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
▼ 067191 Gunnison Valley Health Senior Care Center 1498 W Tomichi Ste B Gunnison CO 8 (Denver) 10/12/2022 5DDE8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0808 Onsite supervisory visit every 14 days Element
▼ 067191 Gunnison Valley Health Senior Care Center 1498 W Tomichi Ste B Gunnison CO 8 (Denver) 10/30/2019 8KBS11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 067192 Dawson Thomas Inc 304 Inverness Way S Ste 125 Englewood CO 8 (Denver) 09/30/2019 MO9L11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0590 Promptly alert relevant physician of changes Element
G0800 Services provided by HH aide Element
G0818 HH aide supervision elements Element
G1022 Discharge and transfer summaries Element
▼ 067193 Argus Home Care Inc 821 Desert Flower Blvd Pueblo CO 8 (Denver) 10/01/2020 9GS011 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0940 Organization and administration of services Condition
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0768 Competency evaluation Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0602 Communication with all physicians Element
G0948 Responsible for all day-to-day operations Element
G0978 Must have a written agreement Element
▼ 067193 Argus Home Care Inc 821 Desert Flower Blvd Pueblo CO 8 (Denver) 03/06/2020 7UZ011 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 067193 Argus Home Care Inc 821 Desert Flower Blvd Pueblo CO 8 (Denver) 08/27/2019 5TQP11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0800 Services provided by HH aide Element
▼ 067195 Personal Assistance Services Of Colorado Llc 3900 S Wadsworth Blvd Lakewood CO 8 (Denver) 02/02/2026 1DE9C7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0564 Discharge or Transfer Summary Content Standard
▼ 067195 Personal Assistance Services Of Colorado Llc 3900 S Wadsworth Blvd Lakewood CO 8 (Denver) 05/03/2023 5F59A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 067195 Personal Assistance Services Of Colorado Llc 3900 S Wadsworth Blvd Lakewood CO 8 (Denver) 02/04/2020 VWLH11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0586 Review and revision of the plan of care Standard
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0808 Onsite supervisory visit every 14 days Element
▼ 067195 Personal Assistance Services Of Colorado Llc 3900 S Wadsworth Blvd Lakewood CO 8 (Denver) 01/09/2018 MQLK11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0107 EXERCISE OF RIGHTS AND RESPECT FOR PROP Standard
G0159 PLAN OF CARE Standard
G0165 CONFORMANCE WITH PHYSICIAN ORDERS Standard
G0224 ASSIGNMENT & DUTIES OF HOME HEALTH AIDE Standard
G0225 ASSIGNMENT & DUTIES OF HOME HEALTH AIDE Standard
G0226 ASSIGNMENT & DUTIES OF HOME HEALTH AIDE Standard