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
▼ 679461 Amigos Cristianos, L.L.C. 3211 Avenue F Bay City TX 6 (Dallas) 04/12/2018 CHOK11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
G0572 Plan of care Standard
G0586 Review and revision of the plan of care Standard
G0574 Plan of care must include the following Element
G0962 Coordinate patient care Element
G0968 Assure implementation of plan of care Element
G0984 In accordance with current clinical practice Element
▼ 679465 Palm Valley Health Care Ii Inc 119 E Canton Rd Edinburg TX 6 (Dallas) 09/24/2025 1D758B-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
G0430 Be free from abuse Element
G0488 Immediate reporting of abuse by all staff Element
▼ 679465 Palm Valley Health Care Ii Inc 119 E Canton Rd Edinburg TX 6 (Dallas) 10/25/2019 YQCY12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0170 SKILLED NURSING SERVICES Standard
G0236 CLINICAL RECORDS Standard
▼ 679472 Trinity Inspired Home Health Care Inc 10925 Estate Ln Ste W216 Dallas TX 6 (Dallas) 01/03/2025 64F2D-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
G0772 Documentation of competency evaluation Element
▼ 679475 Global Nursing Services Inc 5411 Mcpherson Rd, Ste 104 Laredo TX 6 (Dallas) 09/22/2022 4F741-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0528 Health, psychosocial, functional, cognition Element
▼ 679475 Global Nursing Services Inc 5411 Mcpherson Rd, Ste 104 Laredo TX 6 (Dallas) 06/26/2019 456C12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
▼ 679476 Hhn Healthcare, Llc. 1106 W. Veterans Blvd Ste C Palmview TX 6 (Dallas) 03/13/2020 ENEG12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
▼ 679477 Perpetual Health Homecare Inc 8311 A Windfern Rd Houston TX 6 (Dallas) 01/11/2018 2RJ511 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0321 ENCODING OASIS DATA Standard
G0332 INITIAL ASSESSMENT VISIT Standard
▼ 679478 Good Samaritan Home Health Care Inc 9550 Skillman St Suite #320 Dallas TX 6 (Dallas) 10/18/2024 6471B-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
G0658 Performance improvement projects Standard
▼ 679478 Good Samaritan Home Health Care Inc 9550 Skillman St Suite #320 Dallas TX 6 (Dallas) 12/04/2018 6CGH12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0144 COORDINATION OF PATIENT SERVICES Standard