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
▼ 559076 Eagle Home Health 6005 Vineland Ave, Suite 204 N Hollywood CA 9 (San Francisco) 05/31/2024 6339A-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
G0412 Written notice of patient's rights Element
G0532 Continuing need for home care Element
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0610 Patients receive education and training Element
▼ 559089 G&A Home Health Care Inc 14545 Friar St, Suite 230 Van Nuys CA 9 (San Francisco) 01/22/2021 7BBY11 Complaint, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0484 Document complaint and resolution Element
G0536 A review of all current medications Element
G0588 Reviewed, revised by physician every 60 days Element
G0602 Communication with all physicians Element
G0610 Patients receive education and training Element
G0808 Onsite supervisory visit every 14 days Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 559097 Bridge Home Health East Bay, Llc 5401 Old Redwood Hwy., Suite 106 Petaluma CA 9 (San Francisco) 08/31/2021 4YP511 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
▼ 559098 Lenity Home Care Llc 4920 E. Yale Ave., Ste. 101 Fresno CA 9 (San Francisco) 01/09/2025 6508B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0325 Basis and Scope Condition
G0848 Compliance with Federal, State, Local Law Condition
▼ 559110 Socal Golden Care Home Health 1575 Arrow Hwy, Suite 6b Irwindale CA 9 (San Francisco) 02/19/2023 5F0B8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 559145 Bridge Home Health Riverside, Llc 38977 Sky Canyon Drive, Suite 115 Murrieta CA 9 (San Francisco) 04/01/2021 40ND11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0468 Provide contact info other services Element
G0718 Communication with physicians Element
▼ 559148 United Home Health Care Group 21700 Oxnard St Suite 1295 Woodland Hills CA 9 (San Francisco) 08/27/2023 60DB0-H1 Complaint
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
G1024 Authentication Standard
G1028 Protection of records Standard
G0444 State toll free HH telephone hotline Element
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0576 All orders recorded in plan of care Element
G0590 Promptly alert relevant physician of changes Element
G0602 Communication with all physicians Element
G0726 Nursing services supervised by RN Element
G0858 Responsible for the management of the HHA Element
G0948 Responsible for all day-to-day operations Element
▼ 559158 Green Light Home Health, Inc 6850 Van Nuys Blvd, Suite 311 Van Nuys CA 9 (San Francisco) 07/19/2022 4F456-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0602 Communication with all physicians Element
▼ 559160 Comprehensive Health Care Services Llc 512 East Wilson Ave, Suite 200-A Glendale CA 9 (San Francisco) 02/17/2023 5F03E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0610 Patients receive education and training Element
G0616 Patient medication schedule/instructions Element
G0710 Provide services in the plan of care Element
▼ 559164 The Best Care Ever Home Health, Inc 14531 Hamlin St. Suite 285 Van Nuys CA 9 (San Francisco) 01/13/2021 FBE011 Complaint, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
G0578 Conformance with physician orders Standard
G0942 Governing body Standard
G0944 Administrator must: Standard
G0958 Clinical manager Standard
G0988 Institutional planning Standard
G0412 Written notice of patient's rights Element
G0434 Participate in care Element
G0522 Eligibility for Medicare home health benefit Element
G0528 Health, psychosocial, functional, cognition Element
G0610 Patients receive education and training Element
G0616 Patient medication schedule/instructions Element
G0946 Administrator appointed by governing body Element
G0948 Responsible for all day-to-day operations Element
G0950 Ensure clinical manager is available Element
G0954 Ensures qualified pre-designated person Element
G0956 Available during all operating hours Element
G1012 Required items in clinical record Element
G1016 Goals in the patient's plans of care Element