Evergreen Hospice, LLC
Farmington Hills, Michigan · CCN 231647
24333 Orchard Lake Rd, Suite H
134 federal deficiencies across 5 surveys, December 7, 2021 to May 31, 2023.
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-level1914.2%
- 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-level11585.8%
- 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
State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- E0001Establishment of the Emergency Program (EP)4
- E0004Develop EP Plan, Review and Update Annually4
- E0013Development of EP Policies and Procedures4
- E0029Development of Communication Plan4
- E0036EP Training and Testing4
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| May 31, 2023 | Complaint | 2 | — |
| May 26, 2022 | Recertification | 18 | 3 |
| Apr 7, 2022 | Recertification | 24 | 4 |
| Feb 8, 2022 | Recertification | 46 | 6 |
| Dec 7, 2021 | Complaint, Recertification | 44 | 6 |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 46 findings in full →
CMS publishes written findings for 46 of the 134 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from December 7, 2021 to May 31, 2023. The inspectors’ written findings come from a single CMS survey-report extract.
Federal survey findings only. State licensure findings for hospices are not shown.
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