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
▼ 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
▼ 067169 Rehabilitation And Visiting Nurse Association Llc 4850 Hahns Peak Dr Loveland CO 8 (Denver) 02/22/2018 6UT311 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0512 Standard: Initial assessment visit. Standard
G0798 Home health aide assignments and duties Standard
G0482 Mistreatment, neglect or abuse Element
G0516 Skilled professional performs assessment Element
G0520 5 calendar days after start of care Element
G0800 Services provided by HH aide Element
G0802 Duties of a HH aide Element
G0804 Aides are members of interdisciplinary team Element
G0948 Responsible for all day-to-day operations Element
G0964 Coordinate referrals; Element
▼ 067181 Alliant Home Health Llc 12225 Pecos St Wesminster CO 8 (Denver) 05/12/2026 22D17E-H1 Complaint
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
G0602 Communication with all physicians Element
▼ 067181 Alliant Home Health Llc 12225 Pecos St Wesminster CO 8 (Denver) 05/08/2024 62F22-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 067181 Alliant Home Health Llc 12225 Pecos St Wesminster CO 8 (Denver) 01/10/2024 619DC-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
▼ 067181 Alliant Home Health Llc 12225 Pecos St Wesminster CO 8 (Denver) 05/20/2021 7R0U11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 067181 Alliant Home Health Llc 12225 Pecos St Wesminster CO 8 (Denver) 08/15/2018 G8KS11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0520 5 calendar days after start of care 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
G0710 Provide services in the plan of care Element
G1014 Interventions and patient response Element