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
▼ 05K104 Ro Health, Llc 1867 Whipple Road Hayward CA 9 (San Francisco) 09/29/2022 5E073-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0970 Parent-branch relationship Standard
▼ 05K124 Atlus Health, Inc. 151 N Sunrise Ave Roseville CA 9 (San Francisco) 11/20/2024 64B44-H1 Initial Certification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
▼ 05K132 Maxim Healthcare Services, Inc 27555 Ynez Road Temecula CA 9 (San Francisco) 05/27/2026 231585-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0430 Be free from abuse Element
▼ 05K132 Maxim Healthcare Services, Inc 27555 Ynez Road Temecula CA 9 (San Francisco) 03/25/2026 22C07B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0702 Services by skilled professionals Standard
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
▼ 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