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
▼ 557067 Kaiser Foundation Hospital Home Health - Hayward 30116 Eigenbrodt Union City CA 9 (San Francisco) 04/12/2018 V77E11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
G0714 Patient and caregiver education Element
G1012 Required items in clinical record Element
▼ 557068 Kaiser Foundation Hospitals 4501 Broadway Oakland CA 9 (San Francisco) 11/06/2025 1DB668-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
▼ 557068 Kaiser Foundation Hospitals 4501 Broadway Oakland CA 9 (San Francisco) 06/30/2023 602E0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 557073 Sutter Visiting Nurse Association And Hospice 2710 Gateway Oaks Sacramento CA 9 (San Francisco) 06/27/2018 W7FT11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
▼ 557084 Rady's Children Hospital-San Diego 8291 Aero Place, Suite 130 San Diego CA 9 (San Francisco) 04/06/2023 5F79B-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
G0682 Infection Prevention Standard
▼ 557084 Rady's Children Hospital-San Diego 8291 Aero Place, Suite 130 San Diego CA 9 (San Francisco) 02/07/2019 HF3P11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
▼ 557089 Assisted Home Care, Inc 10550 Sepulveda Blvd Suite 116 Mission Hills CA 9 (San Francisco) 01/14/2022 38214-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0512 Standard: Initial assessment visit. Standard
G1010 Contents of clinical record Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0602 Communication with all physicians Element
▼ 557094 Adventist Health Home Care 5500 Ming Ave., Ste. 128 Bakersfield CA 9 (San Francisco) 04/04/2019 JE0D11 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
G0536 A review of all current medications Element
G0610 Patients receive education and training Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G0800 Services provided by HH aide Element
G1022 Discharge and transfer summaries Element
▼ 557106 Uhs Corona, Inc. 730 Magnolia Ave Corona CA 9 (San Francisco) 06/09/2022 4EC70-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0984 In accordance with current clinical practice Element
▼ 557106 Uhs Corona, Inc. 730 Magnolia Ave Corona CA 9 (San Francisco) 06/13/2018 15D111 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0942 Governing body Standard
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G0984 In accordance with current clinical practice Element
G1012 Required items in clinical record Element