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
▼ 237693 Mcguffey Home Health Care, Llc 1380 Coolidge Hwy, Suite 210 Troy MI 5 (Chicago) 03/03/2023 5F1A9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 237696 Senior Citizens Home Health Care, Inc 25334 5 Mile Rd Redford MI 5 (Chicago) 01/13/2022 3823F-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
G0510 Comprehensive Assessment of Patients Condition
G0680 Infection prevention and control Condition
G0700 Skilled professional services Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0798 Home health aide assignments and duties Standard
G0982 Skilled services furnished Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return Element
G0550 At discharge Element
G0590 Promptly alert relevant physician of changes Element
G0706 Interdisciplinary assessment of the patient Element
G0708 Development and evaluation of plan of care Element
G0716 Preparing clinical notes Element
G0800 Services provided by HH aide Element
G1022 Discharge and transfer summaries Element
▼ 237700 Maxwell Home Health Care, Inc 43494 Woodward Ave, Suite 205 Bloomfield Hills MI 5 (Chicago) 07/21/2022 4EF26-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
G0578 Conformance with physician orders Standard
G0590 Promptly alert relevant physician of changes Element
G1022 Discharge and transfer summaries Element
▼ 237700 Maxwell Home Health Care, Inc 43494 Woodward Ave, Suite 205 Bloomfield Hills MI 5 (Chicago) 07/12/2019 KVY311 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
G0774 12 hours inservice every 12 months Standard
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G0952 Ensure that HHA employs qualified personnel Element
G1022 Discharge and transfer summaries Element
▼ 237700 Maxwell Home Health Care, Inc 43494 Woodward Ave, Suite 205 Bloomfield Hills MI 5 (Chicago) 01/18/2019 98BZ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0958 Clinical manager Standard
G0622 Name/contact information of clinical manager Element
G0950 Ensure clinical manager is available Element
G0952 Ensure that HHA employs qualified personnel Element
G0964 Coordinate referrals; Element
G0966 Assure patient needs are continually assessed Element
G0968 Assure implementation of plan of care Element
▼ 237702 Primary Home Health Care, Inc 5860 N Canton Center Rd, Suite 362 Canton MI 5 (Chicago) 09/05/2025 1D5535-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
E0017 HHA Comprehensive Assessment in Disaster Standard
G0704 Responsibilities of skilled professionals Standard
G0434 Participate in care Element
G0516 Skilled professional performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0590 Promptly alert relevant physician of changes Element
G1022 Discharge and transfer summaries Element
▼ 237702 Primary Home Health Care, Inc 5860 N Canton Center Rd, Suite 362 Canton MI 5 (Chicago) 09/29/2022 4F73B-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
G0602 Communication with all physicians Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 237708 Fox Run Home Health Agency 41100 Fox Run Road Novi MI 5 (Chicago) 05/16/2025 661CA-H1 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
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
G0798 Home health aide assignments and duties 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
G0590 Promptly alert relevant physician of changes Element
G0616 Patient medication schedule/instructions Element
G0706 Interdisciplinary assessment of the patient Element
G0708 Development and evaluation of plan of care Element
G0800 Services provided by HH aide Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 237708 Fox Run Home Health Agency 41100 Fox Run Road Novi MI 5 (Chicago) 06/09/2022 4EBB9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 237708 Fox Run Home Health Agency 41100 Fox Run Road Novi MI 5 (Chicago) 06/14/2019 XQIT11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0424 Exercise of rights Standard
G0526 Content of the comprehensive assessment Standard
G0572 Plan of care Standard
G0704 Responsibilities of skilled professionals Standard
G1024 Authentication Standard
G0538 Primary caregiver(s), if any Element
G0574 Plan of care must include the following Element