First Home Health Care, Inc 44968 Ford Rd, Ste B Canton MI 5 (Chicago) 06/04/2020 SNK111 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
E0004 Develop EP Plan, Review and Update Annually Standard
G0684 Infection control Standard
G0686 Infection control education Standard
237489 First Home Health Care, Inc 44968 Ford Rd, Ste B Canton MI 5 (Chicago) 05/24/2019 7KWS11 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
G0718 Communication with physicians Element
G1012 Required items in clinical record Element
237490 Precise Home Care Services 18940 Schaefer Dr Detroit MI 5 (Chicago) 11/09/2020 3SY411 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
E0001 Establishment of the Emergency Program (EP) Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0029 Development of Communication Plan Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0686 Infection control education Standard
237492 Choice One Home Health Care, Inc. 24306 Eureka Rd Taylor MI 5 (Chicago) 07/25/2023 60913-H1 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
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0029 Development of Communication Plan Standard
E0036 EP Training and Testing Standard
G0684 Infection control Standard
G0942 Governing body Standard
237495 Residential Home Health And Hospice, Inc 1681 Woodbridge Park Dr Lapeer MI 5 (Chicago) 02/15/2018 3YEC11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
G0712 Patient, caregiver, and family counseling Element
G0718 Communication with physicians Element
237498 Community Home Health Care, Inc 16250 Northland Dr. Ste 374 Southfield MI 5 (Chicago) 03/18/2026 1F5265-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0948 Responsible for all day-to-day operations Element
237498 Community Home Health Care, Inc 16250 Northland Dr. Ste 374 Southfield MI 5 (Chicago) 09/05/2025 1D5537-H1 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
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0686 Infection control education Standard
G0982 Skilled services furnished Standard
G1024 Authentication Standard
G0414 HHA administrator contact information Element
G0434 Participate in care Element
G0442 Written notice for non-covered care Element
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0534 Patient's needs Element
G0538 Primary caregiver(s), if any Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0622 Name/contact information of clinical manager Element
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0722 Participate in HHA-sponsored in-service Element
G0948 Responsible for all day-to-day operations Element
G0952 Ensure that HHA employs qualified personnel Element
G0956 Available during all operating hours Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
237511 24 Seven Home Health Care Services, Inc. 34514 Dequindre, Suite B Sterling Heights MI 5 (Chicago) 04/07/2022 387E8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
G1022 Discharge and transfer summaries Element
237511 24 Seven Home Health Care Services, Inc. 34514 Dequindre, Suite B Sterling Heights MI 5 (Chicago) 03/31/2020 QKTD11 Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0686 Infection control education Standard
G0706 Interdisciplinary assessment of the patient Element
237511 24 Seven Home Health Care Services, Inc. 34514 Dequindre, Suite B Sterling Heights MI 5 (Chicago) 04/19/2019 UYT611 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
G0510 Comprehensive Assessment of Patients Condition
G0640 Quality assessment/performance improvement Condition
G0750 Home health aide services Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0526 Content of the comprehensive assessment Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0644 Program data Standard
G0654 Track adverse patient events Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0774 12 hours inservice every 12 months Standard
G0982 Skilled services furnished Standard
G1068 Physical Therapist Assistant Standard
G1072 Registered Nurse Standard
G0438 Have a confidential clinical record Element
G0446 Contact info Federal/State-funded entities Element
G0514 RN performs assessment Element
G0522 Eligibility for Medicare home health benefit Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0538 Primary caregiver(s), if any Element
G0540 The patient's representative (if any); Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0648 High risk, high volume, or problem-prone area Element
G0778 Documentation of inservice training Element
G0802 Duties of a HH aide Element
G0804 Aides are members of interdisciplinary team Element
G0812 Direct observation every 12 months Element
G1022 Discharge and transfer summaries Element