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
▼ 507064 Peacehealth 5400 Mcarthur Boulevard Vancouver WA 10 (Seattle) 02/08/2024 6165C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0684 Infection control Standard
G0860 Licensing Standard
G0514 RN performs assessment Element
G0808 Onsite supervisory visit every 14 days Element
▼ 507064 Peacehealth 5400 Mcarthur Boulevard Vancouver WA 10 (Seattle) 05/20/2021 IGTJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G0410 Information to patient Element
G0514 RN performs assessment Element
▼ 507065 Cp Snohomish County Wa, Llc 1615 75th St Sw, Ste 210 Everett WA 10 (Seattle) 09/21/2023 5FF36-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
▼ 507068 Cp King County Wa Hh, Llc 2811 S 102nd, Ste 220 Tukwila WA 10 (Seattle) 10/24/2024 6471D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0860 Licensing Standard
G0514 RN performs assessment Element
G0530 Strengths, goals, and care preferences Element
▼ 507071 Gentiva Certified Healthcare Corp 728 134th Sw #203 Everett WA 10 (Seattle) 09/28/2023 5FF38-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0860 Licensing Standard
G0966 Assure patient needs are continually assessed Element
▼ 507072 Olympic Medical Home Health/Clallam County Public Hospital District 2 801 E Front St Port Angeles WA 10 (Seattle) 01/15/2025 64F6B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0372 Encoding and transmitting OASIS Standard
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0548 Within 48 hours of the patient's return Element
G0580 Only as ordered by a physician Element
G0592 Revised plan of care Element
▼ 507072 Olympic Medical Home Health/Clallam County Public Hospital District 2 801 E Front St Port Angeles WA 10 (Seattle) 01/26/2022 37FD7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 507075 Centerwell Certified Healthcare Corp 8502 North Nevada Street Suite 2 Spokane WA 10 (Seattle) 10/24/2024 64735-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
▼ 507075 Centerwell Certified Healthcare Corp 8502 North Nevada Street Suite 2 Spokane WA 10 (Seattle) 11/12/2021 37D59-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0860 Licensing Standard
▼ 507079 King County Public Hospital District #2 11800 Ne 128th St Ste 200 Kirkland WA 10 (Seattle) 07/18/2024 6389C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0590 Promptly alert relevant physician of changes Element
G0808 Onsite supervisory visit every 14 days Element