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
▼ 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
▼ 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