Baraga County Memorial Hospital
Lanse, Michigan · CCN 231586
18341 US Hwy. 41
21 federal deficiencies across 2 surveys, March 24, 2022 to March 6, 2025.
Excludes the inspector’s preamble, which is not a finding
Federal surveys with at least one deficiency
Findings against a Condition of Participation — a compliance grade, not a measure of harm
What level the findings sit at
- Condition-level314.3%
- The agency was out of compliance with a federal Condition of Participation — a requirement it must meet to take part in Medicare at all.
- Standard-level1885.7%
- A requirement within a Condition of Participation. The Condition itself was not cited.
These are compliance grades, not harm grades: how deep in the regulation a finding sits, not whether anyone was harmed.
Who conducted the surveys
TJC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0531Content of Comprehensive Assessment2
- L0651Governing Body and Administrator2
- E0006Plan Based on All Hazards Risk Assessment1
- L0533Update of Comprehensive Assessment1
- L0545Content of Plan of Care1
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Mar 6, 2025 | Reaccreditation | 11 | 1 |
| Mar 24, 2022 | Reaccreditation | 10 | 2 |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Hospice findings published by CMS on QCOR, covering surveys from March 24, 2022 to March 6, 2025. The inspectors’ written findings come from a single CMS survey-report extract.
Federal survey findings only. State licensure findings for hospices are not shown.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction