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
▼ 679640 Well-Care Home Health Inc 9545 Katy Freeway Suite 208 Houston TX 6 (Dallas) 06/07/2018 L95E11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0948 Responsible for all day-to-day operations Element
▼ 679647 Encompass Home Health Of Austin Llc 285 Se Inner Loop Suite 108 Georgetown TX 6 (Dallas) 12/17/2024 64DC1-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
▼ 679652 Imparting Knowledge Home Health Inc 1255 W 15th St, Ste 900 Plano TX 6 (Dallas) 05/16/2018 TW5X11 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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0039 EP Testing Requirements Standard
G0422 Written notice within 4 business days Element
G0446 Contact info Federal/State-funded entities Element
▼ 679655 Gracefull Llc 4100 E Piedras Dr, Ste 212 San Antonio TX 6 (Dallas) 10/18/2019 6K8S11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
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
G0518 Completion of the comprehensive assessment Standard
G0572 Plan of care Standard
G0798 Home health aide assignments and duties Standard
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0608 Coordinate care delivery Element
G0708 Development and evaluation of plan of care Element
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
G0948 Responsible for all day-to-day operations Element
G0968 Assure implementation of plan of care Element
G1012 Required items in clinical record Element
▼ 679659 Opt Home Healthcare Inc. 11111 Richmond Ave., Suite 290 Houston TX 6 (Dallas) 06/13/2025 66643-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 679667 Southern Assured Home Health Llc 640 W. Main St Yorktown TX 6 (Dallas) 01/13/2026 1E0B2C-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
G0720 Participate in the HHA's QAPI program; Element
▼ 679671 Advanced Hh, Llc 1212 Corporate Drive, Suite 125 Irving TX 6 (Dallas) 06/24/2025 66690-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0442 Written notice for non-covered care Element
▼ 679672 Custom Care Healthcare, Inc 6606 Lbj Freeway Suite 110 Dallas TX 6 (Dallas) 11/30/2022 5E648-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0982 Skilled services furnished Standard
G0442 Written notice for non-covered care Element
▼ 679676 Alpha Mk Healthcare Inc 2351 W Northwest Hwy Dallas TX 6 (Dallas) 07/07/2022 4EFB6-H1 Recertification
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
G0658 Performance improvement projects Standard
G0942 Governing body Standard
▼ 679678 Hallmark Homecare Lp 14800 San Pedro Ave Suite 200 San Antonio TX 6 (Dallas) 09/29/2022 4F5CF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element