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
▼ 107542 Mount Auburn Home Health 5790 Nw 72nd Ave Doral FL 4 (Atlanta) 03/17/2021 AXR511 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
G1010 Contents of clinical record Standard
G0812 Direct observation every 12 months Element
G1012 Required items in clinical record Element
▼ 107542 Mount Auburn Home Health 5790 Nw 72nd Ave Doral FL 4 (Atlanta) 03/08/2019 BU7W11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
G0446 Contact info Federal/State-funded entities Element
G0536 A review of all current medications Element
G1012 Required items in clinical record Element
▼ 107544 Caresouth Hha Holdings Of The Treasure Caost Llc 140 Intracoastal Pointe Dr Ste 205 Jupiter FL 4 (Atlanta) 04/18/2019 2R8R11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 107547 Senior Home Care Inc 4245 Kings Hwy Unit B Port Charlotte FL 4 (Atlanta) 11/14/2024 64A3C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0452 Transfer and discharge Standard
G0682 Infection Prevention Standard
G0414 HHA administrator contact information Element
G0416 OASIS privacy notice Element
G0430 Be free from abuse Element
G0444 State toll free HH telephone hotline Element
G0446 Contact info Federal/State-funded entities Element
G0450 Access to auxiliary aids and language service Element
G0536 A review of all current medications Element
G0616 Patient medication schedule/instructions Element
G0964 Coordinate referrals; Element
▼ 107547 Senior Home Care Inc 4245 Kings Hwy Unit B Port Charlotte FL 4 (Atlanta) 03/09/2022 38499-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
▼ 107547 Senior Home Care Inc 4245 Kings Hwy Unit B Port Charlotte FL 4 (Atlanta) 03/07/2019 8DH111 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0418 Patient's or legal representative's signature Element
G0484 Document complaint and resolution Element
G0536 A review of all current medications Element
G1014 Interventions and patient response Element
▼ 107572 Mederi Caretenders 1413 Tech Blvd Ste 123 Tampa FL 4 (Atlanta) 05/30/2024 6306E-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
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
▼ 107586 Access Home Health Of Florida Llc 525 Nw Lake Whitney Pl Ste 106 Port Saint Lucie FL 4 (Atlanta) 12/12/2019 PV9W11 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
G1012 Required items in clinical record Element
▼ 107592 Nhc Homecare 2395 N Courtenay Pkwy Ste 101 Merritt Island FL 4 (Atlanta) 07/10/2024 63387-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0430 Be free from abuse Element
G0536 A review of all current medications Element
▼ 107592 Nhc Homecare 2395 N Courtenay Pkwy Ste 101 Merritt Island FL 4 (Atlanta) 06/20/2018 12Y911 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
G0608 Coordinate care delivery Element