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
▼ 679337 Good Health Services Inc. 9304 Forest Lane Suite S225 Dallas TX 6 (Dallas) 10/04/2021 WOPH11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0658 Performance improvement projects Standard
G0442 Written notice for non-covered care Element
G0588 Reviewed, revised by physician every 60 days Element
▼ 679338 Rosy In Home Services Inc 3724 Airport Boulevard Austin TX 6 (Dallas) 03/18/2026 1F4DDF-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
▼ 679338 Rosy In Home Services Inc 3724 Airport Boulevard Austin TX 6 (Dallas) 03/09/2023 5F32D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0974 Direct support and administrative control Element
▼ 679343 Titan Health Services Llc 10010 Rogers Crossing Ste 210 San Antonio TX 6 (Dallas) 08/02/2023 608B7-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
G1026 Retention of records Standard
G1030 Retrieval of records Standard
▼ 679350 Discovery At Home In Texas Inc 6401 Ohio Dr Apt 1107 Plano TX 6 (Dallas) 07/25/2024 63B5B-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
▼ 679352 Home Care Patient Services, Llc 3033 W. President George Bush Highway, Suite 150 Plano TX 6 (Dallas) 09/30/2024 643F3-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
▼ 679354 Health Com Management, Llc 1521 South Staples, Suite 206 Corpus Christi TX 6 (Dallas) 05/20/2022 38A3B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0710 Provide services in the plan of care Element
G1014 Interventions and patient response Element
▼ 679354 Health Com Management, Llc 1521 South Staples, Suite 206 Corpus Christi TX 6 (Dallas) 04/08/2019 0UC011 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
G0798 Home health aide assignments and duties Standard
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 679356 Five Star Healthcare Service Inc 8306 Ballina Ridge Court Houston TX 6 (Dallas) 05/23/2018 YV7J11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0948 Responsible for all day-to-day operations Element
▼ 679358 1st Prudential Health Care Services, Inc. 4221 E Pleasant Forest St Arlington TX 6 (Dallas) 05/25/2018 S2ER11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0442 Written notice for non-covered care Element
G0488 Immediate reporting of abuse by all staff Element
G0614 Visit schedule Element