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
▼ 067275 Human Touch Home Health Care Agency 1160 Lake Plaza Dr Ste 100 Colorado Springs CO 8 (Denver) 11/08/2018 1IKW11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0480 Treatment or care Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0800 Services provided by HH aide Element
G1012 Required items in clinical record Element
▼ 067277 Lincoln Community Hospital 111 6th St Hugo CO 8 (Denver) 05/10/2018 VM2311 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
▼ 067280 Sangre De Cristo Community Care Llc 207 Colorado Ave Ste B La Junta CO 8 (Denver) 02/27/2025 65268-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0590 Promptly alert relevant physician of changes Element
G0602 Communication with all physicians Element
▼ 067280 Sangre De Cristo Community Care Llc 207 Colorado Ave Ste B La Junta CO 8 (Denver) 06/20/2019 1HFG11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0514 RN performs assessment Element
G0546 Last 5 days of every 60 days unless: Element
G1012 Required items in clinical record Element
▼ 067337 Interim Healthcare Of Southeastern Colorado Inc 720 N Main St #400 Pueblo CO 8 (Denver) 12/03/2025 1D73FD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
▼ 067337 Interim Healthcare Of Southeastern Colorado Inc 720 N Main St #400 Pueblo CO 8 (Denver) 04/16/2024 62874-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0580 Only as ordered by a physician Element
▼ 067337 Interim Healthcare Of Southeastern Colorado Inc 720 N Main St #400 Pueblo CO 8 (Denver) 12/05/2019 TOJQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G0814 Non-skilled direct observation every 60 days Element
G1012 Required items in clinical record Element
▼ 067338 Complete Home Health Care Llc 805 Eagleridge Blvd Ste 160 Pueblo CO 8 (Denver) 05/08/2025 65FB0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0588 Reviewed, revised by physician every 60 days Element
G0708 Development and evaluation of plan of care Element
G0716 Preparing clinical notes Element
G1022 Discharge and transfer summaries Element
▼ 067338 Complete Home Health Care Llc 805 Eagleridge Blvd Ste 160 Pueblo CO 8 (Denver) 05/05/2022 38741-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0808 Onsite supervisory visit every 14 days Element
G0814 Non-skilled direct observation every 60 days Element
▼ 067338 Complete Home Health Care Llc 805 Eagleridge Blvd Ste 160 Pueblo CO 8 (Denver) 07/11/2019 PXF711 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0642 Program scope Standard
G0592 Revised plan of care Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element