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
▼ 557473 Home Health Integrated Services, Inc. 704 So Main Street Burbank CA 9 (San Francisco) 01/23/2018 2SKU11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0177 DUTIES OF THE REGISTERED NURSE Standard
G0337 DRUG REGIMEN REVIEW Standard
G0338 UPDATE OF THE COMPREHENSIVE ASSESSMENT Standard
▼ 557478 Quality Home Health Care, Inc. 969 S Village Oaks Dr Suite 206 Covina CA 9 (San Francisco) 10/22/2023 6151A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
G0526 Content of the comprehensive assessment Standard
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
▼ 557478 Quality Home Health Care, Inc. 969 S Village Oaks Dr Suite 206 Covina CA 9 (San Francisco) 04/05/2019 ZSWL11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 557479 Pegasus Home Health Care, Inc. 505 N Brand Blvd Room 1000 Glendale CA 9 (San Francisco) 05/13/2026 230EEB-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Condition of Participation: Patient rights. Condition
G0510 Comprehensive Assessment of Patients Condition
G0560 Discharge Planning Condition
G0570 Care planning, coordination, quality of care Condition
G1008 Clinical records Condition
G0562 Discharge Planning Standard
G0572 Plan of care Standard
G0436 Receive all services in plan of care Element
G0454 HHA can no longer meet the patient's needs Element
G0536 A review of all current medications Element
G0576 All orders recorded in plan of care Element
G0602 Communication with all physicians Element
G0608 Coordinate care delivery Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 557482 Progressive Home Care - Auburn 11879 Kemper Road, Suite 15 Auburn CA 9 (San Francisco) 04/25/2024 62D07-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
G0584 Verbal orders Element
G0592 Revised plan of care Element
G0614 Visit schedule Element
G0710 Provide services in the plan of care Element
▼ 557482 Progressive Home Care - Auburn 11879 Kemper Road, Suite 15 Auburn CA 9 (San Francisco) 03/07/2024 626D4-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0716 Preparing clinical notes Element
▼ 557482 Progressive Home Care - Auburn 11879 Kemper Road, Suite 15 Auburn CA 9 (San Francisco) 02/18/2021 T38711 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0426 Rights of the patient Standard
▼ 557482 Progressive Home Care - Auburn 11879 Kemper Road, Suite 15 Auburn CA 9 (San Francisco) 02/06/2020 UKFL11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 557482 Progressive Home Care - Auburn 11879 Kemper Road, Suite 15 Auburn CA 9 (San Francisco) 04/22/2019 580L11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0550 At discharge Element
G1014 Interventions and patient response Element
▼ 557482 Progressive Home Care - Auburn 11879 Kemper Road, Suite 15 Auburn CA 9 (San Francisco) 01/04/2018 TSV811 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0159 PLAN OF CARE Standard