S&C QCOR Hospice 2567s
d QCOR:  Quality, Certification and Oversight Reports.
Hospice 2567s
Selection Criteria

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
231542 Chippewa County Health Department 508 Ashmun St; Suite 120 Sault Ste Marie MI 5 (Chicago) 11/05/2021 CHAP NOV0421_DWU_500267_H Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0540 Approach To Service Delivery Standard
L0594 Medical Social Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0642 Volunteers Standard
L0672 Content Standard
L0676 Content Standard
L0694 Label Dispose Storage Drugs Standard
231542 Chippewa County Health Department 508 Ashmun St; Suite 120 Sault Ste Marie MI 5 (Chicago) 05/24/2023 CHAP MAY2423_HSN_500267_H Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0540 Approach To Service Delivery Standard
L0594 Medical Social Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0673 Content Standard
231543 Visiting Nurse Association Health Services 3403 Lapeer Rd, Building B, Suite 101 Port Huron MI 5 (Chicago) 03/22/2024 CHAP MAR1824_GKA_501625_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0678 Content Standard
L0834 N/A Standard
231544 Spectrum Health Continuing Care 1239 E Beltline Ave Ne Grand Rapids MI 5 (Chicago) 02/09/2024 CHAP FEB0524_SGU_501347_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0529 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0678 Content Standard
231546 Hospice Of Holland, Inc 270 Hoover Blvd Holland MI 5 (Chicago) 01/25/2024 State Agency 61F76-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0531 Content Of Comprehensive Assessment Standard
231547 Wings Of Hope Hospice 530 Linn Street, Suite A Allegan MI 5 (Chicago) 02/10/2022 State Agency 75JX11 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
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0538 Idg, Care Planning, Coordination Of Services Standard
L0548 Content Of Plan Of Care Standard
L0565 Program Data Standard
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0671 Clinical Records Standard
L0679 Authentication Standard
L0684 Discharge Or Transfer Of Care Standard
L0759 Residents Of Snf/Nf Or Icf/Mr Condition
L0762 Professional Management Standard
L0773 Hospice Plan Of Care Standard
L0774 Hospice Plan Of Care Standard
L0775 Hospice Plan Of Care Standard
L0782 Orientation And Training Of Staff Standard
231547 Wings Of Hope Hospice 530 Linn Street, Suite A Allegan MI 5 (Chicago) 03/24/2022 State Agency 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
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0538 Idg, Care Planning, Coordination Of Services Standard
L0548 Content Of Plan Of Care Standard
L0565 Program Data Standard
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
L0671 Clinical Records Standard
L0679 Authentication Standard
L0684 Discharge Or Transfer Of Care Standard
L0759 Residents Of Snf/Nf Or Icf/Mr Condition
L0762 Professional Management Standard
L0773 Hospice Plan Of Care Standard
L0774 Hospice Plan Of Care Standard
L0775 Hospice Plan Of Care Standard
L0782 Orientation And Training Of Staff Standard
231547 Wings Of Hope Hospice 530 Linn Street, Suite A Allegan MI 5 (Chicago) 03/24/2022 State Agency ZS9L11 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0512 Rights Of The Patient Standard
231547 Wings Of Hope Hospice 530 Linn Street, Suite A Allegan MI 5 (Chicago) 06/29/2023 State Agency 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 State Agency 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