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
▼ 059325 Mhiramarc Management Llc Home Health Services 9608 Van Nuys Blvd Suite 101 Panorama City CA 9 (San Francisco) 12/12/2019 MQP711 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
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0610 Patients receive education and training Element
▼ 059331 Access Home Health Care Llc 16542 Ventura Blvd Suite 306 Encino CA 9 (San Francisco) 01/08/2026 1E02B1-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 059339 Gemsons Corporation Dba St Luke Home Health Care, Inc 412 West Broadway, Suite 216 Glendale CA 9 (San Francisco) 06/18/2023 601A7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0610 Patients receive education and training Element
▼ 059350 Prohealth Home Care Services, Inc. 4221 Wilshire Blvd., Suite 135 Los Angeles CA 9 (San Francisco) 06/28/2023 6028A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0536 A review of all current medications Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0718 Communication with physicians Element
G0808 Onsite supervisory visit every 14 days Element
▼ 059350 Prohealth Home Care Services, Inc. 4221 Wilshire Blvd., Suite 135 Los Angeles CA 9 (San Francisco) 05/11/2023 5FC05-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G1008 Clinical records Condition
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 059358 Choice Home Care, Inc 14101 Valley Heart Dr, Ste 200 Sherman Oaks CA 9 (San Francisco) 05/03/2024 62F18-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
G0572 Plan of care Standard
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element
G0984 In accordance with current clinical practice Element
▼ 059359 24-7 Home Health Services, Inc. 109 N Cedar St Glendale CA 9 (San Francisco) 01/12/2023 5EB26-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0446 Contact info Federal/State-funded entities Element
G0536 A review of all current medications Element
G0716 Preparing clinical notes Element
G1014 Interventions and patient response Element
▼ 059360 Miji Care Of Palm Springs Inc 950 South Bascom Ave., Suite 3010 San Jose CA 9 (San Francisco) 02/17/2022 382CF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0444 State toll free HH telephone hotline Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 059360 Miji Care Of Palm Springs Inc 950 South Bascom Ave., Suite 3010 San Jose CA 9 (San Francisco) 01/05/2018 YWA711 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0109 RIGHT TO BE INFORMED AND PARTICIPATE Standard
G0123 ORGANIZATION, SERVICES & ADMINISTRATION Standard
G0142 PERSONNEL HOURLY/PER VISIT CONTRACT Standard
G0152 GROUP OF PROFESSIONAL PERSONNEL Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0332 INITIAL ASSESSMENT VISIT Standard
G0337 DRUG REGIMEN REVIEW Standard
▼ 059365 Alleviation Healthcare Services, Inc 15335 Morrison St Suite 103b Sherman Oaks CA 9 (San Francisco) 01/31/2025 6537F-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0610 Patients receive education and training Element
G1012 Required items in clinical record Element