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
▼ 678144 A & A Home Health Services Inc 8558 Katy Fwy Ste 117 Houston TX 6 (Dallas) 03/13/2019 XLU811 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
G0718 Communication with physicians Element
▼ 678148 Ccc Home Health Llc 18333 Preston Rd, Ste 320 Dallas TX 6 (Dallas) 11/27/2024 64C58-H1 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
G0614 Visit schedule Element
G1022 Discharge and transfer summaries Element
▼ 678155 Arise Home Health Care Inc 215 Catholic War Veterans Blvd. Mission TX 6 (Dallas) 08/03/2018 527M11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 678165 Vicki Roy Home Health Care Inc 606 E Lela Street Suite A Harlingen TX 6 (Dallas) 10/14/2022 5DE2D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0584 Verbal orders Element
▼ 678165 Vicki Roy Home Health Care Inc 606 E Lela Street Suite A Harlingen TX 6 (Dallas) 10/16/2019 5MBX12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0133 ADMINISTRATOR Standard
G0236 CLINICAL RECORDS Standard
G0335 COMPLETION OF THE COMPREHENSIVE ASSESSMENT Standard
▼ 678166 Health Priority Home Care Inc 6565 West Loop South Suite 780 Bellaire TX 6 (Dallas) 04/13/2018 46SS11 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
▼ 678166 Health Priority Home Care Inc 6565 West Loop South Suite 780 Bellaire TX 6 (Dallas) 04/13/2018 FN0712 Recertification
Deficiency Tag Deficiency Description Tag Type
G0133 ADMINISTRATOR Standard
G0134 ADMINISTRATOR Standard
G0143 COORDINATION OF PATIENT SERVICES Standard
G0145 COORDINATION OF PATIENT SERVICES Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0165 CONFORMANCE WITH PHYSICIAN ORDERS Standard
▼ 678174 Primestar Home Health Of Central Texas Inc 5206 Wind River Rd. Austin TX 6 (Dallas) 02/08/2023 5EECC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 678208 Jessnic Home Health Agency Inc 1140 Empire Central, Suite 245 Dallas TX 6 (Dallas) 03/14/2024 6270B-H1 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
▼ 678208 Jessnic Home Health Agency Inc 1140 Empire Central, Suite 245 Dallas TX 6 (Dallas) 02/26/2018 910911 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard