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
▼ 679476 Hhn Healthcare, Llc. 1106 W. Veterans Blvd Ste C Palmview TX 6 (Dallas) 03/03/2023 5F21E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0452 Transfer and discharge Standard
G0572 Plan of care Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
▼ 679476 Hhn Healthcare, Llc. 1106 W. Veterans Blvd Ste C Palmview TX 6 (Dallas) 03/13/2020 FZD011 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
G0602 Communication with all physicians Element
G0610 Patients receive education and training Element
G0716 Preparing clinical notes Element
G0726 Nursing services supervised by RN Element
▼ 679477 Perpetual Health Homecare Inc 8311 A Windfern Rd Houston TX 6 (Dallas) 01/11/2018 2RJ511 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0321 ENCODING OASIS DATA Standard
G0332 INITIAL ASSESSMENT VISIT Standard
▼ 679478 Good Samaritan Home Health Care Inc 9550 Skillman St Suite #320 Dallas TX 6 (Dallas) 10/18/2024 6471B-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
G0658 Performance improvement projects Standard
▼ 679479 Fountain Care Inc 9127 Magnolia View Houston TX 6 (Dallas) 04/11/2018 VSCT11 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
▼ 679481 Victory Institute Inc 12115 Self Plaza Dr Dallas TX 6 (Dallas) 03/11/2026 1F2BDD-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
G0410 Information to patient Element
G0446 Contact info Federal/State-funded entities Element
▼ 679481 Victory Institute Inc 12115 Self Plaza Dr Dallas TX 6 (Dallas) 02/28/2023 5F263-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1056 Clinical Manager Standard
G0442 Written notice for non-covered care Element
G0614 Visit schedule Element
G0962 Coordinate patient care Element
G0968 Assure implementation of plan of care Element
▼ 679485 Kindstar, Inc 2950 50th (Hh) Lubbock TX 6 (Dallas) 12/20/2019 G4OI11 Complaint
Deficiency Tag Deficiency Description Tag Type
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
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0602 Communication with all physicians Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G0948 Responsible for all day-to-day operations Element
G0960 Make patient and personnel assignments, Element
G0962 Coordinate patient care Element
G0966 Assure patient needs are continually assessed Element
G0968 Assure implementation of plan of care Element
▼ 679487 Favorite Home Health Care Llc 9555 Lebanon Suite # 504 Frisco TX 6 (Dallas) 10/08/2024 645D4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0772 Documentation of competency evaluation Element
▼ 679490 Torres Home Health Services, Lc 7511 Mcpherson Rd Ste 6a Laredo TX 6 (Dallas) 02/27/2025 6566D-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
G0584 Verbal orders Element
G0602 Communication with all physicians Element