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
▼ 239084 National Home Health Care Agency 3055 Hallmark Court, Suite 2 Saginaw MI 5 (Chicago) 06/18/2025 65AE4-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
G0572 Plan of care Standard
G0798 Home health aide assignments and duties 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
G0538 Primary caregiver(s), if any Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0584 Verbal orders Element
G0714 Patient and caregiver education Element
G0948 Responsible for all day-to-day operations Element
G0964 Coordinate referrals; Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 239084 National Home Health Care Agency 3055 Hallmark Court, Suite 2 Saginaw MI 5 (Chicago) 10/22/2021 37D7B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0728 Rehab services supervised by PT, OT Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 239084 National Home Health Care Agency 3055 Hallmark Court, Suite 2 Saginaw MI 5 (Chicago) 05/26/2020 H7J011 Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G0714 Patient and caregiver education Element
▼ 239084 National Home Health Care Agency 3055 Hallmark Court, Suite 2 Saginaw MI 5 (Chicago) 10/17/2018 SPAB11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0750 Home health aide services Condition
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0039 EP Testing Requirements Standard
G0452 Transfer and discharge Standard
G0526 Content of the comprehensive assessment Standard
G0660 Executive responsibilities for QAPI Standard
G0704 Responsibilities of skilled professionals Standard
G0798 Home health aide assignments and duties Standard
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
G0430 Be free from abuse Element
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0442 Written notice for non-covered care Element
G0446 Contact info Federal/State-funded entities Element
G0448 Freedom from discrimination or reprisal Element
G0450 Access to auxiliary aids and language service Element
G0536 A review of all current medications 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
G0706 Interdisciplinary assessment of the patient Element
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0800 Services provided by HH aide Element
G0804 Aides are members of interdisciplinary team Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 239086 Bliss Home Health Care, Inc 31700 W 13mile Rd, Suite 204 Farmington Hills MI 5 (Chicago) 12/20/2019 RGYX11 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
G0700 Skilled professional services 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
E0030 Names and Contact Information Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0578 Conformance with physician orders Standard
G0642 Program scope Standard
G0658 Performance improvement projects Standard
G0684 Infection control Standard
G0976 Services under arrangement Standard
G0982 Skilled services furnished 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
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
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
G1022 Discharge and transfer summaries Element
▼ 239092 Great Lake Home Care, Llc 31471 Northwestern Hwy, Suite 2 Farmington Hills MI 5 (Chicago) 11/19/2021 37ED5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0944 Administrator must: Standard
G0982 Skilled services furnished Standard
G1010 Contents of clinical record Standard
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0948 Responsible for all day-to-day operations Element
G1016 Goals in the patient's plans of care Element
G1022 Discharge and transfer summaries Element
▼ 239092 Great Lake Home Care, Llc 31471 Northwestern Hwy, Suite 2 Farmington Hills MI 5 (Chicago) 01/11/2019 J5ME11 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
G0640 Quality assessment/performance improvement Condition
G0700 Skilled professional services Condition
G0750 Home health aide services Condition
G1008 Clinical records Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
E0033 Methods for Sharing Information Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0642 Program scope Standard
G0644 Program data Standard
G0660 Executive responsibilities for QAPI Standard
G0774 12 hours inservice every 12 months Standard
G0798 Home health aide assignments and duties Standard
G1024 Authentication Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G0590 Promptly alert relevant physician of changes Element
G0648 High risk, high volume, or problem-prone area 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
G0726 Nursing services supervised by RN Element
G0728 Rehab services supervised by PT, OT Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 239100 Community Home Health Care Of West Michigan, Inc 1909 Ruddiman Dr Muskegon MI 5 (Chicago) 02/21/2019 GXJB11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1052 Administrator Standard
▼ 239101 Promed Home Health Care, Llc 330 E 12 Mile Rd Madison Heights MI 5 (Chicago) 12/17/2018 DHBJ11 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
▼ 239105 Healing Hand Home Health Care, Llc 5918 N Lilley Rd, Suite 4 Canton MI 5 (Chicago) 03/24/2022 38781-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
G0578 Conformance with physician orders Standard
G0798 Home health aide assignments and duties Standard
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
G1022 Discharge and transfer summaries Element