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
▼ 557680 Care Essentials Home Health 22365 Barton Rd. Suite 212 Grand Terrace CA 9 (San Francisco) 08/03/2018 N7HI11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 557681 Salcare Home Health Services 15607 Lakewood Blvd, Suite A Paramount CA 9 (San Francisco) 02/28/2022 385B6-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
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
▼ 557684 Advent Home Health Care Services, Inc 1128 E Route 66 Glendora CA 9 (San Francisco) 02/11/2022 38461-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
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
▼ 557685 New Dimension H C 2490 Honolulu Ave Suite 120 Montrose CA 9 (San Francisco) 04/13/2022 3886A-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
G0948 Responsible for all day-to-day operations Element
▼ 557690 Rx Staffing And Home Care, Inc. 4640 Marconi Avenue, Suite 8 Sacramento CA 9 (San Francisco) 03/14/2024 626A6-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
▼ 557690 Rx Staffing And Home Care, Inc. 4640 Marconi Avenue, Suite 8 Sacramento CA 9 (San Francisco) 01/09/2020 RCN511 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 557690 Rx Staffing And Home Care, Inc. 4640 Marconi Avenue, Suite 8 Sacramento CA 9 (San Francisco) 02/06/2018 UJ6611 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0165 CONFORMANCE WITH PHYSICIAN ORDERS Standard
▼ 557711 Mission Home Health Of San Diego Llc 2365 Northside Drive, Suite 100 San Diego CA 9 (San Francisco) 03/24/2022 386EE-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
G0514 RN performs assessment Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 557711 Mission Home Health Of San Diego Llc 2365 Northside Drive, Suite 100 San Diego CA 9 (San Francisco) 07/14/2021 4R5D11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0564 Discharge or Transfer Summary Content Standard
▼ 557711 Mission Home Health Of San Diego Llc 2365 Northside Drive, Suite 100 San Diego CA 9 (San Francisco) 12/14/2018 23T111 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0512 Standard: Initial assessment visit. Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0608 Coordinate care delivery Element
G1014 Interventions and patient response Element