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
▼ 679151 Phcs Ii Inc 815 Trailwood Drive Ste 120 Hurst TX 6 (Dallas) 12/18/2024 64E2A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0588 Reviewed, revised by physician every 60 days Element
▼ 679156 Sher Den Home Health Inc 810 N Travis St Sherman TX 6 (Dallas) 09/27/2024 64417-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
▼ 679156 Sher Den Home Health Inc 810 N Travis St Sherman TX 6 (Dallas) 09/22/2021 3TTI11 Other-Fed, 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
G1022 Discharge and transfer summaries Element
▼ 679157 Southeast Texas Professional Health Care Inc 4347 Crow Road Beaumont TX 6 (Dallas) 07/01/2019 XCXU11 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
▼ 679167 Eh Of Fort Worth, Lp 6500 West Freeway, Suite 450 Fort Worth TX 6 (Dallas) 09/10/2025 1D4BCA-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
G0580 Only as ordered by a physician Element
▼ 679170 Select Care Home Health, Inc. 11803 Grant Road Suite #203 Cypress TX 6 (Dallas) 11/15/2024 64A8E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0714 Patient and caregiver education Element
▼ 679177 Consolidated First Choice Home Health Inc 412 S. Kaufman St Newton TX 6 (Dallas) 03/21/2018 1M5111 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 679178 Haven Healthcare Systems Inc 4615 Southwest Freeway Suite 740 Houston TX 6 (Dallas) 01/31/2019 Q0ZK11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0578 Conformance with physician orders Standard
G0768 Competency evaluation Standard
G0414 HHA administrator contact information Element
G0438 Have a confidential clinical record Element
G0446 Contact info Federal/State-funded entities Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G0592 Revised plan of care Element
G0622 Name/contact information of clinical manager Element
G0716 Preparing clinical notes Element
G0948 Responsible for all day-to-day operations Element
▼ 679181 Valley Care Home Health Services Llc 435 Paredes Line Rd Suite B Brownsville TX 6 (Dallas) 12/19/2022 5E877-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0013 Development of EP Policies and Procedures Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0034 Information on Occupancy/Needs Standard
G0514 RN performs assessment Element
G0716 Preparing clinical notes Element
▼ 679181 Valley Care Home Health Services Llc 435 Paredes Line Rd Suite B Brownsville TX 6 (Dallas) 01/17/2020 V41312 Recertification
Deficiency Tag Deficiency Description Tag Type
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard