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
▼ 679770 1st Precious Health Services Inc 5928 Summerwood Dr Grand Prairie TX 6 (Dallas) 05/06/2025 6603D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0514 RN performs assessment Element
G0580 Only as ordered by a physician Element
▼ 679781 Carewell Inc 805 West Price Road Ste B4 Brownsville TX 6 (Dallas) 10/15/2019 787H11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 679782 Hospital At Home Llc 508 West Expressway 83 Mcallen TX 6 (Dallas) 01/09/2020 UH3G12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0133 ADMINISTRATOR Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0244 EVALUATION OF THE AGENCY'S PROGRAM Standard
G0321 ENCODING OASIS DATA Standard
▼ 679784 Klarus Home Care, Llc 4100 International Plaza Suite 750 Fort Worth TX 6 (Dallas) 07/22/2022 4F163-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
G0606 Integrate all services Element
▼ 679786 Bmr Home Health, Llc 4205 Fairmont Parkway Ste. 150a Pasadena TX 6 (Dallas) 04/17/2019 NAYU12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0143 COORDINATION OF PATIENT SERVICES Standard
▼ 679793 Eprimetec Inc 21322 Springbend Ln Katy TX 6 (Dallas) 07/16/2025 1D11E3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1028 Protection of records Standard
▼ 683103 Matrix Home Care Llc 1800 S Australian Ave Ste 350 West Palm Beach FL 4 (Atlanta) 05/15/2018 VPG211 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0608 Coordinate care delivery Element
▼ 683106 A Quality Home Health 4u Inc 14391 Metropolis Ave Ste 101 Fort Myers FL 4 (Atlanta) 03/02/2020 OKXJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
▼ 683110 Therapycare Home Health Llc 1361 13th Ave S Ste 170 Jax Bch FL 4 (Atlanta) 06/13/2019 CG5111 Recertification, Sample Validation
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
▼ 683111 Ambiance Home Health Care Inc 7815 N Dale Mabry Hwy Ste 210 Tampa FL 4 (Atlanta) 10/17/2019 YV8X11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G0372 Encoding and transmitting OASIS Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0428 Property and person treated with respect Element
G0436 Receive all services in plan of care Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0948 Responsible for all day-to-day operations Element