S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
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Time Interval

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Provider Characteristics

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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
107628 Brooks Rehabilitation Home Health 1673 Mason Ave Ste 201 Daytona Beach FL 4 (Atlanta) 05/14/2019 V41511 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
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0544 Update of the comprehensive assessment Standard
G0704 Responsibilities of skilled professionals Standard
G0454 HHA can no longer meet the patient's needs Element
G0480 Treatment or care Element
G0488 Immediate reporting of abuse by all staff Element
G0592 Revised plan of care Element
G0608 Coordinate care delivery Element
107636 Faith Home Health Inc 4554 Central Ave Ste D Saint Petersburg FL 4 (Atlanta) 07/02/2024 62645-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
G0660 Executive responsibilities for QAPI Standard
G0702 Services by skilled professionals Standard
G0656 Improvements are sustained Element
107638 Faith Home Health Inc 3202 N Howard Ave Tampa FL 4 (Atlanta) 07/11/2023 6016B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
107640 International Home Care Services 11440 Sw 88th St Ste 403 Miami FL 4 (Atlanta) 05/03/2018 M6ZR11 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
G0510 Comprehensive Assessment of Patients Condition
G0940 Organization and administration of services Condition
G1050 Personnel qualifications Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0029 Development of Communication Plan Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0724 Supervise skilled professional assistants Standard
G0798 Home health aide assignments and duties Standard
G1066 Physical Therapist Standard
G0414 HHA administrator contact information Element
G0446 Contact info Federal/State-funded entities Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0548 Within 48 hours of the patient's return Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G0606 Integrate all services Element
G0622 Name/contact information of clinical manager Element
G0710 Provide services in the plan of care Element
G0726 Nursing services supervised by RN Element
G0728 Rehab services supervised by PT, OT Element
G0800 Services provided by HH aide Element
G0952 Ensure that HHA employs qualified personnel Element
G0962 Coordinate patient care Element
G0966 Assure patient needs are continually assessed Element
G0968 Assure implementation of plan of care Element
G0984 In accordance with current clinical practice Element
107641 Med-Tech Services Of Dade Inc 5757 Blue Lagoon Dr Ste 110 Miami FL 4 (Atlanta) 12/15/2021 H7GK11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0718 Communication with physicians Element
G1022 Discharge and transfer summaries Element
107641 Med-Tech Services Of Dade Inc 5757 Blue Lagoon Dr Ste 110 Miami FL 4 (Atlanta) 01/25/2019 UG1X11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0030 Names and Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0536 A review of all current medications Element
G0582 Influenza and pneumococcal vaccines Element
G0584 Verbal orders Element
G0716 Preparing clinical notes Element
G0968 Assure implementation of plan of care Element
107643 Florida Home Bound Mental Health Agency Inc 1400 Ne 125 St North Miami FL 4 (Atlanta) 11/09/2021 37E34-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0408 Notice of rights Standard
G0412 Written notice of patient's rights Element
G0418 Patient's or legal representative's signature Element
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0444 State toll free HH telephone hotline Element
107644 Asa Home Care Inc 8700 W Flagler St Ste 110 Miami FL 4 (Atlanta) 09/22/2023 61019-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1012 Required items in clinical record Element
107644 Asa Home Care Inc 8700 W Flagler St Ste 110 Miami FL 4 (Atlanta) 09/01/2020 VC7H11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0410 Information to patient Element
G0412 Written notice of patient's rights Element
G0434 Participate in care Element
G1012 Required items in clinical record Element
107647 Neu-Heart Health Care Services 7173 W Oakland Park Blvd Fort Lauderdale FL 4 (Atlanta) 01/18/2018 YT8411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0134 ADMINISTRATOR Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0224 ASSIGNMENT & DUTIES OF HOME HEALTH AIDE Standard