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
▼ 237652 Optimum Plus Home Care, Llc 29610 Southfield Rd, Suite 260 Southfield MI 5 (Chicago) 09/10/2025 1D28DA-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0962 Coordinate patient care Element
G1012 Required items in clinical record Element
▼ 237652 Optimum Plus Home Care, Llc 29610 Southfield Rd, Suite 260 Southfield MI 5 (Chicago) 11/21/2024 64AEB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0750 Home health aide services Condition
E0030 Names and Contact Information Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0724 Supervise skilled professional assistants Standard
G0768 Competency evaluation Standard
G0798 Home health aide assignments and duties Standard
G0982 Skilled services furnished Standard
G1024 Authentication Standard
G0434 Participate in care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0754 A qualified HH aide successfully completed: Element
G0766 HHA maintains documentation of training Element
G0772 Documentation of competency evaluation Element
G0778 Documentation of inservice training Element
G0810 If concern identified, direct observation Element
G0820 HH aide services under arrangement Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 237652 Optimum Plus Home Care, Llc 29610 Southfield Rd, Suite 260 Southfield MI 5 (Chicago) 01/06/2022 381EB-H1 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
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0708 Development and evaluation of plan of care Element
▼ 237654 Provision Home Care, Llc 2888 E Long Lake Rd, Suite 127 Troy MI 5 (Chicago) 01/25/2019 QY5611 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
G0680 Infection prevention and control Condition
G0750 Home health aide services 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
E0017 HHA Comprehensive Assessment in Disaster Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0774 12 hours inservice every 12 months Standard
G0798 Home health aide assignments and duties Standard
G0862 Laboratory services/CLIA waivers Standard
G1062 Occupational Therapist Standard
G1064 Occupational Therapy Assistant Standard
G1078 Speech-Language Pathologist Standard
G0414 HHA administrator contact information Element
G0514 RN performs assessment 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
G0622 Name/contact information of clinical manager Element
G0710 Provide services in the plan of care Element
G0778 Documentation of inservice training Element
G0808 Onsite supervisory visit every 14 days Element
G0812 Direct observation every 12 months Element
G0946 Administrator appointed by governing body Element
G0948 Responsible for all day-to-day operations Element
G0954 Ensures qualified pre-designated person Element
G0962 Coordinate patient care Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 237656 Mercy Hands Home Care, Inc. 20600 Eureka Rd, Suite 711 Taylor MI 5 (Chicago) 02/25/2021 B0Z111 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
G0684 Infection control Standard
G0686 Infection control education Standard
G0414 HHA administrator contact information Element
G0446 Contact info Federal/State-funded entities Element
G0574 Plan of care must include the following Element
▼ 237659 John Paul Home Health Care, Inc 30800 Telegraph Rd, Suite 3700 Bingham Farms MI 5 (Chicago) 10/10/2024 6459F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0724 Supervise skilled professional assistants Standard
G0798 Home health aide assignments and duties Standard
G1028 Protection of records Standard
G0434 Participate in care Element
G0520 5 calendar days after start of care 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
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
G0808 Onsite supervisory visit every 14 days Element
G0818 HH aide supervision elements Element
G0962 Coordinate patient care Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 237659 John Paul Home Health Care, Inc 30800 Telegraph Rd, Suite 3700 Bingham Farms MI 5 (Chicago) 07/31/2024 63C50-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
▼ 237659 John Paul Home Health Care, Inc 30800 Telegraph Rd, Suite 3700 Bingham Farms MI 5 (Chicago) 10/08/2021 1972A-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
G0798 Home health aide assignments and duties Standard
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 237659 John Paul Home Health Care, Inc 30800 Telegraph Rd, Suite 3700 Bingham Farms MI 5 (Chicago) 10/25/2018 JH5K11 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
G0798 Home health aide assignments and duties Standard
G0800 Services provided by HH aide Element
▼ 237664 Pns Homecare Services, Inc 16250 Northland Drive, Suite 245 Southfield MI 5 (Chicago) 11/19/2021 37ED1-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
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G1022 Discharge and transfer summaries Element