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
▼ 747620 Noah's Ark Home Healthcare Inc 1201 N. Watson Road, Ste #297a Arlington TX 6 (Dallas) 01/18/2018 Y8F911 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0101 PATIENT RIGHTS Standard
G0143 COORDINATION OF PATIENT SERVICES Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
▼ 747621 A Prime Medical Home Health Inc 13419 Us Hwy 290 E Bldg 11, Unit B Manor TX 6 (Dallas) 06/10/2026 235154-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0658 Performance improvement projects Standard
▼ 747624 Arbor Trinity Home Health, Llc 1301 South Bowen Road, Suite 305 Arlington TX 6 (Dallas) 08/06/2018 WJSJ12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0159 PLAN OF CARE Standard
▼ 747625 Beyond Faith Homecare & Rehab Of Dallas Llc 100 College St Round Rock TX 6 (Dallas) 08/29/2024 64054-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0682 Infection Prevention Standard
▼ 747633 Jaicstar Home Care Inc 3617 Broadway Blvd, Suite B Garland TX 6 (Dallas) 08/14/2024 63E4D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0658 Performance improvement projects Standard
G0442 Written notice for non-covered care Element
▼ 747636 Senior Preferred Homecare Llc 223 West Anderson Lane, Suite A115 Austin TX 6 (Dallas) 09/07/2023 60EDA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0952 Ensure that HHA employs qualified personnel Element
▼ 747643 Salud Health Care Services Inc 2544 Central Palm Drive Ste 106 Rio Grande City TX 6 (Dallas) 03/11/2025 658F4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0686 Infection control education Standard
▼ 747646 Safeway Healthcare Services Inc 2100 Virginia Drive, Suite H Grand Prairie TX 6 (Dallas) 07/09/2026 25D104-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
▼ 747646 Safeway Healthcare Services Inc 2100 Virginia Drive, Suite H Grand Prairie TX 6 (Dallas) 07/17/2023 60566-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
G0414 HHA administrator contact information Element
G0588 Reviewed, revised by physician every 60 days Element
G0608 Coordinate care delivery Element
G0808 Onsite supervisory visit every 14 days Element
▼ 747646 Safeway Healthcare Services Inc 2100 Virginia Drive, Suite H Grand Prairie TX 6 (Dallas) 05/31/2018 89WK11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element