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
▼ 677796 Shepherd's Services, Inc. 125 Heritage Row Marlin TX 6 (Dallas) 10/18/2024 6473F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0576 All orders recorded in plan of care Element
▼ 677803 Embassy Healthcare System Inc 10701 Corporate Drive Ste 395 Stafford TX 6 (Dallas) 08/22/2019 HGQ212 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0133 ADMINISTRATOR Standard
G0152 GROUP OF PROFESSIONAL PERSONNEL Standard
G0159 PLAN OF CARE Standard
G0170 SKILLED NURSING SERVICES Standard
G0176 DUTIES OF THE REGISTERED NURSE Standard
▼ 677808 We Care Home Health Services Inc 417 N Bryan-Beltline Road Suite A Mesquite TX 6 (Dallas) 06/25/2024 636F9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 677814 Lhcg Cxiii Llc 5151 Flynn Pkwy Ste 207 Corpus Christi TX 6 (Dallas) 05/11/2018 9MBQ11 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
▼ 677819 Eclipse Home Health Services Inc 1452 Junction Run Mesquite TX 6 (Dallas) 05/22/2026 2328BD-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0412 Written notice of patient's rights Element
G0442 Written notice for non-covered care Element
G0614 Visit schedule Element
▼ 677826 Jalstad Ventures Inc 7615 Aimua Court Houston TX 6 (Dallas) 10/10/2019 487F12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0133 ADMINISTRATOR Standard
G0332 INITIAL ASSESSMENT VISIT Standard
▼ 677826 Jalstad Ventures Inc 7615 Aimua Court Houston TX 6 (Dallas) 05/07/2019 GZ9B11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 677830 Encompass Home Heath Of Dfw Llc 2000 E. Lamar Blvd., Suite 155 Arlington TX 6 (Dallas) 07/11/2024 63836-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
▼ 677831 Jenmerit Home Health Inc 1913 Mesa Court Garland TX 6 (Dallas) 06/12/2023 5FF94-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G1022 Discharge and transfer summaries Element
▼ 677834 Health Care Partners Incorporated 3403 W Alberta Rd Edinburg TX 6 (Dallas) 01/24/2020 EFMD12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0145 COORDINATION OF PATIENT SERVICES Standard