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
▼ 059700 New Start Home Health Care, Inc 21255 Burbank Blvd. Suite 120 Woodland Hills CA 9 (San Francisco) 06/25/2025 65361-H4 Complaint
Deficiency Tag Deficiency Description Tag Type
G0940 Organization and administration of services Condition
G0612 Written instructions to patient include: Standard
G0942 Governing body Standard
G0608 Coordinate care delivery Element
G0948 Responsible for all day-to-day operations Element
▼ 059700 New Start Home Health Care, Inc 21255 Burbank Blvd. Suite 120 Woodland Hills CA 9 (San Francisco) 05/29/2025 65361-H3 Complaint
Deficiency Tag Deficiency Description Tag Type
G0590 Promptly alert relevant physician of changes Element
▼ 059700 New Start Home Health Care, Inc 21255 Burbank Blvd. Suite 120 Woodland Hills CA 9 (San Francisco) 01/30/2025 65361-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0602 Communication with all physicians Element
▼ 059700 New Start Home Health Care, Inc 21255 Burbank Blvd. Suite 120 Woodland Hills CA 9 (San Francisco) 02/05/2018 00Y511 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
▼ 059704 Majestic Hospice & Home Health, Llc 16360 Monterey Street, Suite 150 Morgan Hill CA 9 (San Francisco) 03/16/2023 5F397-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
▼ 059705 Sehaj Home Health, Inc. 44790 S Grimmer Boulevard, Suite 206 Fremont CA 9 (San Francisco) 08/30/2021 TJH011 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0436 Receive all services in plan of care Element
G0442 Written notice for non-covered care Element
G0454 HHA can no longer meet the patient's needs Element
▼ 059712 Pinnacle Home Health Agency Inc 1375 Locust Street, Suite 200m Walnut Creek CA 9 (San Francisco) 10/17/2024 647D7-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0325 Basis and Scope Condition
G0848 Compliance with Federal, State, Local Law Condition
▼ 059717 A Plus Home Health Care, Inc. 4625 1st Street, Suite 210 Pleasanton CA 9 (San Francisco) 10/10/2019 ERI911 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0470 Document efforts to resolve problems Element
G0968 Assure implementation of plan of care Element
▼ 059720 In Home Care Group, Llc 6830 Via Del Oro, Suite 106a San Jose CA 9 (San Francisco) 01/12/2018 9ZP311 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0102 NOTICE OF RIGHTS Standard
G0121 COMPLIANCE W/ ACCEPTED PROFESSIONAL STD Standard
G0164 PERIODIC REVIEW OF PLAN OF CARE Standard
G0170 SKILLED NURSING SERVICES Standard
G0236 CLINICAL RECORDS Standard
G0332 INITIAL ASSESSMENT VISIT Standard
G0337 DRUG REGIMEN REVIEW Standard
▼ 059722 Health Essentials Resource & Services, Inc. 24301 Southland Drive, Suite 611 Hayward CA 9 (San Francisco) 06/27/2019 QOQX11 Complaint, Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0706 Interdisciplinary assessment of the patient Element