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
▼ 497080 Best & Dependable Home Health Care 812 Newtown Road Virginia Beach VA 3 (Philadelphia) 05/12/2021 4P0N11 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
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0434 Participate in care Element
▼ 497080 Best & Dependable Home Health Care 812 Newtown Road Virginia Beach VA 3 (Philadelphia) 05/31/2018 VOPR11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0798 Home health aide assignments and duties Standard
G0410 Information to patient Element
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
G0416 OASIS privacy notice Element
G0418 Patient's or legal representative's signature Element
G0422 Written notice within 4 business days Element
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0442 Written notice for non-covered care Element
G0444 State toll free HH telephone hotline Element
G0446 Contact info Federal/State-funded entities Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0592 Revised plan of care Element
G0594 Plan of care revisions must be communicated Element
G0598 Discharge plans communication Element
G0728 Rehab services supervised by PT, OT Element
G0824 Supervising HH aide services Element
G1022 Discharge and transfer summaries Element
▼ 497081 Personal Touch Home Care Of Va Inc 11817 Canon Blvd, Suite 600 Newport News VA 3 (Philadelphia) 03/15/2018 Z6D111 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
▼ 497091 Amedisys Home Health Of Virginia Llc One Enterprise Parkway, Suite 120 Hampton VA 3 (Philadelphia) 07/13/2022 4EF7C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 497091 Amedisys Home Health Of Virginia Llc One Enterprise Parkway, Suite 120 Hampton VA 3 (Philadelphia) 10/08/2020 9XRC11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0442 Written notice for non-covered care Element
▼ 497091 Amedisys Home Health Of Virginia Llc One Enterprise Parkway, Suite 120 Hampton VA 3 (Philadelphia) 07/10/2019 9DPN11 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
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 497093 Intrepid Of Delmarva, Inc. 165 Market Street Suite 2 Onancock VA 3 (Philadelphia) 11/07/2018 XLZG11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0036 EP Training and Testing Standard
G0578 Conformance with physician orders Standard
G0574 Plan of care must include the following Element
▼ 497094 Wythe County Community Hospital 705 E Main St, Ste C Wytheville VA 3 (Philadelphia) 03/23/2023 5F4E1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0442 Written notice for non-covered care Element
▼ 497094 Wythe County Community Hospital 705 E Main St, Ste C Wytheville VA 3 (Philadelphia) 03/05/2020 N9VJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0034 Information on Occupancy/Needs Standard
G0574 Plan of care must include the following Element
▼ 497096 Medi Home Health Agency, Inc 211 N. Union Street Alexandria VA 3 (Philadelphia) 12/15/2021 37FBA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0434 Participate in care Element
G0580 Only as ordered by a physician Element