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
▼ 077198 Bristol Home Care And Hospice Agency Inc 32 Valley Street, Ste D, Bristol CT 1 (Boston) 07/27/2022 4F1C7-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
▼ 077199 Pediatric Services Of America 999 Oronoque Lane Stratford CT 1 (Boston) 10/28/2024 647D9-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0800 Services provided by HH aide Element
▼ 077199 Pediatric Services Of America 999 Oronoque Lane Stratford CT 1 (Boston) 07/23/2020 WNM511 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G0702 Services by skilled professionals Standard
G0942 Governing body Standard
G0430 Be free from abuse Element
G0718 Communication with physicians Element
▼ 077199 Pediatric Services Of America 999 Oronoque Lane Stratford CT 1 (Boston) 10/15/2019 Q4V711 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0640 Quality assessment/performance improvement Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G0702 Services by skilled professionals Standard
G0942 Governing body Standard
G0430 Be free from abuse Element
G0588 Reviewed, revised by physician every 60 days Element
G0648 High risk, high volume, or problem-prone area Element
G0650 Incidence, prevalence, severity of problems Element
G0652 Activities lead to an immediate correction Element
G0706 Interdisciplinary assessment of the patient Element
G0726 Nursing services supervised by RN Element
G0948 Responsible for all day-to-day operations Element
G0966 Assure patient needs are continually assessed Element
▼ 077199 Pediatric Services Of America 999 Oronoque Lane Stratford CT 1 (Boston) 07/08/2019 RJ6L11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0640 Quality assessment/performance improvement Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
G0642 Program scope Standard
G0654 Track adverse patient events Standard
G0702 Services by skilled professionals Standard
G0942 Governing body Standard
G1024 Authentication Standard
G0436 Receive all services in plan of care Element
G0706 Interdisciplinary assessment of the patient Element
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G0726 Nursing services supervised by RN Element
G0948 Responsible for all day-to-day operations Element
G0954 Ensures qualified pre-designated person Element
G0968 Assure implementation of plan of care Element
▼ 077199 Pediatric Services Of America 999 Oronoque Lane Stratford CT 1 (Boston) 01/30/2018 CQKB11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G0942 Governing body Standard
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G0726 Nursing services supervised by RN Element
G0948 Responsible for all day-to-day operations Element
G0962 Coordinate patient care Element
G0968 Assure implementation of plan of care Element
G0984 In accordance with current clinical practice Element
▼ 077200 Constellation Home Care 14 Westport Avenue Norwalk CT 1 (Boston) 03/26/2025 65BC1-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
G0702 Services by skilled professionals Standard
G0574 Plan of care must include the following Element
G0706 Interdisciplinary assessment of the patient Element
▼ 077200 Constellation Home Care 14 Westport Avenue Norwalk CT 1 (Boston) 07/23/2024 63B6C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0702 Services by skilled professionals Standard
G0718 Communication with physicians Element
▼ 077200 Constellation Home Care 14 Westport Avenue Norwalk CT 1 (Boston) 03/24/2022 38752-H1 Focused Infection Control, 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
▼ 077200 Constellation Home Care 14 Westport Avenue Norwalk CT 1 (Boston) 04/26/2019 4M1811 Complaint, 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
G0718 Communication with physicians Element