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
▼ 059604 J And S Home Health Services, Inc 2525 E Colorado Blvd, Ste 108 Pasadena CA 9 (San Francisco) 04/19/2018 5TUC11 Complaint, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0590 Promptly alert relevant physician of changes Element
G0604 Integrate all orders Element
G0710 Provide services in the plan of care Element
▼ 059612 Prohealth Home Health Care, Inc 2453 Grand Canal Blvd, Ste 100 Stockton CA 9 (San Francisco) 05/07/2026 230258-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1008 Clinical records Condition
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G1024 Authentication Standard
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0608 Coordinate care delivery Element
G0726 Nursing services supervised by RN Element
G0808 Onsite supervisory visit every 14 days Element
G0952 Ensure that HHA employs qualified personnel Element
G0984 In accordance with current clinical practice Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
▼ 059612 Prohealth Home Health Care, Inc 2453 Grand Canal Blvd, Ste 100 Stockton CA 9 (San Francisco) 05/04/2023 5FA42-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
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
G0536 A review of all current medications Element
G0550 At discharge Element
G0608 Coordinate care delivery Element
G0710 Provide services in the plan of care Element
G0726 Nursing services supervised by RN Element
G0808 Onsite supervisory visit every 14 days Element
▼ 059612 Prohealth Home Health Care, Inc 2453 Grand Canal Blvd, Ste 100 Stockton CA 9 (San Francisco) 04/11/2018 H7L411 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0143 COORDINATION OF PATIENT SERVICES Standard
G0157 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0165 CONFORMANCE WITH PHYSICIAN ORDERS Standard
G0236 CLINICAL RECORDS Standard
▼ 059623 P.A.L. Loving Care Home Health, Inc. 2829 N San Fernando Rd Suite 211 Los Angeles CA 9 (San Francisco) 09/18/2022 4F6C6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0036 EP Training and Testing Standard
G0686 Infection control education Standard
G0536 A review of all current medications Element
G0602 Communication with all physicians Element
G0610 Patients receive education and training Element
▼ 059624 A&C Healthcare, Inc 20465 East Valley Blvd Walnut CA 9 (San Francisco) 08/19/2022 4F3E5-H1 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
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0602 Communication with all physicians Element
▼ 059624 A&C Healthcare, Inc 20465 East Valley Blvd Walnut CA 9 (San Francisco) 09/23/2019 B04011 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0536 A review of all current medications Element
▼ 059634 Rehab Home Health, Inc. 2250 Douglas Blvd Roseville CA 9 (San Francisco) 01/15/2019 TB2Y11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1008 Clinical records Condition
▼ 059641 Camarillo Hhca Inc 18107 Sherman Way, Suite 212 Reseda CA 9 (San Francisco) 02/13/2018 91EE11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0410 Information to patient Element
G0436 Receive all services in plan of care Element
G0580 Only as ordered by a physician Element
G0616 Patient medication schedule/instructions Element
G1016 Goals in the patient's plans of care Element
▼ 059649 Cdm Health Care, Inc. 3665 Ruffin Road, Suite 100 San Diego CA 9 (San Francisco) 05/03/2018 AK0411 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G0772 Documentation of competency evaluation Element
G1022 Discharge and transfer summaries Element