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
▼ 507048 Washington Homecare And Hospice Of Central Basin, Llc 1350 S Pioneer Way, Ste B Moses Lake WA 10 (Seattle) 10/26/2023 61342-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0860 Licensing Standard
G0464 Advise the patient of discharge for cause Element
▼ 507048 Washington Homecare And Hospice Of Central Basin, Llc 1350 S Pioneer Way, Ste B Moses Lake WA 10 (Seattle) 07/06/2021 990V11 Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 507048 Washington Homecare And Hospice Of Central Basin, Llc 1350 S Pioneer Way, Ste B Moses Lake WA 10 (Seattle) 07/06/2021 AZJE11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0488 Immediate reporting of abuse by all staff Element
▼ 507048 Washington Homecare And Hospice Of Central Basin, Llc 1350 S Pioneer Way, Ste B Moses Lake WA 10 (Seattle) 08/08/2018 YTRZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
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
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
E0032 Primary/Alternate Means for Communication Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0488 Immediate reporting of abuse by all staff Element
G0514 RN performs assessment Element
G0856 Officer, a director, agent, managing employee Element
▼ 507050 Jefferson County Public Hospital District No 2 2500 West Sims Way, Suite 300 Port Townsend WA 10 (Seattle) 03/09/2022 37FD9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
G0514 RN performs assessment Element
▼ 507052 Sea Mar Community Health Center 8915 14th Ave S #303 Seattle WA 10 (Seattle) 07/24/2024 63A05-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0848 Compliance with Federal, State, Local Law Condition
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0684 Infection control Standard
G0860 Licensing Standard
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
▼ 507052 Sea Mar Community Health Center 8915 14th Ave S #303 Seattle WA 10 (Seattle) 10/01/2021 NMOS11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0684 Infection control Standard
G0860 Licensing Standard
G0444 State toll free HH telephone hotline Element
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0968 Assure implementation of plan of care Element
▼ 507061 Iron Bridge Healthcare Inc 7105 W Hood Place, Ste B201 Kennewick WA 10 (Seattle) 04/09/2026 1F5525-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1022 Discharge and transfer summaries Element
▼ 507061 Iron Bridge Healthcare Inc 7105 W Hood Place, Ste B201 Kennewick WA 10 (Seattle) 11/09/2023 610A6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0860 Licensing Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 507061 Iron Bridge Healthcare Inc 7105 W Hood Place, Ste B201 Kennewick WA 10 (Seattle) 07/16/2021 LNNW11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0860 Licensing Standard