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
▼ 027001 Providence At Home With Compassus Hh Anchorage 4001 Dale Street, Suite 101 Anchorage AK 10 (Seattle) 08/24/2018 H60T11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0446 Contact info Federal/State-funded entities Element
G0574 Plan of care must include the following Element
G0622 Name/contact information of clinical manager Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
▼ 027002 Hospice & Home Care Of Juneau 1803 Glacier Highway Juneau AK 10 (Seattle) 11/10/2021 37E51-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
▼ 027002 Hospice & Home Care Of Juneau 1803 Glacier Highway Juneau AK 10 (Seattle) 05/25/2018 H7K711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0033 Methods for Sharing Information Standard
E0042 Integrated EP Program Standard
G0572 Plan of care Standard
G0684 Infection control Standard
G0414 HHA administrator contact information Element
G0416 OASIS privacy notice Element
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0622 Name/contact information of clinical manager Element
▼ 027006 Fairbanks Memorial Hospital 1701 Gillam Way Fairbanks AK 10 (Seattle) 04/04/2025 65D50-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0606 Integrate all services Element
▼ 027008 Ancora Home Health & Hospice Llc 3831 E Blue Lupine Drive Wasilla AK 10 (Seattle) 02/24/2025 65604-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 027008 Ancora Home Health & Hospice Llc 3831 E Blue Lupine Drive Wasilla AK 10 (Seattle) 02/15/2022 383F6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0850 Disclosure of ownership and management info. Standard
▼ 027008 Ancora Home Health & Hospice Llc 3831 E Blue Lupine Drive Wasilla AK 10 (Seattle) 04/01/2019 WLWN11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0512 Standard: Initial assessment visit. Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0536 A review of all current medications Element
▼ 027009 Petersburg Medical Center Home 15 N 12th Street Room 117 Petersburg AK 10 (Seattle) 05/29/2025 66539-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0716 Preparing clinical notes Element
▼ 027009 Petersburg Medical Center Home 15 N 12th Street Room 117 Petersburg AK 10 (Seattle) 12/10/2021 37FF8-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0716 Preparing clinical notes Element
▼ 027009 Petersburg Medical Center Home 15 N 12th Street Room 117 Petersburg AK 10 (Seattle) 11/09/2018 XZVB11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0031 Emergency Officials Contact Information Standard
E0033 Methods for Sharing Information Standard
E0042 Integrated EP Program Standard
G0944 Administrator must: Standard
G0446 Contact info Federal/State-funded entities Element
G0946 Administrator appointed by governing body Element