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
▼ 517065 Reynolds Memorial Hospital, Incorporated 800 Wheeling Ave Glen Dale WV 3 (Philadelphia) 02/14/2018 Z3QR11 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
G0574 Plan of care must include the following Element
G0946 Administrator appointed by governing body Element
▼ 517069 Health Facilities Incorporated 909 Gorman Avenue, Suite 6 Elkins WV 3 (Philadelphia) 09/26/2023 61106-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0520 5 calendar days after start of care Element
▼ 517071 Grant Memorial Homecare And Hospice, Llc 100 Hospital Drive, Suite 3 Petersburg WV 3 (Philadelphia) 05/19/2021 PJHV11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G1008 Clinical records Condition
G1024 Authentication Standard
G0530 Strengths, goals, and care preferences Element
G0604 Integrate all orders Element
▼ 517071 Grant Memorial Homecare And Hospice, Llc 100 Hospital Drive, Suite 3 Petersburg WV 3 (Philadelphia) 05/21/2019 5DDO11 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
▼ 517075 Northern Wv Home Health, Llc 25072 Northwestern Pike Romney WV 3 (Philadelphia) 03/01/2018 QQEF11 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
▼ 517076 Beckley Arh Home Health 306 Stanaford Road Beckley WV 3 (Philadelphia) 10/24/2018 D5JX11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0946 Administrator appointed by governing body Element
G0954 Ensures qualified pre-designated person Element
▼ 517081 Princeton Community Homecare, Llc 738 Mercer Street Princeton WV 3 (Philadelphia) 05/22/2024 6320C-H1 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
G0682 Infection Prevention Standard
▼ 517082 Stonerise Reliable Healthcare, Llc 1908 Glenwood Park Road Princeton WV 3 (Philadelphia) 10/14/2021 0T0U11 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
G0514 RN performs assessment Element
▼ 517087 Centerwell Certified Healthcare Corp. 39 12th Street Parkersburg WV 3 (Philadelphia) 07/24/2019 TM8711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
▼ 517092 Mountaineer Homecare, Llc 400 Tracy Way, Suite 100 Charleston WV 3 (Philadelphia) 11/11/2021 37E06-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
G0682 Infection Prevention Standard
G0440 Payment from federally funded programs Element
G0514 RN performs assessment Element