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
▼ 107338 Gentiva Health Services 1737 N Clyde Morris Blvd Ste 110 Daytona Beach FL 4 (Atlanta) 04/18/2019 YP3E11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0476 Investigation of complaints Standard
▼ 107338 Gentiva Health Services 1737 N Clyde Morris Blvd Ste 110 Daytona Beach FL 4 (Atlanta) 03/22/2018 VSX611 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
G0682 Infection Prevention Standard
G0484 Document complaint and resolution Element
G0590 Promptly alert relevant physician of changes Element
▼ 107341 Mederi Caretenders 4 Harvard Circle Ste 950 West Palm Beach FL 4 (Atlanta) 11/17/2021 37E67-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 107341 Mederi Caretenders 4 Harvard Circle Ste 950 West Palm Beach FL 4 (Atlanta) 03/01/2018 1DDC11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0754 A qualified HH aide successfully completed: Element
G0808 Onsite supervisory visit every 14 days Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 107345 Adventhealth Home Health And Hospice Inc 4005 Sun'N Lake Blvd Ste 2 Sebring FL 4 (Atlanta) 03/05/2026 1DE1CD-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
G0680 Infection prevention and control Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0684 Infection control Standard
▼ 107362 Holy Cross Home Health 5601 N Dixie Hwy Ste 208 Oakland Park FL 4 (Atlanta) 12/03/2019 MTK511 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0428 Property and person treated with respect Element
▼ 107372 Nhc Homecare Marianna 946 Main St Chipley FL 4 (Atlanta) 05/03/2018 V09M11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0702 Services by skilled professionals Standard
G0710 Provide services in the plan of care Element
▼ 107383 Access Home Health Of Florida, Llc 2475 Palm Bay Rd Ne Palm Bay FL 4 (Atlanta) 03/16/2023 5EAA8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1022 Discharge and transfer summaries Element
▼ 107383 Access Home Health Of Florida, Llc 2475 Palm Bay Rd Ne Palm Bay FL 4 (Atlanta) 11/08/2019 AGAY11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0808 Onsite supervisory visit every 14 days Element
▼ 107397 Usa Home Health Services 4101 Nw 4th St Suite S-200 Plantation FL 4 (Atlanta) 08/12/2024 63DD1-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0602 Communication with all physicians Element