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
▼ 059583 Tarlani Corp. 2347 Honolulu Ave Montrose CA 9 (San Francisco) 08/23/2024 62A96-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
G1028 Protection of records Standard
G0532 Continuing need for home care Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
▼ 059583 Tarlani Corp. 2347 Honolulu Ave Montrose CA 9 (San Francisco) 04/08/2024 62A96-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G1008 Clinical records Condition
G0572 Plan of care Standard
G0612 Written instructions to patient include: Standard
G0654 Track adverse patient events Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G1024 Authentication Standard
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G1012 Required items in clinical record Element
G1018 Contact information for the patient Element
▼ 059588 N Your Home Health Care 515 W Main Street, Ste A El Centro CA 9 (San Francisco) 12/09/2020 GR6U11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 059588 N Your Home Health Care 515 W Main Street, Ste A El Centro CA 9 (San Francisco) 12/10/2019 JWUN11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0520 5 calendar days after start of care Element
G0584 Verbal orders Element
G0726 Nursing services supervised by RN Element
G0808 Onsite supervisory visit every 14 days Element
▼ 059591 Cottage Home Health, Inc 6955 Sierra Court, Suite 204 Dublin CA 9 (San Francisco) 02/26/2019 SPX011 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1026 Retention of records Standard
G0474 HHA ceases to operate Element
G1022 Discharge and transfer summaries Element
▼ 059592 Golden Years Home Health, Inc. 550 W Cienega Ave. Suite H San Dimas CA 9 (San Francisco) 11/05/2025 1DA691-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0536 A review of all current medications Element
▼ 059593 Green Meadows Home Health Care, Inc 2204 East 4th Street, #200 Santa Ana CA 9 (San Francisco) 06/11/2026 235383-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0520 5 calendar days after start of care Element
G0546 Last 5 days of every 60 days unless: Element
G0580 Only as ordered by a physician Element
G0602 Communication with all physicians Element
G0614 Visit schedule Element
G0716 Preparing clinical notes Element
▼ 059593 Green Meadows Home Health Care, Inc 2204 East 4th Street, #200 Santa Ana CA 9 (San Francisco) 09/10/2025 1D607E-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0602 Communication with all physicians Element
G0606 Integrate all services Element
▼ 059597 United Nursing Personal Care, Inc. 14070 Hesperia Road Victorville CA 9 (San Francisco) 06/28/2024 638B0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
E0031 Emergency Officials Contact Information Standard
G0642 Program scope Standard
G0644 Program data Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0774 12 hours inservice every 12 months Standard
G0860 Licensing Standard
G0942 Governing body Standard
G0536 A review of all current medications Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 059600 Caremetrix Home Health, Llc 22024 Lassen Street, Suite 100 Chatsworth CA 9 (San Francisco) 09/09/2019 WLYI11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0862 Laboratory services/CLIA waivers Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0948 Responsible for all day-to-day operations Element