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
▼ 747141 Efe Healthcare Services Inc 1700 Alma Dr Ste 150 Plano TX 6 (Dallas) 02/22/2022 38555-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
G0572 Plan of care Standard
G0684 Infection control Standard
G0446 Contact info Federal/State-funded entities Element
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
▼ 747142 Divine Torch Health Services, Inc 110 W. Randol Mill Road Suite 242 Arlington TX 6 (Dallas) 08/20/2018 CQPY12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
▼ 747144 One Lac Inc 701 E Esperanza Suite A Mcallen TX 6 (Dallas) 04/11/2018 QK5T12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0143 COORDINATION OF PATIENT SERVICES Standard
G0236 CLINICAL RECORDS Standard
▼ 747151 Zion Rock Services Llc 700 E Park Blvd Ste 102 Plano TX 6 (Dallas) 09/16/2024 6429A-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
G0572 Plan of care Standard
▼ 747151 Zion Rock Services Llc 700 E Park Blvd Ste 102 Plano TX 6 (Dallas) 09/03/2021 W8FB11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0442 Written notice for non-covered care Element
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 747151 Zion Rock Services Llc 700 E Park Blvd Ste 102 Plano TX 6 (Dallas) 02/20/2018 BM2S11 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
▼ 747152 Simply T & T Incorporated 528 E Main Street Richardson TX 6 (Dallas) 05/24/2021 I4FL11 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
G1026 Retention of records Standard
G0574 Plan of care must include the following Element
G0950 Ensure clinical manager is available Element
▼ 747155 Gilgal Healthcare Services Inc 15160 C Bellaire Blvd Houston TX 6 (Dallas) 01/31/2018 0C3F11 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
▼ 747160 First Response Home Health Services Llc 4816 Tearose Trail Fort Worth TX 6 (Dallas) 10/18/2024 6471E-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
G0726 Nursing services supervised by RN Element
▼ 747165 Sahara Health Care Inc 140 Eldridge Rd Suite-B Sugar Land TX 6 (Dallas) 07/17/2020 3X7O11 Complaint
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
G0600 Coordination of Care Standard
G0590 Promptly alert relevant physician of changes 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
G0962 Coordinate patient care Element