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
▼ 059764 Prohealth Home Care, Inc 1420 River Park Dr., Suite 200 Sacramento CA 9 (San Francisco) 05/26/2021 08PS11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0590 Promptly alert relevant physician of changes Element
G1012 Required items in clinical record Element
▼ 059764 Prohealth Home Care, Inc 1420 River Park Dr., Suite 200 Sacramento CA 9 (San Francisco) 02/02/2021 PU0Z11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0514 RN performs assessment Element
G0590 Promptly alert relevant physician of changes Element
▼ 059764 Prohealth Home Care, Inc 1420 River Park Dr., Suite 200 Sacramento CA 9 (San Francisco) 11/07/2019 FQZ511 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0550 At discharge Element
G0602 Communication with all physicians Element
G0716 Preparing clinical notes Element
▼ 059776 Advanced Health Care Providers, Inc 6470 Foothill Blvd Unit H Tujunga CA 9 (San Francisco) 08/18/2022 4F3B3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0612 Written instructions to patient include: Standard
G1024 Authentication Standard
G0436 Receive all services in plan of care Element
G0444 State toll free HH telephone hotline Element
G0460 Patient refuses services Element
G0536 A review of all current medications Element
G0616 Patient medication schedule/instructions Element
▼ 059776 Advanced Health Care Providers, Inc 6470 Foothill Blvd Unit H Tujunga CA 9 (San Francisco) 04/28/2019 8YJP11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0536 A review of all current medications Element
▼ 059788 Baypoint Home Health, Inc. 2515 Santa Clara Avenue, Suite 105 Alameda CA 9 (San Francisco) 05/09/2024 63115-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0520 5 calendar days after start of care Element
G0616 Patient medication schedule/instructions Element
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 059796 Care Must 4075 Evergreen Village Square, Suite 230b San Jose CA 9 (San Francisco) 03/18/2019 I6MT11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0950 Ensure clinical manager is available Element
▼ 059797 Crystal Rose Home Health Care, Inc 44841 Date Ave Lancaster CA 9 (San Francisco) 12/20/2019 B7W311 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 05K002 Valley Children's Home Health 5085 E Mckinley Ave Fresno CA 9 (San Francisco) 08/08/2024 63C9A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0702 Services by skilled professionals Standard
▼ 05K002 Valley Children's Home Health 5085 E Mckinley Ave Fresno CA 9 (San Francisco) 07/02/2019 PJLE11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return Element
G0580 Only as ordered by a physician Element