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
▼ 497096 Medi Home Health Agency, Inc 211 N. Union Street Alexandria VA 3 (Philadelphia) 12/03/2018 ZHT811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
▼ 497255 Americare In Home Nursing - Jar, Inc 5680 King Centre Drive Springfield VA 3 (Philadelphia) 08/15/2025 1D3296-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0616 Patient medication schedule/instructions Element
▼ 497255 Americare In Home Nursing - Jar, Inc 5680 King Centre Drive Springfield VA 3 (Philadelphia) 11/30/2021 37F7C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0942 Governing body Standard
G0520 5 calendar days after start of care Element
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 497255 Americare In Home Nursing - Jar, Inc 5680 King Centre Drive Springfield VA 3 (Philadelphia) 09/11/2018 49GX11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 497263 Edmarc Hospice For Children 516 London Street Portsmouth VA 3 (Philadelphia) 09/07/2023 60E93-H1 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
▼ 497263 Edmarc Hospice For Children 516 London Street Portsmouth VA 3 (Philadelphia) 12/01/2020 F51C11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0031 Emergency Officials Contact Information Standard
E0039 EP Testing Requirements Standard
G0684 Infection control Standard
G0574 Plan of care must include the following Element
▼ 497271 Gentiva Health Services Virginia Beach 5544 Greenwich Road, Suite 300 Virginia Beach VA 3 (Philadelphia) 04/17/2019 OUSO11 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
G0442 Written notice for non-covered care Element
G0446 Contact info Federal/State-funded entities Element
G0470 Document efforts to resolve problems Element
G0590 Promptly alert relevant physician of changes Element
G1022 Discharge and transfer summaries Element
▼ 497272 Mary Washington Healthcare 1340 Central Park Blvd. Suite 102 Fredericksburg VA 3 (Philadelphia) 04/15/2021 JYGT11 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
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0440 Payment from federally funded programs Element
G0442 Written notice for non-covered care Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G0962 Coordinate patient care Element
G0966 Assure patient needs are continually assessed Element
G0968 Assure implementation of plan of care Element
G0984 In accordance with current clinical practice Element
▼ 497272 Mary Washington Healthcare 1340 Central Park Blvd. Suite 102 Fredericksburg VA 3 (Philadelphia) 06/06/2018 GHUE11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
▼ 497275 Housecall Medical Resources Llc 5221 Valley Park Drive, Suite 1a Roanoke VA 3 (Philadelphia) 08/22/2022 4F409-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0602 Communication with all physicians Element