S&C QCOR Hospice 2567s
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Hospice 2567s
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Time Interval

Please select the calendar year or years for which you would like data.

Note: Hospice 2567s data begin starting October 2021.

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 Hospice 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

Use these filters if you want to search by a specific CMS Certification Number (CCN).

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
▼ 231547 Wings Of Hope Hospice 530 Linn Street, Suite A Allegan MI 5 (Chicago) 03/24/2022 75JX12 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0001 Establishment Of The Emergency Program (Ep) 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
L0000 Initial Comments Memo
▼ 231547 Wings Of Hope Hospice 530 Linn Street, Suite A Allegan MI 5 (Chicago) 06/29/2023 602BC-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0672 Content Standard
▼ 231547 Wings Of Hope Hospice 530 Linn Street, Suite A Allegan MI 5 (Chicago) 02/07/2025 653C1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0548 Content Of Plan Of Care Standard
L0557 Coordination Of Services Standard
L0563 Program Data Standard
L0566 Program Activities Standard
L0569 Program Activities Standard
L0574 Executive Responsibilities Standard
L0580 Control Standard
L0591 Nursing Services Standard
L0596 Counseling Services Standard
L0620 In-Service Training Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0684 Discharge Or Transfer Of Care Standard
L0778 Coordination Of Services Standard
▼ 231548 Compassus Aah Of Michigan Ii, Llc 5220 Lovers Lane, Suite 140 Portage MI 5 (Chicago) 06/03/2022 1148032 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0579 Prevention Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0683 Discharge Or Transfer Of Care Standard
L0781 Coordination Of Services Standard
▼ 231548 Compassus Aah Of Michigan Ii, Llc 5136 Lovers Lane, Ste 200b Portage MI 5 (Chicago) 04/10/2025 N/A Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0591 Nursing Services Standard
▼ 231550 Heartland Hospice Services, Llc 1320 Waldo Ave Suite 300 Midland MI 5 (Chicago) 12/15/2021 1121697 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
▼ 231550 Odyssey Healthcare Holding Company 1320 Waldo Ave, Suite 300 Midland MI 5 (Chicago) 11/14/2024 1249511 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0562 Program Scope Standard
L0579 Prevention Standard
L0626 Hospice Aide Assignments And Duties Standard
L0679 Authentication Standard
L0773 Hospice Plan Of Care Standard
L0781 Coordination Of Services Standard
▼ 231552 Hospice Of Hillsdale County, Inc 124 South Howell Street Hillsdale MI 5 (Chicago) 05/19/2023 5FCBD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0531 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0570 Program Activities Standard
L0594 Medical Social Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0774 Hospice Plan Of Care Standard
▼ 231553 Lake Superior Hospice Association 914 West Baraga Marquette MI 5 (Chicago) 10/14/2021 CZXV11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0016 Hospice Follow Up For Staff Standard
E0019 Homebound Hha/Hospice Inform Ep Officials Standard
E0030 Names And Contact Information Standard
E0032 Primary/Alternate Means For Communication Standard
E0033 Methods For Sharing Information Standard
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0573 Performance Improvement Projects Standard
L0625 Hospice Aide Assignments And Duties Standard
L0645 Recruiting And Retaining Standard
L0679 Authentication Standard
▼ 231553 Lake Superior Hospice Association 914 West Baraga Marquette MI 5 (Chicago) 10/17/2024 64613-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0544 Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0554 Coordination Of Services Standard
L0595 Counseling Services Standard
L0598 Counseling Services Standard
L0626 Hospice Aide Assignments And Duties Standard
L0644 Role Standard
L0679 Authentication Standard