S&C QCOR HHA 2567s
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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
▼ 027032 Maxim Healthcare Services, Inc 4000 Old Seward Highway, Suite 300 Anchorage AK 10 (Seattle) 03/10/2021 GSCO11 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
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G0982 Skilled services furnished Standard
G0444 State toll free HH telephone hotline Element
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
G0710 Provide services in the plan of care Element
▼ 027032 Maxim Healthcare Services, Inc 4000 Old Seward Highway, Suite 300 Anchorage AK 10 (Seattle) 08/14/2019 LJPM11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 027032 Maxim Healthcare Services, Inc 4000 Old Seward Highway, Suite 300 Anchorage AK 10 (Seattle) 09/28/2018 2FF311 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
G0444 State toll free HH telephone hotline Element
G0514 RN performs assessment Element
▼ 027036 Wellspring Home Health Center, Llc 609 S Knik Goose Bay Road Wasilla AK 10 (Seattle) 05/20/2022 4EB89-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0438 Have a confidential clinical record Element
G0598 Discharge plans communication Element
G0726 Nursing services supervised by RN Element
G0808 Onsite supervisory visit every 14 days Element
▼ 027305 Bartlett Home Health And Hospice 641 Willoughby Avenue Suite 204 Juneau AK 10 (Seattle) 03/08/2024 62761-H1 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
▼ 037016 Agk Southwest Inc. 5055 East Broadway, Suite D-104 Tucson AZ 9 (San Francisco) 01/05/2018 F0X411 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0164 PERIODIC REVIEW OF PLAN OF CARE Standard
▼ 037024 Honorhealth 3634 N Drinkwater Blvd Scottsdale AZ 9 (San Francisco) 11/07/2022 5E299-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
▼ 037036 Centerwell Certified Healthcare Corp 5255 East Williams Circle, Suite 6400 Tucson AZ 9 (San Francisco) 10/10/2024 6456F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0452 Transfer and discharge Standard
G0952 Ensure that HHA employs qualified personnel Element
▼ 037070 Dependable Home Health, Inc 5255 E Williams Cir Tucson AZ 9 (San Francisco) 10/10/2024 645F3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G0414 HHA administrator contact information Element
G0946 Administrator appointed by governing body Element
▼ 037101 Foundation For Senior Living Home Health Agency 1201 East Thomas Road Phoenix AZ 9 (San Francisco) 08/31/2022 4F0AA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0007 EP Program Patient Population Standard
E0030 Names and Contact Information Standard
G0642 Program scope Standard
G0942 Governing body Standard