S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
677954 Prime Care Home Health Inc 3833 South Staples Suite N 215 Corpus Christi TX 6 (Dallas) 05/12/2020 FMVW11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G0686 Infection control education Standard
677955 Goshen Healthcare Services, Llc 1255 W 15th St Ste 900 Plano TX 6 (Dallas) 03/07/2018 Z4G411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0726 Nursing services supervised by RN Element
677956 Livingwell Home Health Agency Inc 912 Wright Street, Suite A Arlington TX 6 (Dallas) 04/14/2021 VI8611 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
G0600 Coordination of Care Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0442 Written notice for non-covered care Element
677956 Livingwell Home Health Agency Inc 912 Wright Street, Suite A Arlington TX 6 (Dallas) 04/30/2018 1J8811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0442 Written notice for non-covered care Element
677956 Livingwell Home Health Agency Inc 912 Wright Street, Suite A Arlington TX 6 (Dallas) 04/30/2018 5KRI12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0101 PATIENT RIGHTS Standard
677957 Excel Complete Home Health & Therapy Services Llc 529 Gaslight Blvd Lufkin TX 6 (Dallas) 01/25/2023 5ECDA-H1 Complaint, Focused Infection Control, 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
G0968 Assure implementation of plan of care Element
677958 Maritona Health Services Inc 11615 Lantana Reach Dr Richmond TX 6 (Dallas) 07/06/2023 60401-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0658 Performance improvement projects Standard
677961 Home Health Specialists Llc 2301 Ohio Drive Suite 180 Plano TX 6 (Dallas) 02/09/2018 0ZOX11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0442 Written notice for non-covered care Element
677962 Premier Golden Heart Health Care Services, Llc 2412 Old North Rd Building 101 Suite K Denton TX 6 (Dallas) 03/22/2021 MOJP11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0446 Contact info Federal/State-funded entities Element
G0614 Visit schedule Element
677962 Premier Golden Heart Health Care Services, Llc 2412 Old North Rd Building 101 Suite K Denton TX 6 (Dallas) 03/28/2018 LE1611 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0442 Written notice for non-covered care Element
G0446 Contact info Federal/State-funded entities Element
G0808 Onsite supervisory visit every 14 days Element