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
▼ 747183 Amazing Grace Systems Homehealth Llc 921 Las Aves Pl El Paso TX 6 (Dallas) 05/21/2025 6629A-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
G0576 All orders recorded in plan of care Element
▼ 747183 Amazing Grace Systems Homehealth Llc 921 Las Aves Pl El Paso TX 6 (Dallas) 05/12/2022 4EA46-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0716 Preparing clinical notes Element
▼ 747183 Amazing Grace Systems Homehealth Llc 921 Las Aves Pl El Paso TX 6 (Dallas) 08/01/2019 0KBP11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0646 Program activities Standard
G0682 Infection Prevention Standard
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 747184 Faith Foundation, Inc 8431 Ashford Green Lane Houston TX 6 (Dallas) 01/10/2019 FEIN11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G0572 Plan of care Standard
▼ 747187 Skyline Medical Services Inc 12623 Laleu Lane Houston TX 6 (Dallas) 01/16/2025 65202-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
▼ 747189 Precious Life Home Health Inc 218 S Raul Longoria Edinburg TX 6 (Dallas) 03/17/2025 65948-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0024 Policies/Procedures-Volunteers and Staffing Standard
G0572 Plan of care Standard
G0536 A review of all current medications Element
G0576 All orders recorded in plan of care Element
G0602 Communication with all physicians Element
▼ 747195 Kamscare Inc 9494 Southwest Fwy Ste 450-B Houston TX 6 (Dallas) 04/27/2018 2DKE11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
G0958 Clinical manager Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
G0726 Nursing services supervised by RN Element
G0948 Responsible for all day-to-day operations Element
G0984 In accordance with current clinical practice Element
▼ 747205 Brema Healthcare Inc 2727 Lbj Frwy, Suite 324 Dallas TX 6 (Dallas) 12/16/2024 64DCF-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
G0614 Visit schedule Element
▼ 747207 Joab Homehealth Agency Llc 2000 N Central Expressway Ste 116 Plano TX 6 (Dallas) 07/22/2025 1D1327-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
G1022 Discharge and transfer summaries Element
▼ 747208 Paloma Home Health Agency Inc 13601 Preston Rd Ste E225 Dallas TX 6 (Dallas) 04/05/2018 Z87J11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0426 Rights of the patient Standard
G0600 Coordination of Care Standard