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
▼ 107243 Interim Healthcare Gulf Coast Inc 2511 W Columbus Dr Tampa FL 4 (Atlanta) 06/22/2018 8POJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0660 Executive responsibilities for QAPI Standard
G0536 A review of all current medications Element
▼ 107260 Baycare Home Care Inc 7701 Little Road Ste 101 New Port Richey FL 4 (Atlanta) 07/05/2019 45FT11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
▼ 107264 Interim Hha Of St Augustine Inc 570 Memorial Cir, Ste 330 Ormond Beach FL 4 (Atlanta) 11/08/2018 ST8N11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0590 Promptly alert relevant physician of changes Element
G0602 Communication with all physicians Element
G1012 Required items in clinical record Element
▼ 107272 Desoto Memorial Home Health Care Agency 900 N Robert Ave Arcadia FL 4 (Atlanta) 05/07/2019 TVQU11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
▼ 107275 Centerwell Health Services (Certified) Inc 11 W 23rd Street, Building A Panama City FL 4 (Atlanta) 08/29/2019 WW3L11 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
G0578 Conformance with physician orders Standard
▼ 107290 Centerwell Home Health 350 Corporate Way Ste 250 Orange Park FL 4 (Atlanta) 08/28/2024 63F07-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0590 Promptly alert relevant physician of changes Element
G0616 Patient medication schedule/instructions Element
▼ 107290 Centerwell Home Health 350 Corporate Way Ste 250 Orange Park FL 4 (Atlanta) 02/27/2020 TODO11 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
G0436 Receive all services in plan of care Element
G0514 RN performs assessment Element
G0536 A review of all current medications Element
▼ 107326 Nhc Homecare 1617 West Hwy 98 Ste E-2 Carrabelle FL 4 (Atlanta) 03/22/2018 NOKN11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0590 Promptly alert relevant physician of changes Element
G0718 Communication with physicians Element
G0808 Onsite supervisory visit every 14 days Element
▼ 107330 Centerwell Home Health 17240 Camelot Court Unit 101 Land O Lakes FL 4 (Atlanta) 11/09/2018 K28J11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
▼ 107338 Gentiva Health Services 1737 N Clyde Morris Blvd Ste 110 Daytona Beach FL 4 (Atlanta) 05/08/2024 62F01-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0372 Encoding and transmitting OASIS Standard
G0682 Infection Prevention Standard
G0432 Make complaints to the HHA Element
G0536 A review of all current medications Element
G0616 Patient medication schedule/instructions Element