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
▼ 557690 Rx Staffing And Home Care, Inc. 4640 Marconi Avenue, Suite 8 Sacramento CA 9 (San Francisco) 01/09/2020 RCN511 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 557690 Rx Staffing And Home Care, Inc. 4640 Marconi Avenue, Suite 8 Sacramento CA 9 (San Francisco) 02/06/2018 UJ6611 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0165 CONFORMANCE WITH PHYSICIAN ORDERS Standard
▼ 557711 Mission Home Health Of San Diego Llc 2365 Northside Drive, Suite 100 San Diego CA 9 (San Francisco) 03/24/2022 386EE-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
G0514 RN performs assessment Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 557711 Mission Home Health Of San Diego Llc 2365 Northside Drive, Suite 100 San Diego CA 9 (San Francisco) 07/14/2021 4R5D11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0564 Discharge or Transfer Summary Content Standard
▼ 557711 Mission Home Health Of San Diego Llc 2365 Northside Drive, Suite 100 San Diego CA 9 (San Francisco) 12/14/2018 23T111 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0512 Standard: Initial assessment visit. Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0608 Coordinate care delivery Element
G1014 Interventions and patient response Element
▼ 557712 Top Care Home Health 9683 Tierra Grande Street Ste 201 San Diego CA 9 (San Francisco) 02/09/2023 5EE98-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
G0648 High risk, high volume, or problem-prone area Element
G1012 Required items in clinical record Element
▼ 557712 Top Care Home Health 9683 Tierra Grande Street Ste 201 San Diego CA 9 (San Francisco) 07/19/2018 XGZX11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0588 Reviewed, revised by physician every 60 days Element
G1014 Interventions and patient response Element
▼ 557722 Santa Clarita Home Health 22620 Market St, Ste 200 Santa Clarita CA 9 (San Francisco) 03/20/2019 9WB311 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0704 Responsibilities of skilled professionals Standard
G0548 Within 48 hours of the patient's return Element
G0576 All orders recorded in plan of care Element
▼ 557725 Isocare Med Extenders Services, Inc. 13527 Hawthorne Blvd Hawthorne CA 9 (San Francisco) 07/05/2022 4EF5C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
G0700 Skilled professional services Condition
G0572 Plan of care Standard
G0658 Performance improvement projects Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0702 Services by skilled professionals Standard
G0774 12 hours inservice every 12 months Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 557727 Healthview Home Health Llc 12750 Center Court Dr Suite 670 Cerritos CA 9 (San Francisco) 03/21/2023 5F497-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0610 Patients receive education and training Element