S&C QCOR HHA 2567s
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HHAs 2567s
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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
▼ 237585 National Home Care Services, Inc 17700 Northland Park Ct, Ste 15 Southfield MI 5 (Chicago) 08/23/2018 IKJ811 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
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0644 Program data Standard
G0684 Infection control Standard
G0798 Home health aide assignments and duties Standard
G0414 HHA administrator contact information Element
G0446 Contact info Federal/State-funded entities Element
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0946 Administrator appointed by governing body Element
▼ 237587 1st Call Home Health Services 22361 Starks Dr Clinton Township MI 5 (Chicago) 10/27/2023 614D4-H1 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
▼ 237587 1st Call Home Health Services 22361 Starks Dr Clinton Township MI 5 (Chicago) 11/19/2020 B1H211 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
G0574 Plan of care must include the following Element
G0800 Services provided by HH aide Element
G1022 Discharge and transfer summaries Element
▼ 237597 Continental Home Health Care, Inc 24381 Orchard Lake Rd, Suite 2 Farmington Hills MI 5 (Chicago) 10/13/2021 B5JB-H2 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
G0590 Promptly alert relevant physician of changes Element
▼ 237597 Continental Home Health Care, Inc 24381 Orchard Lake Rd, Suite 2 Farmington Hills MI 5 (Chicago) 07/30/2021 B5JB11 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
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
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0036 EP Training and Testing Standard
G0544 Update of the comprehensive assessment Standard
G0642 Program scope Standard
G0654 Track adverse patient events Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0798 Home health aide assignments and duties Standard
G0982 Skilled services furnished Standard
G0528 Health, psychosocial, functional, cognition Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 237597 Continental Home Health Care, Inc 24381 Orchard Lake Rd, Suite 2 Farmington Hills MI 5 (Chicago) 08/15/2018 H10B11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment 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
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
G0446 Contact info Federal/State-funded entities Element
▼ 237598 New Era Home Care, Inc 24100 Southfield Road, Suite 300 Southfield MI 5 (Chicago) 01/11/2019 KHT611 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
G0406 Patient rights Condition
G0510 Comprehensive Assessment of Patients Condition
G0640 Quality assessment/performance improvement Condition
G1008 Clinical records Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0013 Development of EP Policies and Procedures Standard
E0029 Development of Communication Plan 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
G0642 Program scope Standard
G0654 Track adverse patient events Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0768 Competency evaluation Standard
G0982 Skilled services furnished Standard
G1026 Retention of records Standard
G1028 Protection of records Standard
G1030 Retrieval of records Standard
G0414 HHA administrator contact information Element
G0454 HHA can no longer meet the patient's needs Element
G0478 Investigate complaints made by patient Element
G0484 Document complaint and resolution Element
G0536 A review of all current medications Element
G0550 At discharge Element
G0574 Plan of care must include the following 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
G0954 Ensures qualified pre-designated person Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 237603 Balajie Home Health Care, Inc 29777 Telegraph Rd. Ste 1640 Southfield MI 5 (Chicago) 02/28/2025 656B9-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
G0700 Skilled professional services Condition
G0750 Home health aide services Condition
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0033 Methods for Sharing Information Standard
E0037 EP Training Program Standard
G0564 Discharge or Transfer Summary Content Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G1024 Authentication Standard
G0436 Receive all services in plan of care Element
G0520 5 calendar days after start of care 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
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
G0726 Nursing services supervised by RN Element
G0754 A qualified HH aide successfully completed: Element
G0760 Classroom and supervised practical training Element
G0762 Minimum hours of training Element
G0764 HH aide training program topics Element
G0800 Services provided by HH aide Element
G0804 Aides are members of interdisciplinary team Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
G1018 Contact information for the patient Element
G1022 Discharge and transfer summaries Element
▼ 237607 Synergy Home Health Care, Inc 28009 John R Road Madison Heights MI 5 (Chicago) 08/08/2024 63D2C-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
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0037 EP Training Program Standard
G0642 Program scope Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0976 Services under arrangement 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
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 237609 Supreme Rehab, Inc. 29930 W 12 Mile Rd, Suite 3 Farmington Hills MI 5 (Chicago) 05/30/2025 6641B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G0982 Skilled services furnished Standard
G0434 Participate in care 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
G0590 Promptly alert relevant physician of changes Element
G0616 Patient medication schedule/instructions Element
G0622 Name/contact information of clinical manager Element
G0716 Preparing clinical notes Element
G0954 Ensures qualified pre-designated person Element
G1022 Discharge and transfer summaries Element