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
▼ 527001 Visiting Nurse Assoc Of Wisconsin Inc. 11333 W National Ave Milwaukee WI 5 (Chicago) 07/24/2019 9IXQ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0576 All orders recorded in plan of care Element
G0590 Promptly alert relevant physician of changes Element
▼ 527018 Mercy Assisted Care Inc. 901 Mineral Point Ave Janesville WI 5 (Chicago) 09/07/2023 60E42-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0478 Investigate complaints made by patient Element
▼ 527018 Mercy Assisted Care Inc. 901 Mineral Point Ave Janesville WI 5 (Chicago) 09/16/2020 7XM011 Recertification
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
▼ 527024 Southport Healthcare, Llc 600 52nd St Ste 300 Kenosha WI 5 (Chicago) 09/25/2024 64404-H1 Recertification
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
▼ 527062 Northern Lights Home Health & Community Svcs 706 Bratley Drive Washburn WI 5 (Chicago) 01/24/2018 CRZE11 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
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
▼ 527078 Upland Hills Health Inc. 109 W Fountain St. Dodgeville WI 5 (Chicago) 01/24/2023 5EAA0-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
E0042 Integrated EP Program Standard
G0578 Conformance with physician orders Standard
G0644 Program data Standard
G0684 Infection control Standard
G0574 Plan of care must include the following Element
G0648 High risk, high volume, or problem-prone area Element
▼ 527083 Horizon Home Care And Hospice Inc. 11002 West Park Place Milwaukee WI 5 (Chicago) 06/25/2025 6673B-H1 Recertification
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
G0808 Onsite supervisory visit every 14 days Element
▼ 527083 Horizon Home Care And Hospice Inc. 11002 West Park Place Milwaukee WI 5 (Chicago) 05/12/2023 5F9A1-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 527083 Horizon Home Care And Hospice Inc. 11002 West Park Place Milwaukee WI 5 (Chicago) 11/29/2021 37F82-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 527083 Horizon Home Care And Hospice Inc. 11002 West Park Place Milwaukee WI 5 (Chicago) 05/26/2021 P78311 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element