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
▼ 059420 All Americans Choice Home Health Inc 2619 S Waterman Avenue Suite C San Bernardino CA 9 (San Francisco) 05/11/2023 5FB65-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0518 Completion of the comprehensive assessment Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0942 Governing body Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0550 At discharge Element
G0580 Only as ordered by a physician Element
G0584 Verbal orders Element
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
G0726 Nursing services supervised by RN Element
▼ 059434 Amax Care Services, Inc 936 Crenshaw Blvd Suite 203 Los Angeles CA 9 (San Francisco) 10/08/2025 1D3468-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
G0576 All orders recorded in plan of care Element
▼ 059434 Amax Care Services, Inc 936 Crenshaw Blvd Suite 203 Los Angeles CA 9 (San Francisco) 08/08/2025 1D3468-H1 Complaint
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
G0612 Written instructions to patient include: Standard
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0532 Continuing need for home care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0604 Integrate all orders Element
G1012 Required items in clinical record Element
▼ 059442 Jw Healthcare, Inc 324 E 11th Street, Suite H-3 Tracy CA 9 (San Francisco) 10/25/2018 J9HI11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0616 Patient medication schedule/instructions Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
G0984 In accordance with current clinical practice Element
▼ 059447 Absolute Home Health Inc 4740 Murphy Canyon Road, Suite 222 San Diego CA 9 (San Francisco) 01/27/2022 382FB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0436 Receive all services in plan of care Element
G0964 Coordinate referrals; Element
▼ 059447 Absolute Home Health Inc 4740 Murphy Canyon Road, Suite 222 San Diego CA 9 (San Francisco) 06/22/2018 5XIY11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0522 Eligibility for Medicare home health benefit Element
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G0608 Coordinate care delivery Element
G0772 Documentation of competency evaluation Element
▼ 059461 Ace Home Health Care & Hospice, Inc 85 Moraga Way, Suite 100b Orinda CA 9 (San Francisco) 06/19/2025 66538-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0778 Documentation of inservice training Element
▼ 059461 Ace Home Health Care & Hospice, Inc 85 Moraga Way, Suite 100b Orinda CA 9 (San Francisco) 11/05/2021 VI2S11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0590 Promptly alert relevant physician of changes Element
▼ 059471 Lhc California Home Health I, Llc 520 9th Street, Suite 240 Sacramento CA 9 (San Francisco) 03/19/2026 1F33B7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0614 Visit schedule Element
G0808 Onsite supervisory visit every 14 days Element
▼ 059474 Mission Home Health Of North County San Diego 300 Rancheros Dr San Marcos CA 9 (San Francisco) 11/12/2020 9L9H11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0614 Visit schedule Element