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
▼ 557172 Home Care Network, Inc 3505 Long Beach Blvd Ste 2-B Long Beach CA 9 (San Francisco) 08/25/2022 4F452-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
G0574 Plan of care must include the following Element
G1018 Contact information for the patient Element
▼ 557172 Home Care Network, Inc 3505 Long Beach Blvd Ste 2-B Long Beach CA 9 (San Francisco) 02/04/2019 0TPR11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0412 Written notice of patient's rights Element
G0710 Provide services in the plan of care Element
▼ 557194 Tender Loving Care 24301 Southland Drive, Suite 411 Hayward CA 9 (San Francisco) 12/07/2018 RZBZ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0602 Communication with all physicians Element
▼ 557204 Always Home Nursing Services, Inc. 7777 Greenback Lane, Suite 208 Citrus Heights CA 9 (San Francisco) 03/02/2023 5F1AB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 557204 Always Home Nursing Services, Inc. 7777 Greenback Lane, Suite 208 Citrus Heights CA 9 (San Francisco) 03/04/2022 1D1O11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0966 Assure patient needs are continually assessed Element
▼ 557208 Home Health Care Management Inc 1398 Ridgewood Dr Chico CA 9 (San Francisco) 03/26/2026 1E2433-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0682 Infection Prevention Standard
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
G0608 Coordinate care delivery Element
G0710 Provide services in the plan of care Element
▼ 557208 Home Health Care Management Inc 1398 Ridgewood Dr Chico CA 9 (San Francisco) 03/07/2023 5F11E-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
G0590 Promptly alert relevant physician of changes Element
G0706 Interdisciplinary assessment of the patient Element
G0966 Assure patient needs are continually assessed Element
G0968 Assure implementation of plan of care Element
▼ 557208 Home Health Care Management Inc 1398 Ridgewood Dr Chico CA 9 (San Francisco) 05/23/2019 81GS11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0968 Assure implementation of plan of care Element
▼ 557253 Accentcare Home Health Of California, Inc 2295 Gateway Oaks, Suite 125 Sacramento CA 9 (San Francisco) 09/18/2019 193I11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
▼ 557253 Accentcare Home Health Of California, Inc 2295 Gateway Oaks, Suite 125 Sacramento CA 9 (San Francisco) 09/11/2018 1VBS11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition