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
103192 Amerivita Home Care Inc 1553 Boren Dr Ocoee FL 4 (Atlanta) 03/15/2018 3V0E11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0514 RN performs assessment Element
G0584 Verbal orders Element
G0590 Promptly alert relevant physician of changes Element
G0952 Ensure that HHA employs qualified personnel Element
103193 One At Home - Broward 3351 Executive Way Miramar FL 4 (Atlanta) 12/04/2024 64CFF-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0964 Coordinate referrals; Element
103193 One At Home - Broward 3351 Executive Way Miramar FL 4 (Atlanta) 07/30/2024 63A88-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
103193 One At Home - Broward 3351 Executive Way Miramar FL 4 (Atlanta) 01/17/2024 61F57-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0580 Only as ordered by a physician Element
103193 One At Home - Broward 3351 Executive Way Miramar FL 4 (Atlanta) 10/02/2023 61157-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
103193 One At Home - Broward 3351 Executive Way Miramar FL 4 (Atlanta) 04/08/2022 387DF-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
103193 One At Home - Broward 3351 Executive Way Miramar FL 4 (Atlanta) 05/24/2018 F3Z611 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0706 Interdisciplinary assessment of the patient Element
103193 One At Home - Broward 3351 Executive Way Miramar FL 4 (Atlanta) 01/12/2018 QI9F11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0108 RIGHT TO BE INFORMED AND PARTICIPATE Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
107006 Baptist Home Health Care 2114 Airport Blvd Ste 1400 Pensacola FL 4 (Atlanta) 04/04/2024 6235F-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
107006 Baptist Home Health Care 2114 Airport Blvd Ste 1400 Pensacola FL 4 (Atlanta) 04/28/2021 X3YQ11 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