S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
507122 Emerald Healthcare, Inc. 4002 Tacoma Mall Blvd, Ste 204a Tacoma WA 10 (Seattle) 06/07/2021 PMNF11 Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
507123 Amedisys Home Health 1800 136th Pl Ste 100 Bellevue WA 10 (Seattle) 08/31/2023 60C62-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0029 Development of Communication Plan Standard
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0684 Infection control Standard
G0860 Licensing Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
507123 Amedisys Home Health 1800 136th Pl Ste 100 Bellevue WA 10 (Seattle) 06/03/2021 AA1Q11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0860 Licensing Standard
G0952 Ensure that HHA employs qualified personnel Element
517037 Preston Memorial Homecare, Llc 419 Morgantown Street Kingwood WV 3 (Philadelphia) 02/09/2022 38385-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
517045 Pendleton Manor, Inc. 75 St John Drive Franklin WV 3 (Philadelphia) 03/28/2018 PFLR11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0034 Information on Occupancy/Needs Standard
E0039 EP Testing Requirements Standard
G0434 Participate in care Element
G0584 Verbal orders Element
G0604 Integrate all orders Element
517048 Centerwell Certified Healthcare Corp. 4825 Maccorkle Avenue Sw, Suite F South Charleston WV 3 (Philadelphia) 08/27/2025 1D4C4A-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
G0590 Promptly alert relevant physician of changes Element
517048 Centerwell Certified Healthcare Corp. 4825 Maccorkle Avenue Sw, Suite F South Charleston WV 3 (Philadelphia) 03/03/2021 FJMU11 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
G0682 Infection Prevention Standard
G0590 Promptly alert relevant physician of changes Element
517048 Centerwell Certified Healthcare Corp. 4825 Maccorkle Avenue Sw, Suite F South Charleston WV 3 (Philadelphia) 02/27/2019 T08S11 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
517051 Home Care Plus, Incorporated 10434 Seneca Trl S Lewisburg WV 3 (Philadelphia) 11/11/2020 RCWM11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G1024 Authentication Standard
G1012 Required items in clinical record Element
517051 Home Care Plus, Incorporated 10434 Seneca Trl S Lewisburg WV 3 (Philadelphia) 12/12/2018 Q8Q411 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
G0702 Services by skilled professionals Standard