S&C QCOR HHA 2567s
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HHAs 2567s
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Time Interval

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Provider Characteristics

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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
▼ 757268 American Excel Home Health Care 2755 Cottage Way, Suite 12 Sacramento CA 9 (San Francisco) 08/07/2026 2D03AD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0520 5 calendar days after start of care Element
G0714 Patient and caregiver education Element
G0800 Services provided by HH aide Element
G1022 Discharge and transfer summaries Element
▼ 757280 Rely Home Health, Inc. 100 N Brand Blvd Suite 401 Glendale CA 9 (San Francisco) 11/04/2025 1DA2AC-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G1008 Clinical records Condition
G0572 Plan of care Standard
G1024 Authentication Standard
G0536 A review of all current medications Element
G0610 Patients receive education and training Element
G0728 Rehab services supervised by PT, OT Element
▼ 757287 Summa Home Health Care, Inc. 2500 E Foothill Blvd Unit 417 Pasadena CA 9 (San Francisco) 01/08/2026 1DAA80-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
G0610 Patients receive education and training Element
▼ 757287 Summa Home Health Care, Inc. 2500 E Foothill Blvd Unit 417 Pasadena CA 9 (San Francisco) 11/03/2025 1DAA80-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G1008 Clinical records Condition
G0520 5 calendar days after start of care Element
G0532 Continuing need for home care Element
G0536 A review of all current medications Element
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
G0606 Integrate all services Element
G1012 Required items in clinical record Element
▼ 757310 Happy Visit Home Health 1434 Hauser Blvd Los Angeles CA 9 (San Francisco) 07/28/2026 2AA930-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Condition of Participation: Patient rights. Condition
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0848 Compliance with Federal, State, Local Law Condition
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
G0572 Plan of care Standard
G0860 Licensing Standard
G0862 Laboratory services/CLIA waivers Standard
G0958 Clinical manager Standard
G1024 Authentication Standard
G0412 Written notice of patient's rights Element
G0520 5 calendar days after start of care Element
G0530 Strengths, goals, and care preferences Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G0710 Provide services in the plan of care Element
G0948 Responsible for all day-to-day operations Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
G1016 Goals in the patient's plans of care Element
▼ 757375 Intense Home Health Inc 3786 La Crescenta Ave. Suite 104 Glendale CA 9 (San Francisco) 07/07/2025 6697A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G1028 Protection of records Standard
G0536 A review of all current medications Element
G0584 Verbal orders Element
G0606 Integrate all services Element
G1012 Required items in clinical record Element
▼ 757658 Accentcare Home Health Of California, Inc. 2300 Contra Costa Blvd, Suite 240 Pleasant Hill CA 9 (San Francisco) 11/30/2023 619B4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0436 Receive all services in plan of care Element
G0710 Provide services in the plan of care Element
▼ 757658 Accentcare Home Health Of California, Inc. 2300 Contra Costa Blvd, Suite 240 Pleasant Hill CA 9 (San Francisco) 09/26/2019 TFYD11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 757737 Alaunus Home Health, Inc 110 S Rosemead Blvd. Suite R4 Pasadena CA 9 (San Francisco) 03/19/2026 1F4EA2-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0520 5 calendar days after start of care Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0716 Preparing clinical notes Element
▼ 757992 Blue Horizon Pk, Inc. 7590 N Glenoaks Blvd Burbank CA 9 (San Francisco) 09/03/2026 343B66-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0616 Patient medication schedule/instructions Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
G1018 Contact information for the patient Element