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
▼ 507004 Cp Sound Wa, Llc 4200 6th Ave Se Ste 201 Lacey WA 10 (Seattle) 10/14/2021 85F411 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0860 Licensing Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G0584 Verbal orders Element
G0608 Coordinate care delivery Element
▼ 507007 Kaiser Foundation Health Plan Of Washington 201 16th Ave E Seattle WA 10 (Seattle) 01/16/2024 61C5D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
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
G0530 Strengths, goals, and care preferences Element
G0574 Plan of care must include the following Element
G0656 Improvements are sustained Element
G0764 HH aide training program topics Element
G0812 Direct observation every 12 months Element
▼ 507007 Kaiser Foundation Health Plan Of Washington 201 16th Ave E Seattle WA 10 (Seattle) 09/17/2021 ZYXS11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0860 Licensing Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
▼ 507010 Tri-Cities Home Health, Llc 8819 Wvictoria Avenue, Ste 110 Kennewick WA 10 (Seattle) 08/15/2025 1D1F8E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
▼ 507010 Tri-Cities Home Health, Llc 8819 Wvictoria Avenue, Ste 110 Kennewick WA 10 (Seattle) 11/29/2022 5E089-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0684 Infection control Standard
G0860 Licensing Standard
G0436 Receive all services in plan of care Element
G0514 RN performs assessment Element
G1022 Discharge and transfer summaries Element
▼ 507010 Tri-Cities Home Health, Llc 8819 Wvictoria Avenue, Ste 110 Kennewick WA 10 (Seattle) 11/07/2019 WYEO11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0860 Licensing Standard
G0514 RN performs assessment Element
▼ 507019 Cp Spokane Wa Hh, Llc 1000 N Argonne Rd Spokane Valley WA 10 (Seattle) 03/19/2026 1E47BE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0952 Ensure that HHA employs qualified personnel Element
▼ 507019 Cp Spokane Wa Hh, Llc 1000 N Argonne Rd Spokane Valley WA 10 (Seattle) 07/20/2023 60530-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0860 Licensing Standard
▼ 507019 Cp Spokane Wa Hh, Llc 1000 N Argonne Rd Spokane Valley WA 10 (Seattle) 05/27/2021 VMDX11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
▼ 507020 Harbors Home Health/Hospice 201 7th Street Hoquiam WA 10 (Seattle) 04/10/2025 655C3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0442 Written notice for non-covered care Element
G0462 Before discharge for cause HHA must: Element
G0514 RN performs assessment Element
G0808 Onsite supervisory visit every 14 days Element