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
▼ 747825 Tophill Homecare Services Inc 3514 Broadknoll Lane Sugar Land TX 6 (Dallas) 08/08/2019 JVQQ12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0133 ADMINISTRATOR Standard
G0323 TRANSMITTAL OF OASIS DATA Standard
▼ 747832 Jaystal, Inc. 8511 Old Brook Drive Houston TX 6 (Dallas) 07/11/2025 6699A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0488 Immediate reporting of abuse by all staff Element
▼ 747838 The Belchman Group, Llc 9205 Sunridge Ct Pearland TX 6 (Dallas) 08/25/2020 VSW311 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0608 Coordinate care delivery Element
▼ 747840 Citica Home Health Llc 207 E King Ave Kingsville TX 6 (Dallas) 05/25/2022 38A4D-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
G0642 Program scope Standard
▼ 747840 Citica Home Health Llc 207 E King Ave Kingsville TX 6 (Dallas) 04/25/2019 D5JV12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0142 PERSONNEL HOURLY/PER VISIT CONTRACT Standard
▼ 747845 Mother Is Gold Home Health Care Inc. 3610 W Pioneer Pkwy Suite 206 Pantego TX 6 (Dallas) 12/11/2025 1DDAE6-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
▼ 747845 Mother Is Gold Home Health Care Inc. 3610 W Pioneer Pkwy Suite 206 Pantego TX 6 (Dallas) 01/24/2020 583Y12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0101 PATIENT RIGHTS Standard
▼ 747850 His Grace Home Health Care Llc 1201 N. Watson Rd. Suite 261 Arlington TX 6 (Dallas) 12/15/2021 380FC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0716 Preparing clinical notes Element
▼ 747870 Jeks Healthcare Services Inc 14111 Renn Road Houston TX 6 (Dallas) 02/17/2022 384D1-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
▼ 747872 Angels 2 You Llc 5801 Dumont Lane El Paso TX 6 (Dallas) 04/28/2022 3899F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0588 Reviewed, revised by physician every 60 days Element