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
▼ 067015 Bent County Public Health 701 Park Ave Las Animas CO 8 (Denver) 05/13/2026 1DF7D8-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G0574 Plan of care must include the following Element
▼ 067015 Bent County Public Health 701 Park Ave Las Animas CO 8 (Denver) 01/28/2026 1DF7D8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0580 Only as ordered by a physician Element
G0808 Onsite supervisory visit every 14 days Element
▼ 067015 Bent County Public Health 701 Park Ave Las Animas CO 8 (Denver) 02/01/2023 5E7A9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1060 Licensed Practical (Vocational) Nurse Standard
▼ 067015 Bent County Public Health 701 Park Ave Las Animas CO 8 (Denver) 03/04/2020 YMID11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0808 Onsite supervisory visit every 14 days Element
▼ 067026 Alamosa County Public Health Department 8900 Independence Way Alamosa CO 8 (Denver) 03/09/2018 SZEW11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0704 Responsibilities of skilled professionals Standard
G0798 Home health aide assignments and duties Standard
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
▼ 067054 Home Health Care Professionals Inc 3680 S Galapago St #102 Englewood CO 8 (Denver) 08/03/2023 6026F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0940 Organization and administration of services Condition
G0372 Encoding and transmitting OASIS Standard
G0526 Content of the comprehensive assessment Standard
G0578 Conformance with physician orders Standard
G0600 Coordination of Care Standard
G0944 Administrator must: Standard
G0958 Clinical manager Standard
G0514 RN performs assessment Element
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G0800 Services provided by HH aide Element
▼ 067063 Mount Evans Hospice Inc 3081 Bergen Peak Dr Evergreen CO 8 (Denver) 10/10/2024 6479B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0984 In accordance with current clinical practice Element
▼ 067063 Mount Evans Hospice Inc 3081 Bergen Peak Dr Evergreen CO 8 (Denver) 10/21/2021 U3SL11 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
G0600 Coordination of Care Standard
G0514 RN performs assessment Element
G0546 Last 5 days of every 60 days unless: Element
G0602 Communication with all physicians Element
G0800 Services provided by HH aide Element
G1022 Discharge and transfer summaries Element
▼ 067063 Mount Evans Hospice Inc 3081 Bergen Peak Dr Evergreen CO 8 (Denver) 11/08/2018 TV6R11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0710 Provide services in the plan of care Element
G0800 Services provided by HH aide Element
▼ 067080 Interim Healthcare Of Southeastern Colorado Inc 1901 N Union #202 Colorado Springs CO 8 (Denver) 12/12/2025 1DE05A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G1014 Interventions and patient response Element