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 are available from October 2021 through March 2026.

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. Surveys can also be filtered by surveyor type - State Agency or Accrediting Organization - and by whether immediate jeopardy was cited.

CMS Certification Number Facility Name Address City State CMS Region Survey Date Surveyed By Survey Event ID Survey Type Statement of Deficiencies Report
▼ 231530 Diversified Hospice Care, Inc. 3290 West Big Beaver Rd, Suite 501 Troy MI 5 (Chicago) 05/09/2023 State Agency 5F655-H2 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
E0013 Development Of Ep Policies And Procedures Standard
E0016 Hospice Follow Up For Staff Standard
E0018 Procedures For Tracking Of Staff And Patients Standard
E0020 Policies For Evac. And Primary/Alt. Comm. Standard
E0029 Development Of Communication Plan Standard
E0032 Primary/Alternate Means For Communication Standard
E0036 Ep Training And Testing Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0531 Content Of Comprehensive Assessment Standard
L0543 Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0565 Program Data Standard
L0566 Program Activities Standard
L0569 Program Activities Standard
L0580 Control Standard
L0582 Education Standard
L0594 Medical Social Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0661 Training Standard
L0672 Content Standard
L0673 Content Standard
L0679 Authentication Standard
L0684 Discharge Or Transfer Of Care Standard
L0795 Criminal Background Checks Standard
L0900 Infection Control Standard
▼ 231530 Diversified Hospice Care, Inc. 3290 West Big Beaver Rd, Suite 501 Troy MI 5 (Chicago) 10/21/2025 State Agency 1D91D2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0037 Ep Training Program Standard
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
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
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0562 Program Scope Standard
L0564 Program Data Standard
L0565 Program Data Standard
L0574 Executive Responsibilities Standard
L0577 Infection Control Condition
L0580 Control Standard
L0581 Control Standard
L0582 Education Standard
L0587 Core Services Condition
L0591 Nursing Services Standard
L0594 Medical Social Services Standard
L0596 Counseling Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0643 Training Standard
L0647 Level Of Activity Standard
L0679 Authentication Standard
L0774 Hospice Plan Of Care Standard
L0775 Hospice Plan Of Care Standard
L0781 Coordination Of Services Standard
L0782 Orientation And Training Of Staff Standard
▼ 231530 Diversified Hospice Care, Inc. 3290 West Big Beaver Rd, Suite 501 Troy MI 5 (Chicago) 12/05/2025 State Agency 1D91D2-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0037 Ep Training Program Standard
L0000 Initial Comments Memo
L0520 Initial & Comprehensive Assessment Of Patient Condition
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
L0533 Update Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0545 Content Of Plan Of Care Standard
L0546 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0562 Program Scope Standard
L0564 Program Data Standard
L0565 Program Data Standard
L0574 Executive Responsibilities Standard
L0577 Infection Control Condition
L0580 Control Standard
L0581 Control Standard
L0582 Education Standard
L0587 Core Services Condition
L0591 Nursing Services Standard
L0594 Medical Social Services Standard
L0596 Counseling Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0643 Training Standard
L0647 Level Of Activity Standard
L0679 Authentication Standard
L0774 Hospice Plan Of Care Standard
L0775 Hospice Plan Of Care Standard
L0781 Coordination Of Services Standard
L0782 Orientation And Training Of Staff Standard
▼ 231530 Diversified Hospice Care, Inc. 3290 West Big Beaver Rd, Suite 501 Troy MI 5 (Chicago) 12/29/2025 State Agency 1D91D2-H3 Recertification
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
▼ 231533 Three Rivers Health Homecare & Hospice 711 S Health Pakrway Three Rivers MI 5 (Chicago) 05/09/2024 State Agency 62F65-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
L0549 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
▼ 231534 Hospice Of North Ottawa Community, Inc. 1027 South Beacon Boulevard Grand Haven MI 5 (Chicago) 05/24/2024 TJC 452443825 Initial
Deficiency Tag Deficiency Description Tag Type
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0557 Coordination Of Services Standard
L0579 Prevention Standard
L0629 Supervision Of Hospice Aides Standard
L0674 Content Standard
▼ 231536 Hospice Of Michigan, Inc. 830 S Otsego Ave Gaylord MI 5 (Chicago) 02/02/2023 CHAP JAN3123_NTL_883380_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0549 Content Of Plan Of Care Standard
▼ 231537 Hospice Of Lenawee, Inc 1903 Wolf Creek Highway Adrian MI 5 (Chicago) 06/07/2024 CHAP JUN0324_YIB_501668_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0662 Training Standard
L0834 N/A Standard
▼ 231541 Mclaren Health Management Group 1 Hiland Drive Petoskey MI 5 (Chicago) 04/28/2022 CHAP APR2522_YQY_503363_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0545 Content Of Plan Of Care Standard
L0594 Medical Social Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0678 Content Standard
L0724 Physical Environment Standard
▼ 231541 Mclaren Health Management Group 1 Hiland Drive Petoskey MI 5 (Chicago) 03/14/2025 CHAP MAR1025_CAZ_503363_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0550 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0678 Content Standard
L0682 Discharge Or Transfer Of Care Standard