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
▼ 237527 Amber Home Health Care, Inc 29792 Telegraph Rd, Suite 130 Southfield MI 5 (Chicago) 04/21/2022 388CB-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
G0680 Infection prevention and control Condition
G0700 Skilled professional services Condition
E0037 EP Training Program Standard
G0564 Discharge or Transfer Summary Content Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G0724 Supervise skilled professional assistants Standard
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
G0484 Document complaint and resolution 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
G0608 Coordinate care delivery Element
G0616 Patient medication schedule/instructions Element
G0706 Interdisciplinary assessment of the patient Element
G0716 Preparing clinical notes Element
G0800 Services provided by HH aide Element
G0952 Ensure that HHA employs qualified personnel Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 237528 Platinum Care Home Services, Inc 25572 Schoenherr Rd Warren MI 5 (Chicago) 10/20/2022 5DEE6-H1 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
G0414 HHA administrator contact information Element
G0446 Contact info Federal/State-funded entities Element
G0514 RN performs assessment 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
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 237528 Platinum Care Home Services, Inc 25572 Schoenherr Rd Warren MI 5 (Chicago) 10/25/2019 60JD11 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
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
▼ 237537 Assured Health Services, Inc 27427 Schoenherr Road, Suite 400 Warren MI 5 (Chicago) 06/27/2025 667C8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G0982 Skilled services furnished Standard
G1024 Authentication 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
G0616 Patient medication schedule/instructions Element
G0706 Interdisciplinary assessment of the patient Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 237540 Innovative Senior Care Home Health Of Detroit, Llc 32300 Northwestern Hwy, Ste 120 Farmington Hills MI 5 (Chicago) 12/19/2024 64E27-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
E0013 Development of EP Policies and Procedures Standard
G0434 Participate in care Element
G0446 Contact info Federal/State-funded entities Element
G0534 Patient's needs Element
G0590 Promptly alert relevant physician of changes Element
G0616 Patient medication schedule/instructions Element
G1022 Discharge and transfer summaries Element
▼ 237541 Elite Home Health Care, Inc 441 South Main Street, Suite 3 Standish MI 5 (Chicago) 09/21/2022 4F73C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
▼ 237541 Elite Home Health Care, Inc 441 South Main Street, Suite 3 Standish MI 5 (Chicago) 07/28/2022 4F1B3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0708 Development and evaluation of plan of care Element
G1012 Required items in clinical record Element
▼ 237543 Liberty Home Care, Inc 37799 Professional Center Drive, Suite 103 Livonia MI 5 (Chicago) 02/20/2025 6557F-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
G1022 Discharge and transfer summaries Element
▼ 237543 Liberty Home Care, Inc 37799 Professional Center Drive, Suite 103 Livonia MI 5 (Chicago) 06/02/2020 XELY11 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
G0684 Infection control Standard
G0686 Infection control education Standard
▼ 237543 Liberty Home Care, Inc 37799 Professional Center Drive, Suite 103 Livonia MI 5 (Chicago) 03/22/2019 4XHC11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0764 HH aide training program topics Element
G1022 Discharge and transfer summaries Element