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Trinity Health at Home- Southeast Michigan

(734) 343-750020555 Victor Parkway, Livonia, MI 48152
CMS Certification Number 237069 · Proprietary · Medicare-certified since 09/21/1977
10deficiencies since 2018
1serious
5inspections
4CMS 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 2026-01-06

· Complaint · no deficiencies cited · CMS source report (PDF)

Inspection 2022-08-08

· Complaint · 3 deficiencies · CMS source report (PDF)
Serious text mentions immediate jeopardy Infection Prevention And Control

The Agency failed to ensure its disciplines implemented effective Infection Control measures including wearing appropriate personal protective equipment during the provision of care, and refraining from providing patient care when ill, for 2 (MR's #1, 4) of 2 patients who contracted Covid-19 after…

Source: CMS Form 2567, inspection 2022-08-08, tag G0680 · view on CMS
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Moderate Infection Prevention

The Agency failed to ensure its disciplines implemented effective Infection Control measures including wearing appropriate personal protective equipment during the provision of care, and refraining from providing patient care when ill, for 2 (MR's #1, 4) of 2 patients who contracted Covid-19 after…

Source: CMS Form 2567, inspection 2022-08-08, tag G0682 · view on CMS
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Moderate Infection Control

The Agency failed to provide documented evidence to ensure that all disciplines who were granted clinical privileges were screened for the Covid-19 virus prior to the provision of care and services for 2 (MR #1, 4) of 2 patients, from a total of 4 sampled records reviewed, resulting in both…

Source: CMS Form 2567, inspection 2022-08-08, tag G0684 · view on CMS
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Inspection 2020-05-27

· Focused Infection Control, Other-Fed · no deficiencies cited · CMS source report (PDF)

Inspection 2020-03-16

· Complaint · no deficiencies cited · CMS source report (PDF)

Inspection 2018-12-13

· Recertification · 7 deficiencies · CMS source report (PDF)
Moderate Hha Comprehensive Assessment In Disaster

Hha Comprehensive Assessment In Disaster

Source: CMS Form 2567, inspection 2018-12-13, tag E0017 · view on CMS
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Moderate Exercise Of Rights

The agency failed to ensure the patient's family or guardian was notified of their right to exercise the patient's rights in two of three records reviewed in which the patient had diagnoses of dementia or a cognitive impairment and signed their own consents (MR#s 10 and 11) of a total sample of 17…

Source: CMS Form 2567, inspection 2018-12-13, tag G0424 · view on CMS
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Moderate Home Health Aide Assignments And Duties

The Agency (HHA) failed to ensure the Registered Nurse (RN) prepared clear written patient care instructions for the home health aide (HHa) regarding client needs, prior to providing care in 6 (MR's #1, 3, 5, 6, 11, 14) of 6 records in which Home Health Aide (HHa) services were provided, from a…

Source: CMS Form 2567, inspection 2018-12-13, tag G0798 · view on CMS
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Minor Primary Caregiver(S), If Any

The registered nurse failed to document in the comprehensive assessment the primary caregivers' willingness, ability, their availability, and scheduled hours and days to provide care for the patients in two of seventeen records reviewed (MR#s 10 and 13) for a potential of an unavailable caregiver…

Source: CMS Form 2567, inspection 2018-12-13, tag G0538 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to ensure the plan of care (POC) was patient specific and individualized to the patient's identified needs, covered all pertinent interventions with reportable parameters, functional limitations, and measurable goals for 10 of 17 records reviewed (MR#'s 1, 2, 5, 6, 8, 9, 10, 11…

Source: CMS Form 2567, inspection 2018-12-13, tag G0574 · view on CMS
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Minor Provide Services In The Plan Of Care

The agency failed to ensure that skilled services were administered in accordance with the physician's orders and the plan of care (POC) in one of seventeen (MR# 13) records reviewed.

Source: CMS Form 2567, inspection 2018-12-13, tag G0710 · view on CMS
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Minor Discharge And Transfer Summaries

The Agency (HHA) failed to ensure the discharge summaries were complete, including the course of care provided with patient responses and the patient's current health status at the time of discharge, in 5 (MR #5, 6, 8, 10 and 14) of 5 closed/discharged records; and failed to ensure the transfer…

Source: CMS Form 2567, inspection 2018-12-13, tag G1022 · view on CMS
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