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
▼ 679444 Applesoft Homecare Svc Llc 1201 N Watson Suite #200 Arlington TX 6 (Dallas) 11/07/2022 5E39A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0602 Communication with all physicians Element
G0610 Patients receive education and training Element
▼ 679444 Applesoft Homecare Svc Llc 1201 N Watson Suite #200 Arlington TX 6 (Dallas) 08/20/2021 1SDK11 Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0686 Infection control education Standard
▼ 679445 American Family Connections, Inc. 2245 Valwood Parkway Farmers Branch TX 6 (Dallas) 05/18/2018 ESPZ11 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
▼ 679447 Axis Care Group Home Health Services, Inc. 800 Bonaventure Way, Suite 153 Sugar Land TX 6 (Dallas) 04/05/2018 NYTC11 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
▼ 679448 Home Instead Care Llc 1318 N 10th St, Ste 301 Mcallen TX 6 (Dallas) 03/04/2022 3860F-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
▼ 679451 Ac Health Services Inc 10103 Fondren Rd Ste 380 Houston TX 6 (Dallas) 01/12/2018 K4XQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0133 ADMINISTRATOR Standard
G0171 DUTIES OF THE REGISTERED NURSE Standard
G0332 INITIAL ASSESSMENT VISIT Standard
▼ 679452 Amazing Grace Home Health Agency Inc 383 Perry Avenue Lewisville TX 6 (Dallas) 09/30/2024 6441E-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
G0574 Plan of care must include the following Element
▼ 679453 Devine Home Health Agency Inc 800 West Airport Freeway Suite 514 Irving TX 6 (Dallas) 11/19/2024 64AD9-H1 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
G0584 Verbal orders Element
▼ 679461 Amigos Cristianos, L.L.C. 3211 Avenue F Bay City TX 6 (Dallas) 04/12/2018 CHOK11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
G0572 Plan of care Standard
G0586 Review and revision of the plan of care Standard
G0574 Plan of care must include the following Element
G0962 Coordinate patient care Element
G0968 Assure implementation of plan of care Element
G0984 In accordance with current clinical practice Element
▼ 679465 Palm Valley Health Care Ii Inc 119 E Canton Rd Edinburg TX 6 (Dallas) 09/24/2025 1D758B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0430 Be free from abuse Element
G0488 Immediate reporting of abuse by all staff Element