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
▼ 557433 Cp Sonoma N-Ca Hh, Llc 441 College Avenue Santa Rosa CA 9 (San Francisco) 02/06/2020 GKAI11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0718 Communication with physicians Element
▼ 557441 Amara Home Health Llc 1551 Mccarthy Blvd. Milpitas CA 9 (San Francisco) 02/08/2019 PYH711 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
▼ 557461 Choice Home Health Care 80 Garden Court, Suite 105 Monterey CA 9 (San Francisco) 06/29/2023 5FFB3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0444 State toll free HH telephone hotline Element
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0582 Influenza and pneumococcal vaccines Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
▼ 557461 Choice Home Health Care 80 Garden Court, Suite 105 Monterey CA 9 (San Francisco) 12/19/2018 QTC811 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 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
G0582 Influenza and pneumococcal vaccines Element
▼ 557473 Home Health Integrated Services, Inc. 704 So Main Street Burbank CA 9 (San Francisco) 02/21/2022 384DE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0522 Eligibility for Medicare home health benefit Element
G0536 A review of all current medications Element
▼ 557473 Home Health Integrated Services, Inc. 704 So Main Street Burbank CA 9 (San Francisco) 01/23/2018 2SKU11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0177 DUTIES OF THE REGISTERED NURSE Standard
G0337 DRUG REGIMEN REVIEW Standard
G0338 UPDATE OF THE COMPREHENSIVE ASSESSMENT Standard
▼ 557478 Quality Home Health Care, Inc. 969 S Village Oaks Dr Suite 206 Covina CA 9 (San Francisco) 10/22/2023 6151A-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
G0526 Content of the comprehensive assessment Standard
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
▼ 557478 Quality Home Health Care, Inc. 969 S Village Oaks Dr Suite 206 Covina CA 9 (San Francisco) 04/05/2019 ZSWL11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 557482 Progressive Home Care - Auburn 11879 Kemper Road, Suite 15 Auburn CA 9 (San Francisco) 04/25/2024 62D07-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0592 Revised plan of care Element
G0614 Visit schedule Element
G0710 Provide services in the plan of care Element
▼ 557482 Progressive Home Care - Auburn 11879 Kemper Road, Suite 15 Auburn CA 9 (San Francisco) 03/07/2024 626D4-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0716 Preparing clinical notes Element