S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 673167 The Ultimate Home Care, Inc 710 N Post Oak Rd Ste 350 Houston TX 6 (Dallas) 05/03/2018 NBUJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0948 Responsible for all day-to-day operations Element
▼ 673168 Aaron Home Health Care Services, Inc. 407 N Cedar Ridge Dr Ste 220 Duncanville TX 6 (Dallas) 11/04/2024 648DE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0658 Performance improvement projects Standard
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 673168 Aaron Home Health Care Services, Inc. 407 N Cedar Ridge Dr Ste 220 Duncanville TX 6 (Dallas) 10/21/2021 37D39-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0564 Discharge or Transfer Summary Content Standard
▼ 673168 Aaron Home Health Care Services, Inc. 407 N Cedar Ridge Dr Ste 220 Duncanville TX 6 (Dallas) 11/05/2018 YL1R12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0321 ENCODING OASIS DATA Standard
▼ 673169 Ybarra Enterprises Inc 1904 E. Griffin Parkway Ste B. Mission TX 6 (Dallas) 09/05/2019 GI3F12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0159 PLAN OF CARE Standard
G0236 CLINICAL RECORDS Standard
▼ 673171 Reliant Home Health Of Fort Worth, Llc 3880 Hulen St., Suite 670 Fort Worth TX 6 (Dallas) 07/14/2022 4F06A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0716 Preparing clinical notes Element
▼ 673174 Macbon Home Health Inc 1720 South Edmonds Lane Suite 14 Lewisville TX 6 (Dallas) 07/07/2022 4EFBA-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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
E0039 EP Testing Requirements Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0422 Written notice within 4 business days Element
G0446 Contact info Federal/State-funded entities Element
G0614 Visit schedule Element
G0948 Responsible for all day-to-day operations Element
▼ 673175 Lotus Home Healthcare Services, Pc 17330 Preston Road, Suite 200d Dallas TX 6 (Dallas) 06/09/2025 66513-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0658 Performance improvement projects Standard
G1024 Authentication Standard
G0442 Written notice for non-covered care Element
G0446 Contact info Federal/State-funded entities Element
G0608 Coordinate care delivery Element
▼ 673175 Lotus Home Healthcare Services, Pc 17330 Preston Road, Suite 200d Dallas TX 6 (Dallas) 06/16/2022 4EDA5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0808 Onsite supervisory visit every 14 days Element
▼ 673183 Osgood Healthcare Services Inc 2652 Windswept Lane Mesquite TX 6 (Dallas) 09/20/2022 4F32F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0956 Available during all operating hours Element