S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
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Time Interval

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Provider Characteristics

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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
▼ 677938 C & C Ultra Healthcare Providers Inc 3300 South Gessner Rd #203 Houston TX 6 (Dallas) 02/20/2026 1E4950-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
▼ 677943 Camden Bay Ltd 5211 Sw 9th Avenue Amarillo TX 6 (Dallas) 03/03/2025 654CE-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0800 Services provided by HH aide Element
▼ 677945 Divineheart Healthcare Inc 2100 Zaide Way Celina TX 6 (Dallas) 03/14/2018 WH1O11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0660 Executive responsibilities for QAPI Standard
G0962 Coordinate patient care Element
▼ 677946 Dj Montgomery Enterprise Llc 860 Hebron Parkway Suite 703 Lewisville TX 6 (Dallas) 05/21/2021 C8Q111 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
G0574 Plan of care must include the following Element
▼ 677946 Dj Montgomery Enterprise Llc 860 Hebron Parkway Suite 703 Lewisville TX 6 (Dallas) 06/01/2018 6HLN11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0768 Competency evaluation Standard
G0442 Written notice for non-covered care Element
G1014 Interventions and patient response Element
▼ 677948 Ebenezer Home Health Care Llc 1515 E Kearney St Suite 100 Mesquite TX 6 (Dallas) 04/25/2018 GUQ311 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0614 Visit schedule Element
▼ 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