S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 497568 Esprit Home Healthcare Llc 4209 Evergreen Lane Suite 101 Annandale VA 3 (Philadelphia) 10/16/2018 SS9511 Recertification, Sample Validation
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
▼ 497571 Interim Healthcare Of Collinsville 3235 Virginia Avenue Collinsville VA 3 (Philadelphia) 04/23/2025 65F35-H1 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
G0580 Only as ordered by a physician Element
▼ 497571 Interim Healthcare Of Collinsville 3235 Virginia Avenue Collinsville VA 3 (Philadelphia) 03/30/2021 HVO311 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
E0037 EP Training Program Standard
G0578 Conformance with physician orders Standard
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 497571 Interim Healthcare Of Collinsville 3235 Virginia Avenue Collinsville VA 3 (Philadelphia) 04/11/2018 2Z3Q11 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
G0580 Only as ordered by a physician Element
▼ 497571 Interim Healthcare Of Collinsville 3235 Virginia Avenue Collinsville VA 3 (Philadelphia) 04/11/2018 31Y311 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0442 Written notice for non-covered care Element
G1022 Discharge and transfer summaries Element
▼ 497572 S&S Healthcare, Inc. 20566 Timberlake Road - Suite C Lynchburg VA 3 (Philadelphia) 12/14/2021 37FBC-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
G0550 At discharge Element
G1022 Discharge and transfer summaries Element
▼ 497572 S&S Healthcare, Inc. 20566 Timberlake Road - Suite C Lynchburg VA 3 (Philadelphia) 10/15/2018 8P4F11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0442 Written notice for non-covered care Element
G0550 At discharge Element
G1022 Discharge and transfer summaries Element
▼ 497572 S&S Healthcare, Inc. 20566 Timberlake Road - Suite C Lynchburg VA 3 (Philadelphia) 09/26/2018 BVA711 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
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G0800 Services provided by HH aide Element
▼ 497573 S&S Health Care, Inc. 100 Arbor Drive Suite 108 Christiansburg VA 3 (Philadelphia) 08/24/2021 IVUD11 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
▼ 497573 S&S Health Care, Inc. 100 Arbor Drive Suite 108 Christiansburg VA 3 (Philadelphia) 08/30/2018 CC0N11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0434 Participate in care Element
G0574 Plan of care must include the following Element