S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
683111 Ambiance Home Health Care Inc 7815 N Dale Mabry Hwy Ste 210 Tampa FL 4 (Atlanta) 09/12/2019 L9NK11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
683114 Loving Hands Home Health Agency Inc 2336 Cleveland Ave Ste D Fort Myers FL 4 (Atlanta) 03/27/2018 11FM11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
G0800 Services provided by HH aide Element
683119 Uci Home Health Services 16244 S Military Trl Ste 755 Delray Beach FL 4 (Atlanta) 10/31/2019 CDQX11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
683120 Lighthouse Home Health Agency Llc 1850 Sw Fountainview Blvd Ste 103 Port Saint Lucie FL 4 (Atlanta) 10/22/2021 37CA5-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
G0406 Patient rights Condition
G0430 Be free from abuse Element
G0488 Immediate reporting of abuse by all staff Element
683123 One At Home - Palm Beach 7251 W Palmetto Park Rd Ste 208 Boca Raton FL 4 (Atlanta) 10/15/2019 0Y0811 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
G0590 Promptly alert relevant physician of changes Element
683123 One At Home - Palm Beach 7251 W Palmetto Park Rd Ste 208 Boca Raton FL 4 (Atlanta) 09/20/2019 0Q3011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0030 Names and Contact Information Standard
G0376 Transmittal of OASIS data Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G1022 Discharge and transfer summaries Element
683123 One At Home - Palm Beach 7251 W Palmetto Park Rd Ste 208 Boca Raton FL 4 (Atlanta) 09/20/2019 NWTO11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
683123 One At Home - Palm Beach 7251 W Palmetto Park Rd Ste 208 Boca Raton FL 4 (Atlanta) 08/22/2019 63PM11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0418 Patient's or legal representative's signature Element
G0580 Only as ordered by a physician Element
G0948 Responsible for all day-to-day operations Element
683123 One At Home - Palm Beach 7251 W Palmetto Park Rd Ste 208 Boca Raton FL 4 (Atlanta) 04/29/2019 O26C11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
683123 One At Home - Palm Beach 7251 W Palmetto Park Rd Ste 208 Boca Raton FL 4 (Atlanta) 03/14/2019 EM1X11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard