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
▼ 497574 Interim Healthcare 103 Linkous Avenue Dublin VA 3 (Philadelphia) 06/02/2022 4EBA1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0564 Discharge or Transfer Summary Content Standard
G0572 Plan of care Standard
G0434 Participate in care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 497574 Interim Healthcare 103 Linkous Avenue Dublin VA 3 (Philadelphia) 06/19/2019 V1CE11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0440 Payment from federally funded programs Element
G0574 Plan of care must include the following Element
G0614 Visit schedule Element
G0618 Treatments and therapy services Element
G0952 Ensure that HHA employs qualified personnel Element
G1022 Discharge and transfer summaries Element
▼ 497580 Medi Home Health Agency, Inc. 530 Independence Pkwy Suite 200 Chesapeake VA 3 (Philadelphia) 07/20/2022 4EFFE-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
G0434 Participate in care Element
G0580 Only as ordered by a physician Element
G1022 Discharge and transfer summaries Element
▼ 497580 Medi Home Health Agency, Inc. 530 Independence Pkwy Suite 200 Chesapeake VA 3 (Philadelphia) 02/06/2019 04G711 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
G0574 Plan of care must include the following Element
▼ 497581 Hope In Home Care, Llc 11835 Rock Landing Dr Hope Center Newport News VA 3 (Philadelphia) 05/16/2019 EIB311 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
G0484 Document complaint and resolution Element
G0574 Plan of care must include the following Element
▼ 497582 Seven Hills Home Health Inc 214805 Forest Rd Forest VA 3 (Philadelphia) 03/30/2022 386A6-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
▼ 497582 Seven Hills Home Health Inc 214805 Forest Rd Forest VA 3 (Philadelphia) 04/25/2019 5YO611 Recertification
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
▼ 497583 Hope In-Home Care Llc 6320 N Center Drive Suite 102 Building 15 Norfolk VA 3 (Philadelphia) 12/14/2020 WWS711 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0418 Patient's or legal representative's signature Element
G0436 Receive all services in plan of care Element
G0440 Payment from federally funded programs Element
▼ 497584 Medi Home Health Agency, Inc. 141 East Main Street Suite 500 Pulaski VA 3 (Philadelphia) 03/26/2025 65BA1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
▼ 497584 Medi Home Health Agency, Inc. 141 East Main Street Suite 500 Pulaski VA 3 (Philadelphia) 01/27/2021 2HVE11 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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0031 Emergency Officials Contact Information Standard
G0434 Participate in care Element
G0444 State toll free HH telephone hotline Element