S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

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
027010 South Peninsula Hospital Inc 4201 Bartlett Street Homer AK 10 (Seattle) 11/05/2021 37D9B-H1 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
027014 Peacehealth 212 Carlanna Lake Road Suite 100 Ketchikan AK 10 (Seattle) 02/25/2022 384E7-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
G0446 Contact info Federal/State-funded entities Element
027014 Peacehealth 212 Carlanna Lake Road Suite 100 Ketchikan AK 10 (Seattle) 05/13/2019 IXB311 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
E0007 EP Program Patient Population Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0030 Names and Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0037 EP Training Program Standard
027020 1st Choice Home Health Care, Inc 159 East Redoubt Ave Soldotna AK 10 (Seattle) 07/18/2023 60119-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
G0570 Care planning, coordination, quality of care Condition
G1008 Clinical records Condition
G0372 Encoding and transmitting OASIS Standard
G0512 Standard: Initial assessment visit. Standard
G0572 Plan of care Standard
G1024 Authentication Standard
G0434 Participate in care Element
G0444 State toll free HH telephone hotline Element
027020 1st Choice Home Health Care, Inc 159 East Redoubt Ave Soldotna AK 10 (Seattle) 06/15/2022 4ED57-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
027020 1st Choice Home Health Care, Inc 159 East Redoubt Ave Soldotna AK 10 (Seattle) 10/16/2020 W1BQ11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
E0024 Policies/Procedures-Volunteers and Staffing Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G1024 Authentication Standard
G0548 Within 48 hours of the patient's return Element
G0580 Only as ordered by a physician Element
027022 Eh Health Home Health Of The Northwest, Llc 101 W Benson Blvd Suite 200 Anchorage AK 10 (Seattle) 10/21/2024 64867-H1 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
G0528 Health, psychosocial, functional, cognition Element
027022 Eh Health Home Health Of The Northwest, Llc 101 W Benson Blvd Suite 200 Anchorage AK 10 (Seattle) 01/28/2022 3831C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0031 Emergency Officials Contact Information Standard
G0682 Infection Prevention Standard
027022 Eh Health Home Health Of The Northwest, Llc 101 W Benson Blvd Suite 200 Anchorage AK 10 (Seattle) 01/18/2019 HQZO11 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
G0414 HHA administrator contact information Element
G0446 Contact info Federal/State-funded entities Element
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
G0622 Name/contact information of clinical manager Element
G0726 Nursing services supervised by RN Element
027032 Maxim Healthcare Services, Inc 4000 Old Seward Highway, Suite 300 Anchorage AK 10 (Seattle) 04/01/2024 629C8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0606 Integrate all services Element