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
▼ 747495 Exodus Healthcare Services Inc 1815 Edwards Church Road Mesquite TX 6 (Dallas) 05/18/2023 5FD10-H1 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
G0572 Plan of care Standard
G0642 Program scope Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
▼ 747498 Mjs Home Health Care Inc 3637 Us Hwy 80e Mesquite TX 6 (Dallas) 02/09/2024 622E8-H1 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
G0442 Written notice for non-covered care Element
G0602 Communication with all physicians Element
▼ 747498 Mjs Home Health Care Inc 3637 Us Hwy 80e Mesquite TX 6 (Dallas) 01/11/2018 OMR211 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
G0143 COORDINATION OF PATIENT SERVICES Standard
G0144 COORDINATION OF PATIENT SERVICES Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
▼ 747501 Mi Pueblo Home Health Care Llc 1507 North Us Hwy 83 Suite 2 Zapata TX 6 (Dallas) 12/10/2025 1DD92E-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
▼ 747501 Mi Pueblo Home Health Care Llc 1507 North Us Hwy 83 Suite 2 Zapata TX 6 (Dallas) 12/23/2022 5E8FC-H1 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
▼ 747513 Jp And P Healthcare Agency Inc 11551 Forest Central Drive Suite 134 Dallas TX 6 (Dallas) 12/15/2022 5E88B-H1 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
G0602 Communication with all physicians Element
▼ 747518 Beyondfaith Homecare & Rehab Of Abilene Llc 8535 Wurzbach Rd, Ste 215 San Antonio TX 6 (Dallas) 08/22/2024 63F16-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
G0536 A review of all current medications Element
▼ 747519 Unlimited Healthcare Provider Llc 1801 N. Hampton Rd., Ste 416 Desoto TX 6 (Dallas) 07/07/2023 60373-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0446 Contact info Federal/State-funded entities Element
▼ 747521 Beyondfaith Homecare & Rehab Of Ft. Worth, L.L.C. 602 S Main St, Ste 200 Weatherford TX 6 (Dallas) 02/16/2018 608Q11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
▼ 747527 Eclate Health Care Solutions Inc 1201 N Watson Road Ste 244 Arlington TX 6 (Dallas) 04/04/2024 629BC-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