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
▼ 747118 Healthy Choice Homecare Llc 4601 Old Shepard Place Suite 401 Plano TX 6 (Dallas) 09/17/2024 6425B-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
▼ 747120 Jdm Healthcare Services Llc 1118 Cavalcade Dr Grand Prairie TX 6 (Dallas) 05/18/2021 I6J511 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
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0442 Written notice for non-covered care Element
G0546 Last 5 days of every 60 days unless: Element
▼ 747128 Med-Source Healthcare Services Inc 12926 Dairy Ashford Suite 150 Sugar Land TX 6 (Dallas) 06/24/2021 WQ4F11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0948 Responsible for all day-to-day operations Element
▼ 747132 Restorative Care Home Health Services 221 Bedford Road Suite 320 Bedford TX 6 (Dallas) 01/04/2018 HQD211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0039 EP Testing Requirements Standard
G0101 PATIENT RIGHTS Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0218 COMPETENCY EVALUATION & IN-SERVICE TRAI Standard
▼ 747133 Regency Provider Services Inc 3939 East Us Hwy 80 Suite # 273 Mesquite TX 6 (Dallas) 01/14/2025 65083-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
▼ 747133 Regency Provider Services Inc 3939 East Us Hwy 80 Suite # 273 Mesquite TX 6 (Dallas) 12/14/2021 380D6-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
G0446 Contact info Federal/State-funded entities Element
▼ 747135 Good Shepperd Primary Health Care Llc 7980 Mile 17 N Edcouch TX 6 (Dallas) 05/02/2019 GSHF11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0478 Investigate complaints made by patient Element
G0710 Provide services in the plan of care Element
G0948 Responsible for all day-to-day operations Element
G0952 Ensure that HHA employs qualified personnel Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 747135 Good Shepperd Primary Health Care Llc 7980 Mile 17 N Edcouch TX 6 (Dallas) 01/12/2018 94GN11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0144 COORDINATION OF PATIENT SERVICES Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0159 PLAN OF CARE Standard
▼ 747136 Life Home Health Care Inc 1609 Davenport Street Suite B Weslaco TX 6 (Dallas) 02/07/2025 6546C-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
▼ 747141 Efe Healthcare Services Inc 1700 Alma Dr Ste 150 Plano TX 6 (Dallas) 02/07/2025 654A0-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