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
▼ 557727 Healthview Home Health Llc 12750 Center Court Dr Suite 670 Cerritos CA 9 (San Francisco) 04/26/2019 U9YB11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 557731 Celebrity Health Services, Inc 14950 Ventura Blvd Sherman Oaks CA 9 (San Francisco) 04/06/2023 5F737-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
G0572 Plan of care Standard
G0612 Written instructions to patient include: Standard
G0444 State toll free HH telephone hotline Element
G0446 Contact info Federal/State-funded entities Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0592 Revised plan of care Element
G0606 Integrate all services Element
G0822 Ensuring the overall quality of care provided Element
G0824 Supervising HH aide services Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 557731 Celebrity Health Services, Inc 14950 Ventura Blvd Sherman Oaks CA 9 (San Francisco) 04/11/2019 NBHF11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 557735 Adept Home Health Care 818 N Mountain Avenue Suite 120 Upland CA 9 (San Francisco) 06/19/2025 666BE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G0658 Performance improvement projects Standard
G0682 Infection Prevention Standard
G0656 Improvements are sustained Element
G0710 Provide services in the plan of care Element
G0726 Nursing services supervised by RN Element
▼ 557735 Adept Home Health Care 818 N Mountain Avenue Suite 120 Upland CA 9 (San Francisco) 05/26/2022 381C3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0654 Track adverse patient events Standard
G0446 Contact info Federal/State-funded entities Element
G0450 Access to auxiliary aids and language service Element
G0468 Provide contact info other services Element
G0470 Document efforts to resolve problems Element
G0614 Visit schedule Element
▼ 557735 Adept Home Health Care 818 N Mountain Avenue Suite 120 Upland CA 9 (San Francisco) 03/22/2019 CFK111 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
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0032 Primary/Alternate Means for Communication Standard
E0034 Information on Occupancy/Needs Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0726 Nursing services supervised by RN Element
G1012 Required items in clinical record Element
▼ 557746 Good Life Home Health Care Services, Inc 2501 Colorado Blvd Suite G Los Angeles CA 9 (San Francisco) 03/05/2019 8WW411 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 557747 Asian Network Pacific Home Care, Inc. 212 9th Street, Suite 205 Oakland CA 9 (San Francisco) 08/26/2022 4F422-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 557753 Bright Horizons Home Health Services, Inc 1910 S. Union St. Unit 1082 Anaheim CA 9 (San Francisco) 08/20/2025 1D3C62-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0007 EP Program Patient Population Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0982 Skilled services furnished Standard
G1024 Authentication Standard
G0444 State toll free HH telephone hotline Element
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0548 Within 48 hours of the patient's return Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0584 Verbal orders Element
G0588 Reviewed, revised by physician every 60 days Element
G0590 Promptly alert relevant physician of changes Element
G0602 Communication with all physicians Element
G0604 Integrate all orders Element
G0606 Integrate all services Element
G0614 Visit schedule Element
G0618 Treatments and therapy services Element
G0622 Name/contact information of clinical manager Element
G0714 Patient and caregiver education Element
G0716 Preparing clinical notes Element
G0726 Nursing services supervised by RN Element
G0948 Responsible for all day-to-day operations Element
G0952 Ensure that HHA employs qualified personnel Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 557755 Sure Care Health Care Services 1109 W San Bernardino Rd Suite 200 Covina CA 9 (San Francisco) 02/26/2023 5F265-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
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0610 Patients receive education and training Element