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
▼ 497709 Sunshine Home Healthcare, Llc 5510 Cherokee Avenue, Suite 150 Alexandria VA 3 (Philadelphia) 10/09/2019 6FSY11 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
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
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0774 12 hours inservice every 12 months Standard
G0436 Receive all services in plan of care Element
G0442 Written notice for non-covered care Element
G0574 Plan of care must include the following Element
▼ 497712 Shenandoah Valley Home Health 19 Myers Corner Drive, Suite A05 Staunton VA 3 (Philadelphia) 10/04/2024 6437E-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
G0580 Only as ordered by a physician Element
G0720 Participate in the HHA's QAPI program; Element
G0984 In accordance with current clinical practice Element
▼ 497713 Access Home Health Care And Rehabilitation 1123 E Stuart Drive Galax VA 3 (Philadelphia) 02/20/2020 F9NZ11 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
E0039 EP Testing Requirements Standard
G0434 Participate in care Element
▼ 497715 At Home Care Personal Home Services Llc 9218 Centreville Road Manassas VA 3 (Philadelphia) 05/06/2021 SPX011 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1026 Retention of records Standard
G0474 HHA ceases to operate Element
G1022 Discharge and transfer summaries Element
▼ 497719 Prospect Homecare Agency 8315 Lee Hwy; Ste 302 Fairfax VA 3 (Philadelphia) 10/13/2021 Q09I11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0442 Written notice for non-covered care Element
▼ 497719 Prospect Homecare Agency 8315 Lee Hwy; Ste 302 Fairfax VA 3 (Philadelphia) 09/11/2018 EL0W11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 497720 Sunshine On The Go Nursing Inc 1340 Old Chain Bridge Rd Suite 300 C Maclean VA 3 (Philadelphia) 09/22/2020 WDI411 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0592 Revised plan of care Element
▼ 497721 Quality Health Services Llc 1940 Opitz Blvd Woodbridge VA 3 (Philadelphia) 04/13/2022 388B2-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
E0039 EP Testing Requirements Standard
G0982 Skilled services furnished Standard
G0414 HHA administrator contact information Element
G0574 Plan of care must include the following Element
▼ 497721 Quality Health Services Llc 1940 Opitz Blvd Woodbridge VA 3 (Philadelphia) 10/23/2018 FBHG11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G1022 Discharge and transfer summaries Element
▼ 497724 Prima Home Health Inc 14101 Willard Road Suite C Chantilly VA 3 (Philadelphia) 08/16/2022 4F314-H1 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
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0037 EP Training Program Standard
G0578 Conformance with physician orders Standard
G1022 Discharge and transfer summaries Element