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
▼ 107422 Mederi Caretenders 1167 Miranda Lane Kissimmee FL 4 (Atlanta) 07/31/2025 1D0F12-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 107422 Mederi Caretenders 1167 Miranda Lane Kissimmee FL 4 (Atlanta) 04/18/2019 96SM11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0550 At discharge Element
G0590 Promptly alert relevant physician of changes Element
▼ 107436 Welcome Homecare 9570 Regency Square Blvd Jacksonville FL 4 (Atlanta) 01/31/2019 QZB811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0592 Revised plan of care Element
G0608 Coordinate care delivery Element
▼ 107444 Memorial Home Health Services 300 S Park Rd Ste 210 Hollywood FL 4 (Atlanta) 05/06/2022 38A40-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 107458 Doctor's Memorial Hospital Home Health 333 N Byron Butler Parkway Perry FL 4 (Atlanta) 05/24/2018 ZKTO11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0574 Plan of care must include the following Element
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
G0814 Non-skilled direct observation every 60 days Element
▼ 107461 Nursecore Of Fort Myers 4350 Fowler St, Ste 4 Fort Myers FL 4 (Atlanta) 05/23/2019 V8EJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0436 Receive all services in plan of care Element
G0708 Development and evaluation of plan of care Element
▼ 107482 Baptist Home Health Care By Bayada 3563 Phillips Highway Bldg B Ste 202-B Jacksonville FL 4 (Atlanta) 06/20/2019 3L2G11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0716 Preparing clinical notes Element
▼ 107492 Apex Home Healthcare 4729 Us Highway 17 Ste 203 Fleming Island FL 4 (Atlanta) 03/17/2021 CZQL11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0642 Program scope Standard
G0658 Performance improvement projects Standard
G0484 Document complaint and resolution Element
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G1012 Required items in clinical record Element
▼ 107492 Apex Home Healthcare 4729 Us Highway 17 Ste 203 Fleming Island FL 4 (Atlanta) 01/10/2018 K0A011 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0143 COORDINATION OF PATIENT SERVICES Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0164 PERIODIC REVIEW OF PLAN OF CARE Standard
▼ 107500 Mederi Caretenders 18118 Powell Rd Brooksville FL 4 (Atlanta) 03/27/2025 6561A-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