S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

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
757001 Alpine Management Enterprises Inc 2368 Maritime Drive Elk Grove CA 9 (San Francisco) 07/02/2026 236FC3-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
G0536 A review of all current medications Element
G0576 All orders recorded in plan of care Element
G0602 Communication with all physicians Element
G0808 Onsite supervisory visit every 14 days Element
757029 Gmm Home Health Care, Inc 3800 W Burbank Blvd Suite 103 Burbank CA 9 (San Francisco) 07/12/2024 6393E-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0716 Preparing clinical notes Element
757111 Pure Heart Home Health Services, Inc. 4119 W Burbank Blvd Burbank CA 9 (San Francisco) 06/18/2025 666F0-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Condition of Participation: Patient rights. Condition
G0570 Care planning, coordination, quality of care Condition
G1008 Clinical records Condition
G0612 Written instructions to patient include: Standard
G0444 State toll free HH telephone hotline Element
G0536 A review of all current medications 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
G0590 Promptly alert relevant physician of changes Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
G1018 Contact information for the patient Element
757150 Hero Home Health Inc. 8949 Reseda Blvd Suite 206 Northridge CA 9 (San Francisco) 01/04/2024 61DBC-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0848 Compliance with Federal, State, Local Law Condition
G0852 Information to the state survey agency Standard
G0858 Responsible for the management of the HHA Element
757188 Simple Touch Home Health Care, Inc 5250 Santa Monica Blvd Suite 211 Los Angeles CA 9 (San Francisco) 05/16/2025 65586-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
G0370 Reporting OASIS information Condition
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0942 Governing body Standard
G1024 Authentication Standard
G1028 Protection of records Standard
757188 Simple Touch Home Health Care, Inc 5250 Santa Monica Blvd Suite 211 Los Angeles CA 9 (San Francisco) 02/13/2025 65586-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G1008 Clinical records Condition
G0544 Update of the comprehensive assessment Standard
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0532 Continuing need for home care Element
G0536 A review of all current medications Element
G1012 Required items in clinical record 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
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