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
▼ 231585 Schoolcraft Memorial Hospital 7870 W Us Hwy 2 Manistique MI 5 (Chicago) 08/25/2022 State Agency OXBF11 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
L0671 Clinical Records Standard
L0683 Discharge Or Transfer Of Care Standard
▼ 231585 Schoolcraft Memorial Hospital 7870 W Us Hwy 2 Manistique MI 5 (Chicago) 08/22/2025 State Agency 1D415E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0531 Content Of Comprehensive Assessment Standard
L0555 Coordination Of Services Standard
L0598 Counseling Services Standard
L0674 Content Standard
▼ 231586 Baraga County Memorial Hospital 18341 Us Hwy. 41 Lanse MI 5 (Chicago) 03/24/2022 TJC 440440695 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
E0006 Plan Based On All Hazards Risk Assessment Standard
E0006 Plan Based On All Hazards Risk Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0560 Quality Assessment & Performance Improvement Condition
L0561 Program Scope Standard
L0581 Control Standard
L0581 Control Standard
L0629 Supervision Of Hospice Aides Standard
L0651 Governing Body And Administrator Condition
L0679 Authentication Standard
▼ 231586 Baraga County Memorial Hospital 18341 Us Hwy. 41 Lanse MI 5 (Chicago) 03/06/2025 TJC 454152455 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0596 Counseling Services Standard
L0643 Training Standard
L0646 Cost Saving Standard
L0647 Level Of Activity Standard
L0651 Governing Body And Administrator Condition
L0662 Training Standard
L0663 Training Standard
L0667 Initial Certification Of Terminal Illness Standard
L0668 Recertification Of The Terminal Illness Standard
L0678 Content Standard
▼ 231587 Lutheran Home Care Agency, Inc 100 Mayer Rd Frankenmuth MI 5 (Chicago) 03/10/2022 State Agency UEDK11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0030 Names And Contact Information Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0546 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0565 Program Data Standard
L0574 Executive Responsibilities Standard
L0625 Hospice Aide Assignments And Duties Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0774 Hospice Plan Of Care Standard
L0782 Orientation And Training Of Staff Standard
L0795 Criminal Background Checks Standard
▼ 231587 Lutheran Home Care Agency, Inc 100 Mayer Rd Frankenmuth MI 5 (Chicago) 04/28/2022 State Agency UEDK12 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0030 Names And Contact Information Standard
E0037 Ep Training Program Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0505 Exercise Of Rights/Respect For Proprty/Person Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0546 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0565 Program Data Standard
L0574 Executive Responsibilities Standard
L0625 Hospice Aide Assignments And Duties Standard
L0683 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0774 Hospice Plan Of Care Standard
L0782 Orientation And Training Of Staff Standard
L0795 Criminal Background Checks Standard
▼ 231587 Lutheran Home Care Agency, Inc 100 Mayer Rd Frankenmuth MI 5 (Chicago) 02/28/2025 State Agency 656BA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0546 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0582 Education Standard
L0625 Hospice Aide Assignments And Duties Standard
L0650 Serving The Hospice Patient And Family Standard
L0661 Training Standard
▼ 231588 Odyssey Healthcare Holding Company 2150 Association Drive, Suite 200 Okemos MI 5 (Chicago) 05/03/2024 ACHC 1224792 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0524 Content Of Comprehensive Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0545 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
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0647 Level Of Activity Standard
L0773 Hospice Plan Of Care Standard
L0781 Coordination Of Services Standard
▼ 231589 Odyssey Healthcare Holding Company 3031 Airpark Drive North Flint MI 5 (Chicago) 03/28/2024 ACHC 1224728 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0547 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0579 Prevention Standard
L0679 Authentication Standard
▼ 231591 Southerncare, Inc. 1911 W. Centre Ave. Portage MI 5 (Chicago) 11/08/2023 ACHC 1202251 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
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0667 Initial Certification Of Terminal Illness Standard
L0677 Content Standard
L0773 Hospice Plan Of Care Standard