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
▼ 067112 Chi National Home Care Llc 7015 Tall Oak Dr Colorado Springs CO 8 (Denver) 05/09/2019 DJYR11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0454 HHA can no longer meet the patient's needs Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
▼ 067117 Delta County Memorial Hospital District 70 Stafford Ln Ste C Delta CO 8 (Denver) 10/31/2019 NBVQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
E0007 EP Program Patient Population Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0032 Primary/Alternate Means for Communication Standard
G0642 Program scope Standard
G0644 Program data Standard
G0768 Competency evaluation Standard
G0798 Home health aide assignments and duties Standard
G0958 Clinical manager Standard
G0478 Investigate complaints made by patient Element
G0592 Revised plan of care Element
G0648 High risk, high volume, or problem-prone area Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G0808 Onsite supervisory visit every 14 days Element
G0818 HH aide supervision elements Element
G0948 Responsible for all day-to-day operations Element
▼ 067123 Adeo Colorado 2780 28th Ave Greeley CO 8 (Denver) 10/31/2018 VBEJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G1014 Interventions and patient response Element
▼ 067129 Phhc Acquisition Corp 5225 N Academy Blvd Ste 106 Colorado Springs CO 8 (Denver) 05/27/2026 22ED06-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0462 Before discharge for cause HHA must: Element
▼ 067129 Phhc Acquisition Corp 5225 N Academy Blvd Ste 106 Colorado Springs CO 8 (Denver) 08/26/2020 PHJ811 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 067129 Phhc Acquisition Corp 5225 N Academy Blvd Ste 106 Colorado Springs CO 8 (Denver) 02/27/2020 SN3J11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0578 Conformance with physician orders Standard
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 067133 Summitwest Care 2800 Printers Way Ste 200 Grand Junction CO 8 (Denver) 04/07/2022 3868A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0546 Last 5 days of every 60 days unless: Element
G0576 All orders recorded in plan of care Element
▼ 067133 Summitwest Care 2800 Printers Way Ste 200 Grand Junction CO 8 (Denver) 05/31/2019 BCL511 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 067136 Heart Of The Rockies Home Health And Hospice 7800 W Us Highway 50 Salida CO 8 (Denver) 05/15/2019 X24711 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 067137 Banner Home Care Colorado 1810 N Boise Loveland CO 8 (Denver) 01/06/2022 37D34-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard