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
▼ 679588 Eben & T International, Inc. 1221 Abrams Rd Suite 345 Richardson TX 6 (Dallas) 06/11/2026 2354D6-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
▼ 679590 Unity Care Home Health Inc 906 Derby Ln Missouri City TX 6 (Dallas) 12/13/2018 C2P011 Recertification
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
G0716 Preparing clinical notes Element
G0948 Responsible for all day-to-day operations Element
G1012 Required items in clinical record Element
▼ 679591 Monarch Healthcare Inc 13405 Floyd Cir Ste 100 Dallas TX 6 (Dallas) 06/20/2023 5FFD4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0642 Program scope Standard
G0658 Performance improvement projects Standard
▼ 679601 Lifecare Health Services L.L.C. 9100 Southwest Freeway Suite 160 Houston TX 6 (Dallas) 05/04/2018 ZNC811 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
G0574 Plan of care must include the following Element
▼ 679615 Victorian Healthcare Services Inc 3502 Stratford Manor Dr Sugar Land TX 6 (Dallas) 03/22/2019 WQOE11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 679616 Arav Healthcare 1350 E. Arapaho Rd Suite 212 Richardson TX 6 (Dallas) 06/20/2024 63605-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
G1024 Authentication Standard
G0442 Written notice for non-covered care Element
▼ 679618 Avatar Home Health Care Agency Llc 25325 Borough Park Drive #100 The Woodlands TX 6 (Dallas) 11/01/2019 ZSGW11 Complaint, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0600 Coordination of Care Standard
G0436 Receive all services in plan of care Element
G0546 Last 5 days of every 60 days unless: Element
▼ 679626 Esteem Home Health, Inc. 6233 Evers Road Suite 1 San Antonio TX 6 (Dallas) 05/05/2023 5FAEE-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
G0600 Coordination of Care Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 679626 Esteem Home Health, Inc. 6233 Evers Road Suite 1 San Antonio TX 6 (Dallas) 09/11/2020 67PT11 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
G0572 Plan of care Standard
G0686 Infection control education Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
▼ 679640 Well-Care Home Health Inc 9545 Katy Freeway Suite 208 Houston TX 6 (Dallas) 06/07/2018 L95E11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0948 Responsible for all day-to-day operations Element