S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
497275 Housecall Medical Resources Llc 5221 Valley Park Drive, Suite 1a Roanoke VA 3 (Philadelphia) 04/07/2021 FRVI11 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
E0017 HHA Comprehensive Assessment in Disaster Standard
G0682 Infection Prevention Standard
G0442 Written notice for non-covered care Element
G0574 Plan of care must include the following Element
497275 Housecall Medical Resources Llc 5221 Valley Park Drive, Suite 1a Roanoke VA 3 (Philadelphia) 06/07/2018 6HVJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0442 Written notice for non-covered care Element
G0536 A review of all current medications Element
G0818 HH aide supervision elements Element
497278 Centra Health Inc. 2010 Atherholt Road Lynchburg VA 3 (Philadelphia) 04/04/2025 65BEE-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
G0590 Promptly alert relevant physician of changes Element
497278 Centra Health Inc. 2010 Atherholt Road Lynchburg VA 3 (Philadelphia) 03/03/2021 7XF511 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
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0442 Written notice for non-covered care Element
G0574 Plan of care must include the following Element
497278 Centra Health Inc. 2010 Atherholt Road Lynchburg VA 3 (Philadelphia) 03/07/2018 0HOV11 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
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0446 Contact info Federal/State-funded entities Element
G0574 Plan of care must include the following Element
G0622 Name/contact information of clinical manager Element
G0808 Onsite supervisory visit every 14 days Element
G0946 Administrator appointed by governing body Element
G0954 Ensures qualified pre-designated person Element
G1016 Goals in the patient's plans of care Element
497279 Chesapeake Hospital Authority Chesapeake General Hospital 1301 Executive Blvd. Suite 200 Chesapeake VA 3 (Philadelphia) 08/11/2021 3OV311 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
E0017 HHA Comprehensive Assessment in Disaster Standard
G0578 Conformance with physician orders Standard
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G1022 Discharge and transfer summaries Element
497281 Hunt Country Nursing Services, Inc 23 Winchester Street Warrenton VA 3 (Philadelphia) 02/13/2019 DIL611 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0640 Quality assessment/performance improvement Condition
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
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0644 Program data Standard
G0646 Program activities Standard
G0654 Track adverse patient events Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
G0446 Contact info Federal/State-funded entities Element
G0574 Plan of care must include the following Element
G0656 Improvements are sustained Element
G0972 Report all branch locations to SA Element
497289 Emporia Home Care Services Llc 6 Doctors Drive Emporia VA 3 (Philadelphia) 08/25/2021 KH5H11 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
G0434 Participate in care Element
G1022 Discharge and transfer summaries Element
497299 Virginia In-Home Partner- V Llc 5 Rock Pointe Lane, Suite 200 Warrenton VA 3 (Philadelphia) 05/26/2022 4EAD4-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
497299 Virginia In-Home Partner- V Llc 5 Rock Pointe Lane, Suite 200 Warrenton VA 3 (Philadelphia) 10/03/2018 5CGE11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0808 Onsite supervisory visit every 14 days Element