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
▼ 059725 21st Century Home Health Services Inc. 1575 Old Bayshore Hwy, Suite 300 Burlingame CA 9 (San Francisco) 07/12/2019 JEM711 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G1010 Contents of clinical record Standard
G0536 A review of all current medications Element
G0952 Ensure that HHA employs qualified personnel Element
G0984 In accordance with current clinical practice Element
▼ 059732 Health Now Home Healthcare, Inc. 23591 Foley Street Hayward CA 9 (San Francisco) 04/07/2020 W3PX11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0958 Clinical manager Standard
G0436 Receive all services in plan of care Element
G0442 Written notice for non-covered care Element
G0480 Treatment or care Element
▼ 059732 Health Now Home Healthcare, Inc. 23591 Foley Street Hayward CA 9 (San Francisco) 08/07/2019 OBXQ13 Recertification
Deficiency Tag Deficiency Description Tag Type
G0572 Plan of care Standard
G0598 Discharge plans communication Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 059732 Health Now Home Healthcare, Inc. 23591 Foley Street Hayward CA 9 (San Francisco) 02/28/2019 OBXQ12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0406 Patient rights Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G0958 Clinical manager Standard
G0436 Receive all services in plan of care Element
G0442 Written notice for non-covered care Element
G0480 Treatment or care Element
G0550 At discharge Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0964 Coordinate referrals; Element
G1012 Required items in clinical record Element
▼ 059732 Health Now Home Healthcare, Inc. 23591 Foley Street Hayward CA 9 (San Francisco) 09/28/2018 OBXQ11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0372 Encoding and transmitting OASIS Standard
G0600 Coordination of Care Standard
G0702 Services by skilled professionals Standard
G1010 Contents of clinical record Standard
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0592 Revised plan of care Element
G0800 Services provided by HH aide Element
▼ 059736 Hygeia Home Care, Inc. 14545 Victory Blvd, Suite #606 Van Nuys CA 9 (San Francisco) 08/23/2024 63F25-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Condition of Participation: Patient rights. Condition
G0510 Comprehensive Assessment of Patients Condition
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
G0562 Discharge Planning Standard
G0942 Governing body Standard
G1028 Protection of records Standard
G0434 Participate in care Element
G0536 A review of all current medications Element
G0550 At discharge Element
G1012 Required items in clinical record Element
▼ 059737 Rh Home Health Services, Inc. 229 N. Central Ave., Suite 610 Glendale CA 9 (San Francisco) 05/30/2019 Y3Q911 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0722 Participate in HHA-sponsored in-service Element
▼ 059738 D.A. Health Care Services 1811 Oak Street Suite 160b Bakersfield CA 9 (San Francisco) 04/29/2019 6B6K11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1028 Protection of records Standard
▼ 059743 Asklepius Home Health, Inc. 14039 Sherman Way, Suite #202 Van Nuys CA 9 (San Francisco) 08/23/2024 63F76-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Condition of Participation: Patient rights. Condition
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
G0572 Plan of care Standard
G0702 Services by skilled professionals Standard
G0942 Governing body Standard
G1024 Authentication Standard
G0464 Advise the patient of discharge for cause Element
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G1012 Required items in clinical record Element
▼ 059746 Healthy Living At Home - El Centro Llc 447 West Aten Road, Suite G Imperial CA 9 (San Francisco) 08/23/2018 BFRP11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0702 Services by skilled professionals Standard