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
▼ 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
▼ 679363 The Four Group Homecare Llc 4635 Southwest Freeway Suite 360 Houston TX 6 (Dallas) 02/22/2018 LD2B11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0704 Responsibilities of skilled professionals Standard
G0514 RN performs assessment Element
▼ 679372 Texas Health Care Group Of Texarkana Llc 5495 Summerhill Road, Suite 5495 Texarkana TX 6 (Dallas) 03/05/2025 65838-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
▼ 679372 Texas Health Care Group Of Texarkana Llc 5495 Summerhill Road, Suite 5495 Texarkana TX 6 (Dallas) 03/27/2019 LT6P11 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
▼ 679373 Optimum Inc 8321 Woodward St. Houston TX 6 (Dallas) 01/12/2018 SVVQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0151 GROUP OF PROFESSIONAL PERSONNEL Condition
G0156 ACCEPTANCE OF PATIENTS, POC, MED SUPER Condition
G0133 ADMINISTRATOR Standard
G0143 COORDINATION OF PATIENT SERVICES Standard
G0152 GROUP OF PROFESSIONAL PERSONNEL Standard
G0153 GROUP OF PROFESSIONAL PERSONNEL Standard
G0154 ADVISORY AND EVALUATION FUNCTION Standard
G0155 ADVISORY AND EVALUATION FUNCTION Standard
G0157 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0159 PLAN OF CARE Standard
G0163 PERIODIC REVIEW OF PLAN OF CARE Standard
G0165 CONFORMANCE WITH PHYSICIAN ORDERS Standard
G0323 TRANSMITTAL OF OASIS DATA Standard
G0331 INITIAL ASSESSMENT VISIT Standard
G0341 UPDATE OF THE COMPREHENSIVE ASSESSMENT Standard
▼ 679377 Alvera Rehab Associates Inc 4893 E Fm 552 Rockwall TX 6 (Dallas) 07/25/2018 YVXC11 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
G0574 Plan of care must include the following Element
G0614 Visit schedule Element
G0720 Participate in the HHA's QAPI program; Element
▼ 679380 Three Star Home Health Agency Inc 407 N Cedar Ridge Dr. Ste 325 Duncanville TX 6 (Dallas) 05/23/2023 5FD09-H1 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
G0612 Written instructions to patient include: Standard
G0658 Performance improvement projects Standard
G0446 Contact info Federal/State-funded entities Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
▼ 679382 Vamos Health Care Ltd 2214 W Nolana Ave Mcallen TX 6 (Dallas) 05/11/2018 PLKE11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0860 Licensing Standard
G0574 Plan of care must include the following Element
G0610 Patients receive education and training Element
G0618 Treatments and therapy services Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0718 Communication with physicians Element
G0728 Rehab services supervised by PT, OT Element
G0978 Must have a written agreement Element
G1012 Required items in clinical record Element
▼ 679383 Concho Valley Hhc Of West Texas, Llc 430 W Beauregard Ave Ste B San Angelo TX 6 (Dallas) 06/19/2026 23678C-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
▼ 679384 Capital Homecare Lp 2306 North Travis Street Sherman TX 6 (Dallas) 07/01/2021 6FYO11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0446 Contact info Federal/State-funded entities Element