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
▼ 497689 Best Health Care Services, Llc 9306-A Old Keen Mill Rd Burke VA 3 (Philadelphia) 06/20/2018 6L0911 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
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G1022 Discharge and transfer summaries Element
▼ 497690 All 4 One Home Healthcare Services, Inc 1629 Salem Rd, Suite 101 Virginia Beach VA 3 (Philadelphia) 02/28/2024 X0WN-H2 Complaint, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0572 Plan of care Standard
G0654 Track adverse patient events Standard
G0434 Participate in care Element
G0574 Plan of care must include the following Element
▼ 497690 All 4 One Home Healthcare Services, Inc 1629 Salem Rd, Suite 101 Virginia Beach VA 3 (Philadelphia) 12/29/2021 381CA-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0608 Coordinate care delivery Element
G1022 Discharge and transfer summaries Element
▼ 497690 All 4 One Home Healthcare Services, Inc 1629 Salem Rd, Suite 101 Virginia Beach VA 3 (Philadelphia) 02/03/2021 X0WN11 Complaint, Other-Fed
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
E0017 HHA Comprehensive Assessment in Disaster Standard
E0039 EP Testing Requirements Standard
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0658 Performance improvement projects Standard
G0682 Infection Prevention Standard
G0428 Property and person treated with respect Element
G0430 Be free from abuse Element
G0434 Participate in care Element
G0442 Written notice for non-covered care Element
G0454 HHA can no longer meet the patient's needs Element
G0484 Document complaint and resolution Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0592 Revised plan of care Element
G0948 Responsible for all day-to-day operations Element
G0968 Assure implementation of plan of care Element
G1022 Discharge and transfer summaries Element
▼ 497694 Carepeople Home Health, Inc 14631 Route 29 - Suite 401 Centreville VA 3 (Philadelphia) 01/23/2019 I5MM11 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
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 497696 Allied Home Care, Llc 4900 Leesburg Pike, Suite 413 Alexandria VA 3 (Philadelphia) 03/19/2019 T2TD11 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
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 497702 Fni Healthcare, Inc 5712 Cleveland Street - Suite 110 Virginia Beach VA 3 (Philadelphia) 05/25/2022 4EAD3-H1 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
G0572 Plan of care Standard
G0434 Participate in care Element
G1022 Discharge and transfer summaries Element
▼ 497702 Fni Healthcare, Inc 5712 Cleveland Street - Suite 110 Virginia Beach VA 3 (Philadelphia) 06/06/2019 N9V011 Recertification
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
G0640 Quality assessment/performance improvement Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment 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
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0037 EP Training Program Standard
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0642 Program scope Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0942 Governing body Standard
G0430 Be free from abuse Element
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0442 Written notice for non-covered care Element
G0446 Contact info Federal/State-funded entities Element
G0484 Document complaint and resolution Element
G0536 A review of all current medications Element
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
G0602 Communication with all physicians Element
G0610 Patients receive education and training Element
G0648 High risk, high volume, or problem-prone area Element
G0650 Incidence, prevalence, severity of problems Element
G0652 Activities lead to an immediate correction Element
G0656 Improvements are sustained Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 497707 Carefirst Homecare, Llc 6521 Arlington Blvd Suite 302 Falls Church VA 3 (Philadelphia) 08/22/2019 ZM1N11 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
E0009 Local, State, Tribal Collaboration Process Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0862 Laboratory services/CLIA waivers Standard
G0414 HHA administrator contact information Element
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0446 Contact info Federal/State-funded entities Element
G0574 Plan of care must include the following Element
G0812 Direct observation every 12 months Element
▼ 497709 Sunshine Home Healthcare, Llc 5510 Cherokee Avenue, Suite 150 Alexandria VA 3 (Philadelphia) 12/14/2022 5E78B-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
G0580 Only as ordered by a physician Element
G1022 Discharge and transfer summaries Element