S&C QCOR HHA 2567s
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HHAs 2567s
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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
▼ 517143 Caring Angels Home Health, Llc 127 Hovatter Drive Inwood WV 3 (Philadelphia) 06/25/2019 LTD711 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0942 Governing body Standard
G0434 Participate in care Element
G0436 Receive all services in plan of care Element
G0590 Promptly alert relevant physician of changes Element
G0598 Discharge plans communication Element
G0606 Integrate all services Element
G0610 Patients receive education and training Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0718 Communication with physicians Element
G0726 Nursing services supervised by RN Element
▼ 517143 Caring Angels Home Health, Llc 127 Hovatter Drive Inwood WV 3 (Philadelphia) 05/09/2018 MH2011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
E0032 Primary/Alternate Means for Communication Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
G0572 Plan of care Standard
G0768 Competency evaluation Standard
G0442 Written notice for non-covered care Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G0596 Revisions communicated to patient and MDs Element
G0606 Integrate all services Element
G0610 Patients receive education and training Element
G0812 Direct observation every 12 months Element
▼ 517144 West Virginia Home Health Llc 300 Foxcroft Avenue, Suite 100 B-6 Martinsburg WV 3 (Philadelphia) 10/06/2022 4F7F9-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
▼ 517144 West Virginia Home Health Llc 300 Foxcroft Avenue, Suite 100 B-6 Martinsburg WV 3 (Philadelphia) 10/14/2020 L7HA11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0768 Competency evaluation Standard
G0772 Documentation of competency evaluation Element
▼ 517144 West Virginia Home Health Llc 300 Foxcroft Avenue, Suite 100 B-6 Martinsburg WV 3 (Philadelphia) 11/28/2018 DS3K11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0644 Program data Standard
G0646 Program activities Standard
G0654 Track adverse patient events Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0942 Governing body Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0584 Verbal orders Element
G0648 High risk, high volume, or problem-prone area Element
G0650 Incidence, prevalence, severity of problems Element
G0652 Activities lead to an immediate correction Element
G0726 Nursing services supervised by RN Element
G0808 Onsite supervisory visit every 14 days Element
▼ 517146 Ohio Valley Home Health Services, Inc 600 Indiana Avenue, Suite 304 Chester WV 3 (Philadelphia) 06/23/2021 L27N11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0940 Organization and administration of services Condition
E0007 EP Program Patient Population Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0037 EP Training Program Standard
G0982 Skilled services furnished Standard
G0574 Plan of care must include the following Element
G0954 Ensures qualified pre-designated person Element
▼ 517800 Barbour County Home Health 109 Wabash Avenue Philippi WV 3 (Philadelphia) 04/30/2019 97WU11 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
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
▼ 517803 Doddridge County Board Of Health 60 Pennsylvania Street West Union WV 3 (Philadelphia) 03/04/2020 RKVV11 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
▼ 517803 Doddridge County Board Of Health 60 Pennsylvania Street West Union WV 3 (Philadelphia) 04/04/2018 XZQP11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0440 Payment from federally funded programs Element
G0584 Verbal orders Element
G0946 Administrator appointed by governing body Element
▼ 517805 Jackson County Home Health, Llc 105 North Court Street, Suite 2 Ripley WV 3 (Philadelphia) 03/20/2019 OMEV11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0726 Nursing services supervised by RN Element
G0728 Rehab services supervised by PT, OT Element