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
▼ 107177 Visiting Nurse Association Of Florida Inc 2400 Se Monterey Rd Ste 300 Stuart FL 4 (Atlanta) 04/28/2021 JJ8I11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
▼ 107207 Nurse On Call Inc 7411 Fullerton St Ste 106 Jacksonville FL 4 (Atlanta) 02/10/2020 KG2Y11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0510 Comprehensive Assessment of Patients Condition
G0940 Organization and administration of services Condition
G0468 Provide contact info other services Element
G0470 Document efforts to resolve problems Element
G0514 RN performs assessment Element
G0590 Promptly alert relevant physician of changes Element
G0948 Responsible for all day-to-day operations Element
G0964 Coordinate referrals; Element
▼ 107207 Nurse On Call Inc 7411 Fullerton St Ste 106 Jacksonville FL 4 (Atlanta) 11/15/2019 4QIQ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
▼ 107212 Baycare Home Care Inc 8452 118th Avenue North Largo FL 4 (Atlanta) 08/02/2019 174F11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0470 Document efforts to resolve problems Element
G0536 A review of all current medications Element
G0542 Incorporate OASIS items Element
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 107217 Brevard Hma Home Health, Llc 8060 Spyglass Hill Rd Viera FL 4 (Atlanta) 09/09/2021 11439-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
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
▼ 107223 Interim Healthcare Gulf Coast Inc 1940 Drew St Ste A Clearwater FL 4 (Atlanta) 05/07/2021 43J311 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element
▼ 107234 Centerwell Health Services (Certified) Inc 4776 New Broad St Ste 110 Orlando FL 4 (Atlanta) 12/29/2021 37DF1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
G0590 Promptly alert relevant physician of changes Element
▼ 107234 Centerwell Health Services (Certified) Inc 4776 New Broad St Ste 110 Orlando FL 4 (Atlanta) 01/10/2019 BVFQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 107240 Centerwell Health Services (Certified) Inc 1140 N Eglin Pkwy Ste 1 Shalimar FL 4 (Atlanta) 04/23/2026 22D46A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
G0984 In accordance with current clinical practice Element
▼ 107240 Centerwell Health Services (Certified) Inc 1140 N Eglin Pkwy Ste 1 Shalimar FL 4 (Atlanta) 04/14/2021 FOY511 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