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
▼ 459490 Advantx Home Care Inc 704 S. Sam Rayburn Freeway Sherman TX 6 (Dallas) 07/01/2021 KJEX11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0768 Competency evaluation Standard
G0574 Plan of care must include the following Element
▼ 467001 Community Nursing Services 2830 South Redwood Road, Suite A West Valley City UT 8 (Denver) 05/02/2019 I4UC11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0600 Coordination of Care Standard
G0704 Responsibilities of skilled professionals Standard
G0576 All orders recorded in plan of care Element
G0606 Integrate all services Element
G0620 Other pertinent instructions Element
G0718 Communication with physicians Element
G1012 Required items in clinical record Element
▼ 467004 Ihc Health Services, Inc. 3776 Wall Avenue South Ogden UT 8 (Denver) 10/30/2019 9VQO11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0600 Coordination of Care Standard
G0574 Plan of care must include the following Element
▼ 467012 Iron County Home Health Agency 965 South Main Street, Suite 4 Cedar City UT 8 (Denver) 11/06/2024 64A08-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0716 Preparing clinical notes Element
▼ 467012 Iron County Home Health Agency 965 South Main Street, Suite 4 Cedar City UT 8 (Denver) 12/06/2018 SVNO11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0452 Transfer and discharge Standard
G0686 Infection control education Standard
G0536 A review of all current medications Element
G0946 Administrator appointed by governing body Element
▼ 467030 Ihc Health Services Inc. 11520 South Redwood Road South Jordan UT 8 (Denver) 07/15/2020 5UPS11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
▼ 467030 Ihc Health Services Inc. 11520 South Redwood Road South Jordan UT 8 (Denver) 08/14/2019 JDP011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 467030 Ihc Health Services Inc. 11520 South Redwood Road South Jordan UT 8 (Denver) 01/30/2018 ZS2511 Complaint
Deficiency Tag Deficiency Description Tag Type
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G0572 Plan of care Standard
G0704 Responsibilities of skilled professionals Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0706 Interdisciplinary assessment of the patient Element
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
▼ 467033 Ihc Health Services, Inc 555 South Bluff Street St George UT 8 (Denver) 02/20/2024 62490-H1 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
▼ 467033 Ihc Health Services, Inc 555 South Bluff Street St George UT 8 (Denver) 02/08/2018 5E2L11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0586 Review and revision of the plan of care Standard
G0608 Coordinate care delivery Element