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
▼ 557630 Interim Healthcare Of Northern California 905 Mistletoe Ln. Ste 101 Redding CA 9 (San Francisco) 06/13/2019 1GSK11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
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
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0968 Assure implementation of plan of care Element
▼ 557636 Lotus Healthcare Partners, Inc. 414 S Prospectors Rd, Suite G Diamond Bar CA 9 (San Francisco) 04/20/2022 3891A-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
G0684 Infection control Standard
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 557656 Avance Home Health, Inc 2110 N Winery Fresno CA 9 (San Francisco) 09/16/2024 64177-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
▼ 557656 Avance Home Health, Inc 2110 N Winery Fresno CA 9 (San Francisco) 04/17/2019 014Z11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0536 A review of all current medications Element
▼ 557664 San Benito Home Health Care 911- C Sunset Drive Hollister CA 9 (San Francisco) 03/04/2022 383DA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0488 Immediate reporting of abuse by all staff Element
G0536 A review of all current medications Element
G0648 High risk, high volume, or problem-prone area Element
G0948 Responsible for all day-to-day operations Element
▼ 557664 San Benito Home Health Care 911- C Sunset Drive Hollister CA 9 (San Francisco) 01/25/2019 B72611 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0586 Review and revision of the plan of care Standard
G0682 Infection Prevention Standard
G0412 Written notice of patient's rights 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
G0710 Provide services in the plan of care Element
▼ 557669 Universal Home Care, Inc. 151 N San Vicente Blvd Ste 200 Beverly Hills CA 9 (San Francisco) 08/19/2022 4F3EE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0600 Coordination of Care Standard
G0438 Have a confidential clinical record Element
G0444 State toll free HH telephone hotline Element
G0536 A review of all current medications Element
▼ 557669 Universal Home Care, Inc. 151 N San Vicente Blvd Ste 200 Beverly Hills CA 9 (San Francisco) 01/18/2019 FWD111 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0518 Completion of the comprehensive assessment Standard
G0536 A review of all current medications Element
▼ 557679 Care Sharing, Llc 16861 Ventura Blvd, Suite 200 Encino CA 9 (San Francisco) 06/11/2023 60086-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
G0572 Plan of care Standard
G0600 Coordination of Care Standard
G0642 Program scope Standard
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
▼ 557680 Care Essentials Home Health 22365 Barton Rd. Suite 212 Grand Terrace CA 9 (San Francisco) 02/27/2025 655FD-H1 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
G0940 Organization and administration of services Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0009 Local, State, Tribal Collaboration Process 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
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0544 Update of the comprehensive assessment Standard
G0564 Discharge or Transfer Summary Content Standard
G0572 Plan of care Standard
G0684 Infection control Standard
G0798 Home health aide assignments and duties Standard
G0942 Governing body Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element