S&C QCOR HHA 2567s
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HHAs 2567s
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Time Interval

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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 HHA 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 and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

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.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 497021 Commonwealth Home Health Inc 425 Main St South Boston VA 3 (Philadelphia) 05/09/2018 9W8J11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 497022 Interim Healthcare Of Roanoke 1013 East Main Street Salem VA 3 (Philadelphia) 06/30/2023 6023E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G1022 Discharge and transfer summaries Element
▼ 497022 Interim Healthcare Of Roanoke 1013 East Main Street Salem VA 3 (Philadelphia) 11/19/2020 D1E411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0039 EP Testing Requirements Standard
G0578 Conformance with physician orders Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
▼ 497026 Compassus Bsmh Richmond Hha, Llc 2603 Nine Mile Road, Suite 200 Richmond VA 3 (Philadelphia) 09/16/2020 783T11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
▼ 497027 Total Home Health Care, Inc. 1935 Front Street Richlands VA 3 (Philadelphia) 02/12/2021 35QS11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0007 EP Program Patient Population Standard
E0023 Policies/Procedures for Medical Documentation Standard
G0414 HHA administrator contact information Element
G0434 Participate in care Element
G0444 State toll free HH telephone hotline Element
▼ 497027 Total Home Health Care, Inc. 1935 Front Street Richlands VA 3 (Philadelphia) 02/08/2018 HZRX11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0440 Payment from federally funded programs Element
G0580 Only as ordered by a physician Element
G0818 HH aide supervision elements Element
▼ 497029 Cmh Home Health Commun Hospice 300 East Ferrell Street South Hill VA 3 (Philadelphia) 02/13/2018 T0PX11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0036 EP Training and Testing Standard
G0684 Infection control Standard
G0520 5 calendar days after start of care Element
G0530 Strengths, goals, and care preferences Element
G0610 Patients receive education and training Element
G0710 Provide services in the plan of care Element
G1016 Goals in the patient's plans of care Element
▼ 497030 Home Recovery Home Health Llc 816 East Third Street Farmville VA 3 (Philadelphia) 06/18/2024 634A7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 497030 Home Recovery Home Health Llc 816 East Third Street Farmville VA 3 (Philadelphia) 03/25/2021 6DNO11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0600 Coordination of Care Standard
▼ 497030 Home Recovery Home Health Llc 816 East Third Street Farmville VA 3 (Philadelphia) 04/25/2018 9H9W11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0512 Standard: Initial assessment visit. Standard
G0612 Written instructions to patient include: Standard
G0574 Plan of care must include the following Element
G0592 Revised plan of care Element
G0622 Name/contact information of clinical manager Element