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

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ 517092 Mountaineer Homecare, Llc 400 Tracy Way, Suite 100 Charleston WV 3 (Philadelphia) 12/04/2019 CE0F11 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
G0590 Promptly alert relevant physician of changes Element
▼ 517092 Mountaineer Homecare, Llc 400 Tracy Way, Suite 100 Charleston WV 3 (Philadelphia) 01/11/2018 PW5711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0144 COORDINATION OF PATIENT SERVICES Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
▼ 517097 Boone Memorial Homecare, Llc 298 Tricorn Road Danville WV 3 (Philadelphia) 05/30/2024 632CB-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
▼ 517097 Boone Memorial Homecare, Llc 298 Tricorn Road Danville WV 3 (Philadelphia) 10/20/2021 YO5T11 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
▼ 517098 Interim Health Care 1111 Van Voorhis Road, Suite 2 Morgantown WV 3 (Philadelphia) 12/09/2025 1DD309-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1028 Protection of records Standard
▼ 517098 Interim Health Care 1111 Van Voorhis Road, Suite 2 Morgantown WV 3 (Philadelphia) 01/31/2023 5ED6D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
▼ 517098 Interim Health Care 1111 Van Voorhis Road, Suite 2 Morgantown WV 3 (Philadelphia) 02/18/2021 QUDU11 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
▼ 517098 Interim Health Care 1111 Van Voorhis Road, Suite 2 Morgantown WV 3 (Philadelphia) 11/14/2018 I0LI11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0440 Payment from federally funded programs Element
▼ 517100 West Virginia Homecare, Llc 11 Commerce Dr, Ste 208 Westover WV 3 (Philadelphia) 09/27/2022 4F748-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
▼ 517104 Stonerise Home Health Services 2 Llc 2828 Old Route 33, Side B Horner WV 3 (Philadelphia) 04/30/2019 36BY11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1008 Clinical records Condition
G1024 Authentication Standard