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
▼ 067212 Independence Center, The 729 S Tejon St Colorado Springs CO 8 (Denver) 10/29/2020 97J511 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
G0416 OASIS privacy notice Element
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
▼ 067215 Preferred Mobile Nurses Inc 2802 Madison Square Dr Ste 100 Loveland CO 8 (Denver) 01/06/2021 EX9R11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1010 Contents of clinical record Standard
▼ 067215 Preferred Mobile Nurses Inc 2802 Madison Square Dr Ste 100 Loveland CO 8 (Denver) 01/19/2018 9WJ811 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
G0682 Infection Prevention Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G1024 Authentication Standard
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
G0948 Responsible for all day-to-day operations Element
G1012 Required items in clinical record Element
▼ 067219 Homecare Of The Valley 823 Grand Ave Ste 300 Glenwood Springs CO 8 (Denver) 01/08/2025 648FC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0574 Plan of care must include the following Element
▼ 067219 Homecare Of The Valley 823 Grand Ave Ste 300 Glenwood Springs CO 8 (Denver) 01/12/2022 381A5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0516 Skilled professional performs assessment Element
▼ 067219 Homecare Of The Valley 823 Grand Ave Ste 300 Glenwood Springs CO 8 (Denver) 01/17/2020 4FD811 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
▼ 067219 Homecare Of The Valley 823 Grand Ave Ste 300 Glenwood Springs CO 8 (Denver) 03/22/2019 XVF311 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0514 RN performs assessment Element
G0516 Skilled professional performs assessment Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 067224 Eh Home Health Of Colorado Llc 6021 S Syracuse Way Ste 204 Greenwood Village CO 8 (Denver) 10/26/2022 4F726-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
▼ 067224 Eh Home Health Of Colorado Llc 6021 S Syracuse Way Ste 204 Greenwood Village CO 8 (Denver) 10/10/2019 8K0E11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 067240 Pediatric Services Of America Llc 12100 E Iliff Ave Ste A-250 Aurora CO 8 (Denver) 02/06/2020 CCCS11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G1022 Discharge and transfer summaries Element