S&C QCOR HHA 2567s
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HHAs 2567s
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Time Interval

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Provider Characteristics

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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
▼ 077177 Center For Hospice Care Southeast Connecticut Inc 227 Dunham Street Norwich CT 1 (Boston) 11/21/2018 NQJ411 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
G0706 Interdisciplinary assessment of the patient Element
G0714 Patient and caregiver education Element
▼ 077181 Patwell Ct, Inc 99 Hawley Ln, Ste 1001, Stratford CT 1 (Boston) 12/07/2023 61A47-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
G0702 Services by skilled professionals Standard
G0710 Provide services in the plan of care Element
▼ 077181 Patwell Ct, Inc 99 Hawley Ln, Ste 1001, Stratford CT 1 (Boston) 05/20/2021 PR7H11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0702 Services by skilled professionals Standard
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
▼ 077187 Staff Mates Inc. 5 West Main Street Hebron CT 1 (Boston) 06/28/2024 637CE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0660 Executive responsibilities for QAPI Standard
G0774 12 hours inservice every 12 months Standard
G0778 Documentation of inservice training Element
▼ 077187 Staff Mates Inc. 5 West Main Street Hebron CT 1 (Boston) 05/11/2023 5FC6A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0702 Services by skilled professionals Standard
G0976 Services under arrangement Standard
G0574 Plan of care must include the following Element
G0718 Communication with physicians Element
G0720 Participate in the HHA's QAPI program; Element
G0948 Responsible for all day-to-day operations Element
▼ 077187 Staff Mates Inc. 5 West Main Street Hebron CT 1 (Boston) 06/29/2021 2XMY11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0546 Last 5 days of every 60 days unless: Element
G0726 Nursing services supervised by RN Element
G0948 Responsible for all day-to-day operations Element
▼ 077187 Staff Mates Inc. 5 West Main Street Hebron CT 1 (Boston) 02/09/2018 CUEE11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0806 Supervision of home health aides Standard
G0860 Licensing Standard
G0986 Outpatient therapy services Standard
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G0726 Nursing services supervised by RN Element
G0800 Services provided by HH aide Element
▼ 077191 Nursing Services Inc 21 High St East Hartford CT 1 (Boston) 01/23/2024 62081-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0702 Services by skilled professionals Standard
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
G0706 Interdisciplinary assessment of the patient Element
▼ 077191 Nursing Services Inc 21 High St East Hartford CT 1 (Boston) 03/12/2020 WHZN11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0576 All orders recorded in plan of care Element
G0718 Communication with physicians Element
G0808 Onsite supervisory visit every 14 days Element
▼ 077198 Bristol Home Care And Hospice Agency Inc 32 Valley Street, Ste D, Bristol CT 1 (Boston) 07/09/2025 6698C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0706 Interdisciplinary assessment of the patient Element