S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
537087 Humble Horizon Home Health Llc 433 E 19th Street, Suite 2 Cheyenne WY 8 (Denver) 07/27/2021 T6Q011 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0750 Home health aide services Condition
G0754 A qualified HH aide successfully completed: Element
537087 Humble Horizon Home Health Llc 433 E 19th Street, Suite 2 Cheyenne WY 8 (Denver) 05/14/2021 OMI411 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0750 Home health aide services Condition
G0798 Home health aide assignments and duties Standard
G0814 Non-skilled direct observation every 60 days Element
537087 Humble Horizon Home Health Llc 433 E 19th Street, Suite 2 Cheyenne WY 8 (Denver) 04/23/2021 T62C11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0466 Make efforts to resolve the problem(s) Element
537302 Bcbu Inc Dba/Rocky Mountain Home Care-Green River 175 River View Dr Green River WY 8 (Denver) 10/28/2021 37D3F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
537302 Bcbu Inc Dba/Rocky Mountain Home Care-Green River 175 River View Dr Green River WY 8 (Denver) 09/19/2018 LLWQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
537304 Premier Home Health Inc 487a North Main, Ste 2 Thayne WY 8 (Denver) 02/06/2025 65512-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
G0604 Integrate all orders Element
G0984 In accordance with current clinical practice Element
537304 Premier Home Health Inc 487a North Main, Ste 2 Thayne WY 8 (Denver) 02/02/2022 382D8-H1 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0806 Supervision of home health aides Standard
G0984 In accordance with current clinical practice Element
537304 Premier Home Health Inc 487a North Main, Ste 2 Thayne WY 8 (Denver) 12/19/2018 JSTN11 Other-Fed
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
537831 Best Home Health & Hospice Llc 105 Yellow Creek Road Evanston WY 8 (Denver) 03/24/2021 JNQV11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0800 Services provided by HH aide Element
537831 Best Home Health & Hospice Llc 105 Yellow Creek Road Evanston WY 8 (Denver) 03/03/2021 QOH111 Focused Infection Control, Other-Fed, 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