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
▼ 05K134 Maxim Healthcare Services, Inc. 1651 Response Road, Suite 200 Sacramento CA 9 (San Francisco) 01/09/2025 65030-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
▼ 05K134 Maxim Healthcare Services, Inc. 1651 Response Road, Suite 200 Sacramento CA 9 (San Francisco) 02/10/2022 383F8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0438 Have a confidential clinical record Element
G0616 Patient medication schedule/instructions Element
G1012 Required items in clinical record Element
▼ 067002 Colorado Vna Llc 6750 W 52nd Ave Arvada CO 8 (Denver) 03/27/2025 65710-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0564 Discharge or Transfer Summary Content Standard
▼ 067002 Colorado Vna Llc 6750 W 52nd Ave Arvada CO 8 (Denver) 11/08/2023 616E9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 067002 Colorado Vna Llc 6750 W 52nd Ave Arvada CO 8 (Denver) 11/11/2020 VH7O11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0514 RN performs assessment Element
▼ 067002 Colorado Vna Llc 6750 W 52nd Ave Arvada CO 8 (Denver) 11/28/2018 DMQ711 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0578 Conformance with physician orders Standard
G0514 RN performs assessment Element
G0584 Verbal orders Element
G0948 Responsible for all day-to-day operations Element
▼ 067002 Colorado Vna Llc 6750 W 52nd Ave Arvada CO 8 (Denver) 04/12/2018 FWH814 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G1014 Interventions and patient response Element
▼ 067002 Colorado Vna Llc 6750 W 52nd Ave Arvada CO 8 (Denver) 02/09/2018 FWH813 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0580 Only as ordered by a physician Element
G0706 Interdisciplinary assessment of the patient Element
G0718 Communication with physicians Element
▼ 067004 Northwest Colorado Visiting Nurse Association 1475 Pine Grove Dr Ste 202 Steamboat Springs CO 8 (Denver) 07/12/2023 6026B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0800 Services provided by HH aide Element
▼ 067004 Northwest Colorado Visiting Nurse Association 1475 Pine Grove Dr Ste 202 Steamboat Springs CO 8 (Denver) 09/30/2020 JC1K11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0800 Services provided by HH aide Element