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
▼ 557270 Physicians Choice Home Health, Inc 3528 Torrance Blvd Suite 220 Torrance CA 9 (San Francisco) 08/12/2022 4F2F7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0036 EP Training and Testing Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0704 Responsibilities of skilled professionals Standard
G0942 Governing body Standard
G0432 Make complaints to the HHA Element
G0436 Receive all services in plan of care Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0608 Coordinate care delivery Element
G0610 Patients receive education and training Element
G0718 Communication with physicians Element
G0772 Documentation of competency evaluation Element
G0948 Responsible for all day-to-day operations Element
▼ 557272 Assured Home Health 3507 Tully Road, Suite 120 Modesto CA 9 (San Francisco) 06/20/2018 6OEI11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0518 Completion of the comprehensive assessment Standard
G0514 RN performs assessment Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
▼ 557280 Dynamic Home Care 14260 Ventura Blvd. Suite #301 Sherman Oaks CA 9 (San Francisco) 04/14/2023 5F8D0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
▼ 557280 Dynamic Home Care 14260 Ventura Blvd. Suite #301 Sherman Oaks CA 9 (San Francisco) 03/06/2020 WYF011 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0774 12 hours inservice every 12 months Standard
G0534 Patient's needs Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0608 Coordinate care delivery Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
▼ 557283 Western Health Resources 100 San Hedrin Circle Willits CA 9 (San Francisco) 10/04/2018 1PE411 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0606 Integrate all services Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 557406 Comcare Home Health, Inc. 100 West Broadway, Ste 800 Glendale CA 9 (San Francisco) 07/01/2025 66913-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G1024 Authentication Standard
G0580 Only as ordered by a physician Element
▼ 557406 Comcare Home Health, Inc. 100 West Broadway, Ste 800 Glendale CA 9 (San Francisco) 05/12/2025 661AC-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
G0700 Skilled professional services Condition
G1008 Clinical records Condition
G0544 Update of the comprehensive assessment Standard
G0572 Plan of care Standard
G1024 Authentication Standard
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G0590 Promptly alert relevant physician of changes Element
G0592 Revised plan of care Element
G0610 Patients receive education and training Element
G0710 Provide services in the plan of care Element
G0726 Nursing services supervised by RN Element
▼ 557407 Verdugo Hills Home Care, Inc 2600 Foothill Blvd, Suite 201 La Crescenta CA 9 (San Francisco) 12/12/2021 380C2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually 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
▼ 557423 Vital Home Health Care 221 E Walnut St Suite 248 Pasadena CA 9 (San Francisco) 04/10/2022 38848-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
G0682 Infection Prevention Standard
G0528 Health, psychosocial, functional, cognition Element
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
G0948 Responsible for all day-to-day operations Element
▼ 557423 Vital Home Health Care 221 E Walnut St Suite 248 Pasadena CA 9 (San Francisco) 12/10/2018 S3ST11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0516 Skilled professional performs assessment Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element