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
▼ 557755 Sure Care Health Care Services 1109 W San Bernardino Rd Suite 200 Covina CA 9 (San Francisco) 10/20/2019 GFKB11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
▼ 557763 Amicable Homecare, Inc 11829 South St #100 Cerritos CA 9 (San Francisco) 07/01/2019 OZD211 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
G0590 Promptly alert relevant physician of changes Element
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
▼ 557764 Focus Health 377 W Fallbrook Avenue, Suite 101 Fresno CA 9 (San Francisco) 06/12/2025 664B4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0774 12 hours inservice every 12 months Standard
G0434 Participate in care Element
G0436 Receive all services in plan of care Element
G0520 5 calendar days after start of care Element
G0616 Patient medication schedule/instructions Element
G0714 Patient and caregiver education Element
▼ 557764 Focus Health 377 W Fallbrook Avenue, Suite 101 Fresno CA 9 (San Francisco) 08/11/2022 4F1E1-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
G0768 Competency evaluation Standard
G0798 Home health aide assignments and duties Standard
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0596 Revisions communicated to patient and MDs Element
G0598 Discharge plans communication Element
G0606 Integrate all services Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
▼ 557764 Focus Health 377 W Fallbrook Avenue, Suite 101 Fresno CA 9 (San Francisco) 11/28/2018 ZU7811 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0704 Responsibilities of skilled professionals Standard
G0412 Written notice of patient's rights Element
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0590 Promptly alert relevant physician of changes Element
G0594 Plan of care revisions must be communicated Element
G0710 Provide services in the plan of care Element
G0766 HHA maintains documentation of training Element
▼ 557765 Around The Clock Home Care 5251 Office Park Drive, Suite 400 Bakersfield CA 9 (San Francisco) 07/09/2025 6689F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0686 Infection control education Standard
G1076 Social Worker Standard
G0486 Protect patient during investigation Element
▼ 557765 Around The Clock Home Care 5251 Office Park Drive, Suite 400 Bakersfield CA 9 (San Francisco) 07/14/2022 4EEE1-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
G0702 Services by skilled professionals Standard
G0536 A review of all current medications Element
G0714 Patient and caregiver education Element
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
G1016 Goals in the patient's plans of care Element
▼ 557765 Around The Clock Home Care 5251 Office Park Drive, Suite 400 Bakersfield CA 9 (San Francisco) 10/24/2019 K97611 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
G0428 Property and person treated with respect Element
G0536 A review of all current medications Element
G0582 Influenza and pneumococcal vaccines Element
▼ 557773 Promptcare Health Services, Inc. 454 S Central Ave Glendale CA 9 (San Francisco) 11/03/2022 5E2A0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0612 Written instructions to patient include: Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 557773 Promptcare Health Services, Inc. 454 S Central Ave Glendale CA 9 (San Francisco) 04/07/2019 DM3P11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard