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
▼ 497592 Mountain Region Personal Care Services Inc 463 Duff Patt Highway Duffield VA 3 (Philadelphia) 10/03/2024 62F56-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
G0536 A review of all current medications Element
▼ 497592 Mountain Region Personal Care Services Inc 463 Duff Patt Highway Duffield VA 3 (Philadelphia) 10/28/2020 2TBO11 Complaint, 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
E0009 Local, State, Tribal Collaboration Process Standard
E0031 Emergency Officials Contact Information Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0574 Plan of care must include the following Element
G0974 Direct support and administrative control Element
▼ 497593 Livinrite Inc 10550 Linden Lake Plz Suite 100 Manassas VA 3 (Philadelphia) 08/28/2025 1D4C29-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
▼ 497593 Livinrite Inc 10550 Linden Lake Plz Suite 100 Manassas VA 3 (Philadelphia) 02/16/2022 3844B-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
▼ 497593 Livinrite Inc 10550 Linden Lake Plz Suite 100 Manassas VA 3 (Philadelphia) 01/30/2019 O1PU11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0984 In accordance with current clinical practice Element
▼ 497594 Care Advantage Skilled-Richmond, Llc 10043 Midlothian Turnpike, Second Floor North Chesterfield VA 3 (Philadelphia) 07/09/2018 91B411 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0520 5 calendar days after start of care Element
▼ 497594 Care Advantage Skilled-Richmond, Llc 10043 Midlothian Turnpike, Second Floor North Chesterfield VA 3 (Philadelphia) 06/20/2018 941711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials 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
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0622 Name/contact information of clinical manager Element
G0800 Services provided by HH aide Element
G0818 HH aide supervision elements Element
▼ 497594 Care Advantage Skilled-Richmond, Llc 10043 Midlothian Turnpike, Second Floor North Chesterfield VA 3 (Philadelphia) 05/22/2018 DQFE11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0424 Exercise of rights Standard
G0572 Plan of care Standard
G0434 Participate in care Element
G0608 Coordinate care delivery Element
▼ 497594 Care Advantage Skilled-Richmond, Llc 10043 Midlothian Turnpike, Second Floor North Chesterfield VA 3 (Philadelphia) 03/20/2018 IKD511 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0438 Have a confidential clinical record Element
G0946 Administrator appointed by governing body Element
G0954 Ensures qualified pre-designated person Element
▼ 497596 Greenspring Village Home Support Services 7410 Spring Village Drive Springfield VA 3 (Philadelphia) 07/10/2019 9O3N11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually 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
E0034 Information on Occupancy/Needs Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0774 12 hours inservice every 12 months Standard
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0800 Services provided by HH aide Element
G0812 Direct observation every 12 months Element
G0952 Ensure that HHA employs qualified personnel Element