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
▼ 747936 D.A.N. Health Care Llc 315 Calle Del Norte Ste 203 Laredo TX 6 (Dallas) 06/11/2020 IU5T11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G1012 Required items in clinical record Element
▼ 747945 Paz Home Health Ii Llc 200 South 10th Street Suite 407 Mcallen TX 6 (Dallas) 04/28/2020 3WKZ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0592 Revised plan of care Element
▼ 747948 Vika Medical Services Llc 273 North Dallas Avenue Suite F Van Alstyne TX 6 (Dallas) 11/16/2023 617C6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0774 12 hours inservice every 12 months Standard
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
▼ 747954 Elder Homecare Inc 1512 W. Howard Ln Austin TX 6 (Dallas) 01/10/2018 KDUM11 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
G0236 CLINICAL RECORDS Standard
G0323 TRANSMITTAL OF OASIS DATA Standard
G0337 DRUG REGIMEN REVIEW Standard
▼ 747957 Maranatha Care Home Health Llc 12701 N. Ih 35 Jarrell TX 6 (Dallas) 06/05/2018 TOY011 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0646 Program activities Standard
▼ 747959 Rgv Angels Of Care Llc 848 E Expressway 83 Suite 2 La Joya TX 6 (Dallas) 05/17/2018 IH9X11 Recertification, Sample Validation
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
E0006 Plan Based on All Hazards Risk Assessment Standard
G0372 Encoding and transmitting OASIS Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
▼ 747966 Edwards Home Health Inc. 1106 Clayton Lane Ste. 218e Austin TX 6 (Dallas) 07/17/2024 6391D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0774 12 hours inservice every 12 months Standard
▼ 747966 Edwards Home Health Inc. 1106 Clayton Lane Ste. 218e Austin TX 6 (Dallas) 08/22/2018 5AV411 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0642 Program scope Standard
G0458 Outcomes/goals have been achieved Element
▼ 747977 Quality First Home Health Care Inc 2503 N Us Highway 281, Ste 100 Marble Falls TX 6 (Dallas) 07/17/2025 1D112C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 747977 Quality First Home Health Care Inc 2503 N Us Highway 281, Ste 100 Marble Falls TX 6 (Dallas) 06/08/2023 5FFC5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0646 Program activities Standard
G0580 Only as ordered by a physician Element