S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
097024 Tender Loving Care Health Care Services Southeast, Llc Amedisys Home Health Washington DC 3 (Philadelphia) 05/21/2018 QMVY11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0526 Content of the comprehensive assessment Standard
G0612 Written instructions to patient include: Standard
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
G1022 Discharge and transfer summaries Element
097041 Dc Home Health Holdings 600 Pennsylvania Avenue Se Washington DC 3 (Philadelphia) 11/09/2018 9YEN11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0518 Completion of the comprehensive assessment Standard
G0526 Content of the comprehensive assessment Standard
G0578 Conformance with physician orders Standard
G0586 Review and revision of the plan of care Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
097050 Premium Select Home Care, Inc 5513 Illinois Avenue Nw Washington DC 3 (Philadelphia) 05/25/2022 4EC9B-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
G0798 Home health aide assignments and duties Standard
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
097050 Premium Select Home Care, Inc 5513 Illinois Avenue Nw Washington DC 3 (Philadelphia) 11/30/2018 KP5D11 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
G0774 12 hours inservice every 12 months Standard
G0536 A review of all current medications Element
G0542 Incorporate OASIS items Element
G0550 At discharge Element
G0728 Rehab services supervised by PT, OT Element
G1022 Discharge and transfer summaries Element
097052 Human Touch Home Health Care Agency, Inc 1416 9th Street, Nw Washington DC 3 (Philadelphia) 06/24/2019 R1FB11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0518 Completion of the comprehensive assessment Standard
G0526 Content of the comprehensive assessment Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G1022 Discharge and transfer summaries Element
097053 Berhan Home Health Care Agency In 7826 Eastern Avenue Nw Suite Ll 16 Washington DC 3 (Philadelphia) 07/24/2025 1D2116-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0370 Reporting OASIS information Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
G0372 Encoding and transmitting OASIS Standard
G0374 Accuracy of encoded OASIS data Standard
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0520 5 calendar days after start of care Element
G0580 Only as ordered by a physician Element
G0952 Ensure that HHA employs qualified personnel Element
097056 Immaculate Health Care Services Inc 2512 24th Street, Ne Washington DC 3 (Philadelphia) 04/06/2023 5F800-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
097056 Immaculate Health Care Services Inc 2512 24th Street, Ne Washington DC 3 (Philadelphia) 11/26/2019 RLXM11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0536 A review of all current medications Element
097057 Kbc Nursing Agency & Home Health Care Inc 7506 Georgia Avenue Nw Unit 1 Washington DC 3 (Philadelphia) 01/11/2018 8ZHQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1008 Clinical records Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures 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
E0036 EP Training and Testing Standard
G0526 Content of the comprehensive assessment Standard
G0798 Home health aide assignments and duties Standard
G0524 Therapy services determine eligibility Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0984 In accordance with current clinical practice Element
G1012 Required items in clinical record Element
097058 T & N Reliable Nursing Care 3500 18th Street Ne Washington DC 3 (Philadelphia) 01/11/2019 SO9J11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0370 Reporting OASIS information Condition
G0510 Comprehensive Assessment of Patients Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0013 Development of EP Policies and Procedures Standard
E0029 Development of Communication Plan Standard
E0036 EP Training and Testing Standard
G0372 Encoding and transmitting OASIS Standard
G0518 Completion of the comprehensive assessment Standard
G0526 Content of the comprehensive assessment Standard
G0642 Program scope Standard
G0644 Program data Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0514 RN performs assessment Element
G0550 At discharge Element
G1022 Discharge and transfer summaries Element