S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 747041 Promise Homehealth Inc 10114 Ekukpe Drive Dallas TX 6 (Dallas) 05/31/2024 632F6-H1 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
▼ 747041 Promise Homehealth Inc 10114 Ekukpe Drive Dallas TX 6 (Dallas) 06/01/2021 53VS11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard
G0442 Written notice for non-covered care Element
▼ 747044 St Martin Healthcare Services Llc 10015 N. Eldridge Pkwy Ste. E- 109 Houston TX 6 (Dallas) 10/19/2018 0D6F11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0032 Primary/Alternate Means for Communication Standard
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
▼ 747045 Falconcitos Health Care Inc 1106 W Veterans Blvd Ste D Palmview TX 6 (Dallas) 03/06/2025 65849-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0686 Infection control education Standard
▼ 747047 Ayuda Home Health Care Services Llc 1515 Cessna Suite 201 El Paso TX 6 (Dallas) 08/09/2024 63D82-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
▼ 747048 Alive Home Health Care Inc 350 Oaks Trail Drive Suite 140 Garland TX 6 (Dallas) 01/19/2018 KLBK11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0203 HOME HEALTH AIDE SERVICES Standard
▼ 747050 Leone Homehealth Care Agency Inc 3334 Broadway Blvd., Suite 422 Garland TX 6 (Dallas) 02/28/2018 NS9711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0808 Onsite supervisory visit every 14 days Element
▼ 747051 Vital Home Health Care Inc 330 Municipal Drive Suite 104 B Richardson TX 6 (Dallas) 10/01/2018 OGS612 Recertification
Deficiency Tag Deficiency Description Tag Type
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
▼ 747065 All Your Home Health, Incorporated 4335 Piedras Drive W Suite 107 San Antonio TX 6 (Dallas) 03/28/2024 62971-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0982 Skilled services furnished Standard
▼ 747065 All Your Home Health, Incorporated 4335 Piedras Drive W Suite 107 San Antonio TX 6 (Dallas) 01/12/2018 2LGK11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0121 COMPLIANCE W/ ACCEPTED PROFESSIONAL STD Standard
G0236 CLINICAL RECORDS Standard
G0237 RETENTION OF RECORDS Standard
G0337 DRUG REGIMEN REVIEW Standard