S&C QCOR Hospice 2567s
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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
▼ 231689 Careline Hmi200 Llc 4760 Fashion Square Blvd Saginaw MI 5 (Chicago) 10/14/2021 CHAP OCT1221_DJK_8547024_ Initial
Deficiency Tag Deficiency Description Tag Type
L0625 Hospice Aide Assignments And Duties Standard
L0628 Hospice Aide Assignments And Duties Standard
▼ 231689 Careline Hmi200 Llc 4760 Fashion Square Blvd Saginaw MI 5 (Chicago) 08/23/2024 CHAP AUG2024_HIT_8547024_ Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0644 Role Standard
▼ 231690 Careline Hmi300 Llc 770 Kenmoor Ave Se, Suite 100 Grand Rapids MI 5 (Chicago) 12/09/2021 CHAP DEC0721_VVC_8547271_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0523 Timeframe For Completion Of Assessment Standard
L0540 Approach To Service Delivery Standard
L0545 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0594 Medical Social Services Standard
▼ 231690 Careline Hmi300 Llc 770 Kenmoor Ave Se, Suite 100 Grand Rapids MI 5 (Chicago) 12/15/2023 CHAP DEC1523_XDU_8547271_ Complaint
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
▼ 231690 Careline Hmi300 Llc 770 Kenmoor Ave Se, Suite 100 Grand Rapids MI 5 (Chicago) 09/27/2024 CHAP SEP2424_FIL_8547271_ Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0545 Content Of Plan Of Care Standard
L0548 Content Of Plan Of Care Standard
L0626 Hospice Aide Assignments And Duties Standard
L0644 Role Standard
▼ 231691 Amber Hospice Care, Llc 25500 Meadowbrook Rd, Suite 240 Novi MI 5 (Chicago) 11/03/2021 CHAP NOV0121_VPN_8547199_ Initial with CCN
Deficiency Tag Deficiency Description Tag Type
L0531 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
▼ 231691 Amber Hospice Care, Llc 25500 Meadowbrook Rd, Ste 240 Novi MI 5 (Chicago) 03/14/2024 State Agency 627C2-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0546 Content Of Plan Of Care Standard
▼ 231691 Amber Hospice Care, Llc 25500 Meadowbrook Rd, Ste 240 Novi MI 5 (Chicago) 04/24/2024 State Agency 627C2-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0546 Content Of Plan Of Care Standard
▼ 231691 Amber Hospice Care, Llc 25500 Meadowbrook Rd, Ste 240 Novi MI 5 (Chicago) 05/20/2024 State Agency 627C2-H3 Complaint
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0536 Idg, Care Planning, Coordination Of Services Condition
L0546 Content Of Plan Of Care Standard
▼ 231691 Amber Hospice Care, Llc 25500 Meadowbrook Rd, Suite 240 Novi MI 5 (Chicago) 08/15/2024 CHAP AUG1324_LGS_8547199_ Reaccreditation
Deficiency Tag Deficiency Description Tag Type
L0530 Content Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0625 Hospice Aide Assignments And Duties Standard
L0629 Supervision Of Hospice Aides Standard
L0678 Content Standard
L0781 Coordination Of Services Standard