S&C QCOR HHA 2567s
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HHAs 2567s
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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
▼ 067137 Banner Home Care Colorado 1810 N Boise Loveland CO 8 (Denver) 03/07/2019 B7TR11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0718 Communication with physicians Element
▼ 067140 Kit Carson County Memorial Hospital Home Health 286 16th St Burlington CO 8 (Denver) 01/26/2022 381A9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0772 Documentation of competency evaluation Element
G1012 Required items in clinical record Element
▼ 067147 Banner Health 2001 70th Ave Greeley CO 8 (Denver) 09/02/2021 SGC011 Focused Infection Control, Other-Fed, Recertification
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
▼ 067161 Yuma District Hospital Home Health Care 1000 West 8th Ave Yuma CO 8 (Denver) 01/18/2024 61D93-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
▼ 067161 Yuma District Hospital Home Health Care 1000 West 8th Ave Yuma CO 8 (Denver) 05/17/2018 4I7K11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0534 Patient's needs Element
▼ 067168 Eastern Rio Blanco Health Services District 315 6th Address Meeker CO 8 (Denver) 05/25/2022 3873F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1022 Discharge and transfer summaries Element
▼ 067168 Eastern Rio Blanco Health Services District 315 6th Address Meeker CO 8 (Denver) 06/27/2019 ZSF111 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0606 Integrate all services Element
G0978 Must have a written agreement Element
G1022 Discharge and transfer summaries Element
▼ 067169 Rehabilitation And Visiting Nurse Association Llc 4850 Hahns Peak Dr Loveland CO 8 (Denver) 01/25/2024 61D95-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
▼ 067169 Rehabilitation And Visiting Nurse Association Llc 4850 Hahns Peak Dr Loveland CO 8 (Denver) 02/03/2021 1GO711 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 067169 Rehabilitation And Visiting Nurse Association Llc 4850 Hahns Peak Dr Loveland CO 8 (Denver) 11/20/2019 2E6D11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0768 Competency evaluation Standard
G0798 Home health aide assignments and duties Standard
G0602 Communication with all physicians Element
G0818 HH aide supervision elements Element