S&C QCOR HHA 2567s
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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
▼ 537831 Best Home Health & Hospice Llc 105 Yellow Creek Road Evanston WY 8 (Denver) 08/09/2019 P64L11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0482 Mistreatment, neglect or abuse Element
G0486 Protect patient during investigation Element
▼ 537833 Premium Health At Home Inc 1262 N 22nd St Laramie WY 8 (Denver) 08/15/2024 63EB1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0942 Governing body Standard
▼ 537833 Premium Health At Home Inc 1262 N 22nd St Laramie WY 8 (Denver) 09/03/2021 NVLU11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0430 Be free from abuse Element
▼ 537833 Premium Health At Home Inc 1262 N 22nd St Laramie WY 8 (Denver) 08/18/2021 ZYH811 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0684 Infection control Standard
G0774 12 hours inservice every 12 months Standard
G0984 In accordance with current clinical practice Element
▼ 537833 Premium Health At Home Inc 1262 N 22nd St Laramie WY 8 (Denver) 10/18/2019 G6GB11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0442 Written notice for non-covered care Element
G0454 HHA can no longer meet the patient's needs Element
G0468 Provide contact info other services Element
▼ 537833 Premium Health At Home Inc 1262 N 22nd St Laramie WY 8 (Denver) 04/11/2018 FN5W11 Other-Fed
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0013 Development of EP Policies and Procedures Standard
E0029 Development of Communication Plan Standard
E0036 EP Training and Testing Standard
▼ 537833 Premium Health At Home Inc 1262 N 22nd St Laramie WY 8 (Denver) 04/11/2018 QGGU11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0804 Aides are members of interdisciplinary team Element
G0808 Onsite supervisory visit every 14 days Element
G0984 In accordance with current clinical practice Element
▼ 537834 Premium Health At Home Rawlins Llc 405 W Cedar St., Suite B Rawlins WY 8 (Denver) 07/23/2024 63B83-H1 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
G0642 Program scope Standard
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
▼ 537834 Premium Health At Home Rawlins Llc 405 W Cedar St., Suite B Rawlins WY 8 (Denver) 07/15/2021 FZBC11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0642 Program scope Standard
G0682 Infection Prevention Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G0984 In accordance with current clinical practice Element
▼ 553106 Hhs Homecare, Inc 10875 La Tuna Canyon Road Sun Valley CA 9 (San Francisco) 11/09/2023 61733-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G1028 Protection of records Standard
G0444 State toll free HH telephone hotline Element
G0536 A review of all current medications Element
G0726 Nursing services supervised by RN Element
G1012 Required items in clinical record Element