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
▼ 497674 Domain Medical Home Health & Staffing, Inc 2121 Eisenhower Ave Suite 200 Alexandria VA 3 (Philadelphia) 08/10/2022 4F263-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0452 Transfer and discharge Standard
G0578 Conformance with physician orders Standard
G0580 Only as ordered by a physician Element
G1012 Required items in clinical record Element
▼ 497678 Five Star Home Health Care, Llc 14420 Albemarle Point Place Chantilly VA 3 (Philadelphia) 11/27/2018 KDN611 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0033 Methods for Sharing Information Standard
E0036 EP Training and Testing Standard
G0578 Conformance with physician orders Standard
G0660 Executive responsibilities for QAPI Standard
G0410 Information to patient Element
G0428 Property and person treated with respect Element
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0442 Written notice for non-covered care Element
G0478 Investigate complaints made by patient Element
G0480 Treatment or care Element
G0482 Mistreatment, neglect or abuse Element
G0484 Document complaint and resolution Element
G0488 Immediate reporting of abuse by all staff Element
G0520 5 calendar days after start of care Element
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 497680 Trans-Care Home Health Llc 46950 Jennings Farm Drive Suite 290 Sterling VA 3 (Philadelphia) 05/30/2018 VG3Z11 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
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
E0033 Methods for Sharing Information Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G0574 Plan of care must include the following Element
▼ 497683 Morrison Comprehensive Learning Center, Llc 301 Goode Way - Suite 104 Portsmouth VA 3 (Philadelphia) 10/15/2020 VG4C11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0478 Investigate complaints made by patient Element
▼ 497683 Morrison Comprehensive Learning Center, Llc 301 Goode Way - Suite 104 Portsmouth VA 3 (Philadelphia) 05/22/2019 3YZJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0030 Names and Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0440 Payment from federally funded programs Element
G0446 Contact info Federal/State-funded entities Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0592 Revised plan of care Element
G0652 Activities lead to an immediate correction Element
G0656 Improvements are sustained Element
▼ 497685 Caring Angels Home Health, Llc 118 Creekside Lane Winchester VA 3 (Philadelphia) 06/28/2018 0I3311 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
G0406 Patient rights Condition
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
E0031 Emergency Officials Contact Information Standard
E0036 EP Training and Testing Standard
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0982 Skilled services furnished Standard
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
G0416 OASIS privacy notice Element
G0418 Patient's or legal representative's signature Element
G0434 Participate in care Element
G0438 Have a confidential clinical record Element
G0440 Payment from federally funded programs Element
G0442 Written notice for non-covered care Element
G0484 Document complaint and resolution Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0616 Patient medication schedule/instructions Element
G0622 Name/contact information of clinical manager Element
G0946 Administrator appointed by governing body Element
G0954 Ensures qualified pre-designated person Element
G0980 Primary HHA is responsible for patient care Element
▼ 497686 Helpinghands Homecare Services Of Northern Virgini 14142 Minnieville Road, Suite 207 Woodbridge VA 3 (Philadelphia) 01/30/2018 HANY11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
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
E0030 Names and Contact Information Standard
E0033 Methods for Sharing Information Standard
E0036 EP Training and Testing Standard
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
▼ 497688 American Care Partners At Home, Inc. 6521 Arlington Boulevard, Suite 410 Falls Church VA 3 (Philadelphia) 10/10/2018 IETL11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0710 Provide services in the plan of care Element
▼ 497689 Best Health Care Services, Llc 9306-A Old Keen Mill Rd Burke VA 3 (Philadelphia) 03/13/2025 659C0-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
G0440 Payment from federally funded programs Element
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
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 497689 Best Health Care Services, Llc 9306-A Old Keen Mill Rd Burke VA 3 (Philadelphia) 03/10/2021 KJB011 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
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element