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
▼ 239239 Total Homecare Solutions, Inc 39293 Plymouth Rd, Ste 100 Livonia MI 5 (Chicago) 04/22/2021 G1WT11 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
G0536 A review of all current medications Element
G0550 At discharge Element
G0978 Must have a written agreement Element
G1022 Discharge and transfer summaries Element
▼ 239241 Medco Home Healthcare, Inc 33250 Warren Rd, Suite 207 Westland MI 5 (Chicago) 05/16/2024 630C3-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
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 239241 Medco Home Healthcare, Inc 33250 Warren Rd, Suite 207 Westland MI 5 (Chicago) 07/01/2021 C4EH11 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
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
▼ 239244 Nova Home Health Care, Inc 3345 W Auburn Rd, Suite 204 Rochester Hills MI 5 (Chicago) 08/22/2024 63E74-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0013 Development of EP Policies and Procedures Standard
E0039 EP Testing Requirements Standard
G0536 A review of all current medications Element
G1022 Discharge and transfer summaries Element
▼ 239244 Nova Home Health Care, Inc 3345 W Auburn Rd, Suite 204 Rochester Hills MI 5 (Chicago) 08/12/2021 VLG511 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
G1016 Goals in the patient's plans of care Element
G1022 Discharge and transfer summaries Element
▼ 239244 Nova Home Health Care, Inc 3345 W Auburn Rd, Suite 204 Rochester Hills MI 5 (Chicago) 05/21/2020 R89X11 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
E0013 Development of EP Policies and Procedures Standard
▼ 239244 Nova Home Health Care, Inc 3345 W Auburn Rd, Suite 204 Rochester Hills MI 5 (Chicago) 08/30/2018 YI6511 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
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0522 Eligibility for Medicare home health benefit 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
G0598 Discharge plans communication Element
G1012 Required items in clinical record Element
▼ 239245 Home Care Wellness, Llc 10272 Telegraph Rd, Suite A Taylor MI 5 (Chicago) 09/12/2024 64143-H1 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
E0039 EP Testing Requirements Standard
G0658 Performance improvement projects Standard
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G0704 Responsibilities of skilled professionals Standard
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
G0442 Written notice for non-covered care Element
G0534 Patient's needs Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0616 Patient medication schedule/instructions Element
G0656 Improvements are sustained Element
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G1022 Discharge and transfer summaries Element
▼ 239250 Franklin Home Health Care, Llc 39393 Van Dyke Ave, Suite 103 Sterling Heights MI 5 (Chicago) 09/12/2024 64145-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
G0940 Organization and administration of services Condition
E0037 EP Training Program Standard
G1024 Authentication Standard
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
G0962 Coordinate patient care Element
G0964 Coordinate referrals; Element
G0966 Assure patient needs are continually assessed Element
G0968 Assure implementation of plan of care Element
G1022 Discharge and transfer summaries Element
▼ 239252 Aardvark Home Care Corporation 20600 Eureka Rd, Suite 325 Taylor MI 5 (Chicago) 08/20/2018 GR3611 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0446 Contact info Federal/State-funded entities Element
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element