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
▼ 747489 Heaven Glorious Home Health Agency Inc 2665 Villa Creek Drive Ste A 248 Dallas TX 6 (Dallas) 07/30/2018 EDDI11 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
G0442 Written notice for non-covered care Element
G0488 Immediate reporting of abuse by all staff Element
▼ 747490 Princewill Healthcare Services Inc 4100 Medical Pkwy Ste 250 Carrollton TX 6 (Dallas) 02/17/2023 5F0BF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0602 Communication with all physicians Element
▼ 747490 Princewill Healthcare Services Inc 4100 Medical Pkwy Ste 250 Carrollton TX 6 (Dallas) 02/13/2020 K7WY12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0159 PLAN OF CARE Standard
G0236 CLINICAL RECORDS Standard
▼ 747494 Excellent Healthcare Services, Inc. 320 Westway Place Suite 505 Arlington TX 6 (Dallas) 02/27/2026 1F1A4E-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
G0614 Visit schedule Element
▼ 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
▼ 747501 Mi Pueblo Home Health Care Llc 1507 North Us Hwy 83 Suite 2 Zapata TX 6 (Dallas) 01/16/2020 LQXS12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0321 ENCODING OASIS DATA Standard