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
▼ 557107 Medical Home Care Professionals 2115 Churn Creek Rd Redding CA 9 (San Francisco) 02/23/2024 62372-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0512 Standard: Initial assessment visit. Standard
G0578 Conformance with physician orders Standard
G0684 Infection control Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0718 Communication with physicians Element
▼ 557107 Medical Home Care Professionals 2115 Churn Creek Rd Redding CA 9 (San Francisco) 10/30/2019 NUF411 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0604 Integrate all orders Element
G0716 Preparing clinical notes Element
G0800 Services provided by HH aide Element
▼ 557116 Tender Loving Care Health Care Services Western, Llc 1350 Bayshore Hwy, Suite 777 Burlingame CA 9 (San Francisco) 01/22/2018 YJSV11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G1010 Contents of clinical record Standard
G0444 State toll free HH telephone hotline Element
G0946 Administrator appointed by governing body Element
G0962 Coordinate patient care Element
▼ 557145 Affiliated Home Health Services, Inc. 240 S Jackson St Suite 210 Glendale CA 9 (San Francisco) 07/11/2019 B2CL11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 557171 Interim Healthcare 1521 N Carpenter Road, Suite D1 Modesto CA 9 (San Francisco) 09/11/2023 60D07-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0704 Responsibilities of skilled professionals Standard
G0536 A review of all current medications Element
G0608 Coordinate care delivery Element
▼ 557172 Home Care Network, Inc 3505 Long Beach Blvd Ste 2-B Long Beach CA 9 (San Francisco) 08/25/2022 4F452-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
G0574 Plan of care must include the following Element
G1018 Contact information for the patient Element
▼ 557172 Home Care Network, Inc 3505 Long Beach Blvd Ste 2-B Long Beach CA 9 (San Francisco) 02/04/2019 0TPR11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0412 Written notice of patient's rights Element
G0710 Provide services in the plan of care Element
▼ 557194 Tender Loving Care 24301 Southland Drive, Suite 411 Hayward CA 9 (San Francisco) 12/07/2018 RZBZ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0602 Communication with all physicians Element
▼ 557204 Always Home Nursing Services, Inc. 7777 Greenback Lane, Suite 208 Citrus Heights CA 9 (San Francisco) 03/02/2023 5F1AB-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
▼ 557204 Always Home Nursing Services, Inc. 7777 Greenback Lane, Suite 208 Citrus Heights CA 9 (San Francisco) 03/04/2022 1D1O11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0966 Assure patient needs are continually assessed Element