S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 507079 King County Public Hospital District #2 11800 Ne 128th St Ste 200 Kirkland WA 10 (Seattle) 09/30/2021 LCBA11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
▼ 507081 Centerwell Certified Healthcare Corp 204 Se Stonemill Drive Ste 260 Vancouver WA 10 (Seattle) 02/02/2024 61C69-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0768 Competency evaluation Standard
G0806 Supervision of home health aides Standard
G0514 RN performs assessment Element
G0728 Rehab services supervised by PT, OT Element
▼ 507081 Centerwell Certified Healthcare Corp 204 Se Stonemill Drive Ste 260 Vancouver WA 10 (Seattle) 06/21/2021 6JHY11 Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
▼ 507081 Centerwell Certified Healthcare Corp 204 Se Stonemill Drive Ste 260 Vancouver WA 10 (Seattle) 06/21/2021 GXTQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G0860 Licensing Standard
G0410 Information to patient Element
G0514 RN performs assessment Element
G0710 Provide services in the plan of care Element
▼ 507082 Centerwell Certified Healthcare Corp 20829 72nd Avenue S, Ste 125 Kent WA 10 (Seattle) 10/23/2024 64547-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0464 Advise the patient of discharge for cause Element
▼ 507082 Centerwell Certified Healthcare Corp 20829 72nd Avenue S, Ste 125 Kent WA 10 (Seattle) 10/28/2021 G0JQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0488 Immediate reporting of abuse by all staff Element
G0514 RN performs assessment Element
▼ 507084 Health At Home Seattle Metro Llc 11241 Willows Rd Ne, Ste 210 Redmond WA 10 (Seattle) 08/13/2025 1D1FF6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0530 Strengths, goals, and care preferences Element
▼ 507084 Health At Home Seattle Metro Llc 11241 Willows Rd Ne, Ste 210 Redmond WA 10 (Seattle) 10/20/2022 5DF22-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0684 Infection control Standard
G0454 HHA can no longer meet the patient's needs Element
▼ 507089 Spokane Home Care Services, Llc 201 W North River Dr Ste 335 Spokane WA 10 (Seattle) 06/27/2024 6335A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0684 Infection control Standard
▼ 507089 Spokane Home Care Services, Llc 201 W North River Dr Ste 335 Spokane WA 10 (Seattle) 08/23/2021 9ETR11 Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0684 Infection control Standard