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
▼ 231644 Great Lakes Caring Hospice Nw Mi 203 South State St Big Rapids MI 5 (Chicago) 07/12/2024 ACHC 1234797 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
L0549 Content Of Plan Of Care Standard
L0552 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
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
▼ 231645 The Medical Team, Inc. 17197 N Laurel Park Dr., Suite 555 Livonia MI 5 (Chicago) 05/24/2024 CHAP MAY2124_MII_868455_H Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0596 Counseling Services Standard
L0678 Content Standard
▼ 231645 The Medical Team, Inc. 17197 N Laurel Park Dr., Suite 555 Livonia MI 5 (Chicago) 07/03/2024 CHAP JUL0324_DND_868455_H Follow-Up
Deficiency Tag Deficiency Description Tag Type
L0548 Content Of Plan Of Care Standard
▼ 231646 Great Lakes Caring Hospice E Mi 20698 Hall Road Clinton Township MI 5 (Chicago) 09/12/2024 ACHC 1241676 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0579 Prevention Standard
L0596 Counseling 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
L0682 Discharge Or Transfer Of Care Standard
L0773 Hospice Plan Of Care Standard
▼ 231647 Evergreen Hospice, Llc 24333 Orchard Lake Rd, Suite H Farmington Hills MI 5 (Chicago) 12/07/2021 State Agency GHRD11 Complaint, 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
E0029 Development Of Communication Plan Standard
E0036 Ep Training And Testing Standard
L0000 Initial Comments Memo
L0512 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0522 Initial Assessment Standard
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0534 Patient Outcome Measures Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0537 Idg, Care Planning, Coordination Of Services Standard
L0538 Idg, Care Planning, Coordination Of Services Standard
L0539 Approach To Service Delivery Standard
L0541 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0559 Quality Assessment & Performance Improvement Condition
L0560 Quality Assessment & Performance Improvement Standard
L0561 Program Scope Standard
L0562 Program Scope Standard
L0564 Program Data Standard
L0568 Program Activities Standard
L0573 Performance Improvement Projects Standard
L0575 Executive Responsibilities Standard
L0577 Infection Control Condition
L0578 Infection Control Standard
L0580 Control Standard
L0581 Control Standard
L0595 Counseling Services Standard
L0596 Counseling Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0608 Hospice Aide And Homemaker Services Standard
L0609 Hospice Aide Qualifications Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0672 Content Standard
L0679 Authentication Standard
L0684 Discharge Or Transfer Of Care Standard
L0795 Criminal Background Checks Standard
▼ 231647 Evergreen Hospice, Llc 24333 Orchard Lake Rd, Suite H Farmington Hills MI 5 (Chicago) 02/08/2022 State Agency GHRD12 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
E0029 Development Of Communication Plan Standard
E0036 Ep Training And Testing Standard
L0000 Initial Comments Memo
L0512 Rights Of The Patient Standard
L0520 Initial & Comprehensive Assessment Of Patient Condition
L0521 Initial & Comprehensive Assessment Of Patient Standard
L0522 Initial Assessment Standard
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0534 Patient Outcome Measures Standard
L0536 Idg, Care Planning, Coordination Of Services Condition
L0537 Idg, Care Planning, Coordination Of Services Standard
L0538 Idg, Care Planning, Coordination Of Services Standard
L0539 Approach To Service Delivery Standard
L0541 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
L0559 Quality Assessment & Performance Improvement Condition
L0560 Quality Assessment & Performance Improvement Standard
L0561 Program Scope Standard
L0562 Program Scope Standard
L0564 Program Data Standard
L0568 Program Activities Standard
L0573 Performance Improvement Projects Standard
L0575 Executive Responsibilities Standard
L0577 Infection Control Condition
L0578 Infection Control Standard
L0580 Control Standard
L0581 Control Standard
L0595 Counseling Services Standard
L0596 Counseling Services Standard
L0607 Hospice Aide And Homemaker Services Condition
L0608 Hospice Aide And Homemaker Services Standard
L0609 Hospice Aide Qualifications Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0672 Content Standard
L0679 Authentication Standard
L0682 Discharge Or Transfer Of Care Standard
L0684 Discharge Or Transfer Of Care Standard
L0795 Criminal Background Checks Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
▼ 231647 Evergreen Hospice, Llc 24333 Orchard Lake Rd, Suite H Farmington Hills MI 5 (Chicago) 04/07/2022 State Agency GHRD13 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
E0029 Development Of Communication Plan Standard
E0036 Ep Training And Testing Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0534 Patient Outcome Measures Standard
L0559 Quality Assessment & Performance Improvement Condition
L0560 Quality Assessment & Performance Improvement Standard
L0561 Program Scope Standard
L0562 Program Scope Standard
L0564 Program Data Standard
L0568 Program Activities Standard
L0575 Executive Responsibilities Standard
L0580 Control Standard
L0607 Hospice Aide And Homemaker Services Condition
L0608 Hospice Aide And Homemaker Services Standard
L0609 Hospice Aide Qualifications Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0682 Discharge Or Transfer Of Care Standard
L0685 Retrieval Of Clinical Records Standard
L0795 Criminal Background Checks Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
▼ 231647 Evergreen Hospice, Llc 24333 Orchard Lake Rd, Suite H Farmington Hills MI 5 (Chicago) 05/26/2022 State Agency GHRD14 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
E0029 Development Of Communication Plan Standard
E0036 Ep Training And Testing Standard
E0039 Ep Testing Requirements Standard
L0000 Initial Comments Memo
L0559 Quality Assessment & Performance Improvement Condition
L0560 Quality Assessment & Performance Improvement Standard
L0561 Program Scope Standard
L0562 Program Scope Standard
L0564 Program Data Standard
L0568 Program Activities Standard
L0575 Executive Responsibilities Standard
L0580 Control Standard
L0648 Organizational Environment Condition
L0651 Governing Body And Administrator Standard
L0685 Retrieval Of Clinical Records Standard
L0900 Covid-19 Vaccination Of Facility Staff Standard
▼ 231647 Evergreen Hospice, Llc 24333 Orchard Lake Rd, Suite H Farmington Hills MI 5 (Chicago) 05/31/2023 State Agency 5FE82-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0543 Plan Of Care Standard
L0552 Review Of The Plan Of Care Standard
▼ 231648 Community Health Hospice Care Inc. 5401 Gateway Center, Suite D Flint MI 5 (Chicago) 12/30/2021 ACHC 40639 Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0615 Competency Evaluation Standard