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Synergy Home Health Care

(248) 336-899928009 John R Road, Madison Heights, MI 48071
CMS Certification Number 237607 · Proprietary · Medicare-certified since 06/29/2006
18deficiencies since 2018
2serious
1inspections
2.5CMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean

Inspection 2024-08-08

· Recertification · 18 deficiencies · CMS source report (PDF)
Serious Establishment Of The Emergency Program (Ep)

The Agency failed to develop an emergency preparedness plan that must be reviewed, and updated at least every 2 years (See E 0004); failed to develop an emergency preparedness plan that was based on both a facility and community-based all-hazards risk assessment (See E 0006); failed to develop…

Source: CMS Form 2567, inspection 2024-08-08, tag E0001 · view on CMS
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Serious Infection Prevention And Control

The Agency failed to develop an Infection Control Program and monitor staff's performance to ensure infection control policies and accepted standard practices to prevent the transmission of infections and communicable diseases were followed for the last 3 years (See G 682), and failed to ensure the…

Source: CMS Form 2567, inspection 2024-08-08, tag G0680 · view on CMS
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Moderate Develop Ep Plan, Review And Update Annually

The Agency failed to develop an emergency preparedness plan that must be reviewed and updated at least every two years, resulting in Agency personnel not having updated and approved emergency procedures in the event of an actual emergency or disaster.

Source: CMS Form 2567, inspection 2024-08-08, tag E0004 · view on CMS
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Moderate Plan Based On All Hazards Risk Assessment

The Agency failed to develop an Emergency Preparedness Plan that was based on both a facility and community-based all-hazards risk assessment, resulting in the potential to negatively affect the health and safety of all 7 patients currently serviced by the Agency in the event of an emergency or…

Source: CMS Form 2567, inspection 2024-08-08, tag E0006 · view on CMS
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Moderate Policies/Procedures-Volunteers And Staffing

The Agency failed to develop an Emergency Preparedness Plan that included language concerning the use of volunteers, as appropriate, and/or other emergency staffing strategies to address surge needs experienced during an actual emergency, resulting in the potential for the interruption in needed…

Source: CMS Form 2567, inspection 2024-08-08, tag E0024 · view on CMS
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Moderate Development Of Communication Plan

The Agency failed to develop and maintain an Emergency Preparedness communication plan that complies with Federal, State, and local laws, and must be reviewed and updated at least every 2 years, resulting in the Agency's inability to ensure the coordination of patient care in the event of an actual…

Source: CMS Form 2567, inspection 2024-08-08, tag E0029 · view on CMS
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Moderate Ep Training Program

The agency failed to ensure all staff including contracted staff received initial training and training at least every two years in the agency's Emergency Preparedness Plan for 3 of 6 (Staff D, F, and J) personnel files reviewed, resulting in the agency's inability to ensure staff actions align…

Source: CMS Form 2567, inspection 2024-08-08, tag E0037 · view on CMS
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Moderate Program Scope

The Agency failed to provide documentation of its efforts to measure and analyze collected data used to track and trend quality indicators to assess measurable improvement concerning the provision of optimal patient care, resulting in the potential for unmet care needs for all 7 patients currently…

Source: CMS Form 2567, inspection 2024-08-08, tag G0642 · view on CMS
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Moderate Infection Prevention

The Agency failed to develop an Infection Control Program and monitor staff's performance to ensure infection control policies and accepted standard practices to prevent the transmission of infections and communicable diseases were followed for the last 3 years, resulting in no oversight concerning…

Source: CMS Form 2567, inspection 2024-08-08, tag G0682 · view on CMS
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Moderate Infection Control

The Agency failed to maintain an agency-wide program for the surveillance, identification, prevention, control, and investigation of infections and communicable diseases as a part of the Agency's Quality Assessment Performance Improvement (QAPI) program, resulting in the potential spread of…

Source: CMS Form 2567, inspection 2024-08-08, tag G0684 · view on CMS
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Moderate Services Under Arrangement

The agency failed to ensure 1 of 2 contracts (Contractor-1) met the requirements of section 1861(w) of the Act (42 U.S.C. 1395x(w)), resulting in the potential to adversely affect the finances of all patients that receive contracted services.

Source: CMS Form 2567, inspection 2024-08-08, tag G0976 · view on CMS
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Minor Participate In Care

The Agency failed to furnish Master of Social Work (MSW), Occupational Therapy (OT), Home Health aide (HHa) services as ordered in the physician's referral for home care in 1 (P-1) 1 record reviewed with MSW services ordered, out of a total sample of 8 records reviewed, resulting in an unaddressed…

Source: CMS Form 2567, inspection 2024-08-08, tag G0434 · view on CMS
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Minor Written Notice For Non-Covered Care

The Agency failed to ensure patients received written notice in advance of the Agency terminating care for 3 (P-1, P-6, P-8) of 3 discharge records reviewed, resulting in the inability of these Medicare beneficiaries to exercise their right to dispute the termination of home care services.

Source: CMS Form 2567, inspection 2024-08-08, tag G0442 · view on CMS
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Minor Health, Psychosocial, Functional, Cognition

The Agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status for 7 (P-1, P-2, P-4, P-5, P-6, P-7, P-8) of 8 records reviewed, resulting in incomplete clinical information needed in determining the needs of these patients and the potential for…

Source: CMS Form 2567, inspection 2024-08-08, tag G0528 · view on CMS
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Minor A Review Of All Current Medications

The Agency failed to ensure the comprehensive assessment included a review of all medications to determine significant drug interactions with failure to notify the physician of potential drug interactions in 1 (P-8) of 8 records reviewed; and failed to perform a review of medications in 1 (P-1) of…

Source: CMS Form 2567, inspection 2024-08-08, tag G0536 · view on CMS
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Minor Last 5 Days Of Every 60 Days Unless:

The agency failed to ensure the update of the comprehensive assessment was complete for 2 (P-1, P-7) of 3 patients recertified for care or with a resumption of care, resulting in incomplete clinical information needed in determining the needs of these patients and the potential for unmet care needs.

Source: CMS Form 2567, inspection 2024-08-08, tag G0546 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure the plan of care included all pertinent patient-specific interventions, safety precautions, reportable parameters, and measurable outcomes and goals for 4 (P-1, P-4, P-5, P-7) of 8 records reviewed, resulting in patients not receiving care specific to their individual…

Source: CMS Form 2567, inspection 2024-08-08, tag G0574 · view on CMS
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Minor Discharge And Transfer Summaries

The Agency failed to ensure a transfer summary was sent to the receiving facility within 2 days of becoming aware of an unplanned transfer for 2 (P-1, P-7) of 2 records reviewed in which the patient was transferred, failed to ensure a discharge summary was sent to the physician within 5 business…

Source: CMS Form 2567, inspection 2024-08-08, tag G1022 · view on CMS
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