S&C QCOR HHA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
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
▼ 527298 Black River Memorial Hospital Inc. 311 County Highway A Black River Falls WI 5 (Chicago) 07/23/2020 85W111 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 527302 Visiting Nurse Assoc Of Wisconsin Inc. 931 Discovery Road Green Bay WI 5 (Chicago) 04/28/2026 22F4FF-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0576 All orders recorded in plan of care Element
G0710 Provide services in the plan of care Element
▼ 527302 Visiting Nurse Assoc Of Wisconsin Inc. 931 Discovery Road Green Bay WI 5 (Chicago) 06/03/2021 BN8R11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0706 Interdisciplinary assessment of the patient Element
▼ 527304 Atlas Healthcare Inc. 9401 W. Beloit Rd., Suite 403 Milwaukee WI 5 (Chicago) 01/19/2024 61F7E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
G0644 Program data Standard
G0574 Plan of care must include the following Element
▼ 527304 Atlas Healthcare Inc. 9401 W. Beloit Rd., Suite 403 Milwaukee WI 5 (Chicago) 01/11/2018 IORU11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0165 CONFORMANCE WITH PHYSICIAN ORDERS Standard
G0172 DUTIES OF THE REGISTERED NURSE Standard
G0236 CLINICAL RECORDS Standard
▼ 527307 Nos Healthcare Inc. 1333 College Ave., Suite F South Milwaukee WI 5 (Chicago) 08/30/2022 4EF4D-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
▼ 527307 Nos Healthcare Inc. 1333 College Ave., Suite F South Milwaukee WI 5 (Chicago) 07/05/2022 4EF4D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0948 Responsible for all day-to-day operations Element
G0950 Ensure clinical manager is available Element
G0954 Ensures qualified pre-designated person Element
▼ 527309 Evangelical Lutheran Good Samaritan Society 719 Nevada Street St Croix Falls WI 5 (Chicago) 03/28/2025 65B35-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
▼ 527313 Great Lakes Healthcare Inc. W175 N11117 Stonewood Dr Ste 100 Germantown WI 5 (Chicago) 09/17/2019 R0L711 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
G0706 Interdisciplinary assessment of the patient Element
G0726 Nursing services supervised by RN Element
▼ 527314 Bridges Healthcare, Llc 20875 Crossroads Circle, Suite 400 Waukesha WI 5 (Chicago) 10/25/2023 61548-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
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0574 Plan of care must include the following Element
G0952 Ensure that HHA employs qualified personnel Element