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
▼ 679001 Allstar Healthcare Inc 1100 W Pioneer Parkway Arlington TX 6 (Dallas) 10/28/2022 5E24B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0576 All orders recorded in plan of care Element
▼ 679007 Medical Team Correctional Medical Services Inc 516 North Sycamore Ste C Palestine TX 6 (Dallas) 09/10/2025 1D641F-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
▼ 679008 Danglen Incorporated 2718 Frostwood Circle Dickinson TX 6 (Dallas) 02/22/2018 XFE511 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0032 Primary/Alternate Means for Communication Standard
G0574 Plan of care must include the following Element
G1012 Required items in clinical record Element
▼ 679009 Van Dyck Home Care Enterprises Llc 9608 Bartlett Cir Ste 150 Fort Worth TX 6 (Dallas) 07/17/2025 66A03-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0488 Immediate reporting of abuse by all staff Element
▼ 679011 Ndubuisi D Acho 6850 Manhattan Boulevard Suite 104 Fort Worth TX 6 (Dallas) 12/05/2024 64C55-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
▼ 679011 Ndubuisi D Acho 6850 Manhattan Boulevard Suite 104 Fort Worth TX 6 (Dallas) 11/22/2021 37F7B-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
▼ 679011 Ndubuisi D Acho 6850 Manhattan Boulevard Suite 104 Fort Worth TX 6 (Dallas) 11/16/2018 88UN12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0144 COORDINATION OF PATIENT SERVICES Standard
▼ 679013 Texas Home Healthcare Partners Lp 1333 Corporate Dr. Ste. 350a Irving TX 6 (Dallas) 07/05/2018 YD8E12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0144 COORDINATION OF PATIENT SERVICES Standard
▼ 679013 Texas Home Healthcare Partners Lp 1333 Corporate Dr. Ste. 350a Irving TX 6 (Dallas) 07/05/2018 ZIJQ11 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
G0536 A review of all current medications Element
G0606 Integrate all services Element
G0614 Visit schedule Element
▼ 679031 Libbys Healthcare Management Inc 11500 N Stemmons Fwy Ste 180 Dallas TX 6 (Dallas) 06/12/2025 66600-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard