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
▼ 107653 The Palace At Home 10850 Sw 113 Place Miami FL 4 (Atlanta) 04/27/2021 V2R311 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0574 Plan of care must include the following Element
▼ 107654 Empathy Care Inc 4731 W Atlantic Ave Ste 7 Delray Beach FL 4 (Atlanta) 01/23/2020 L9FE11 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
▼ 107667 Dd Health Home Care Inc 4150 Nw 7th St Ste 208 Miami FL 4 (Atlanta) 05/29/2025 65D6B-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
▼ 107667 Dd Health Home Care Inc 4150 Nw 7th St Ste 208 Miami FL 4 (Atlanta) 12/12/2019 B6VY11 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
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
G0682 Infection Prevention Standard
G1010 Contents of clinical record Standard
G0410 Information to patient Element
G0440 Payment from federally funded programs Element
G0716 Preparing clinical notes Element
G1012 Required items in clinical record Element
▼ 107670 Catholic Home Health Services 14875 Nw 77th Ave Ste 201 Miami Lakes FL 4 (Atlanta) 02/07/2019 C97V11 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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster 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
G0682 Infection Prevention Standard
G1024 Authentication Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
G0812 Direct observation every 12 months Element
G0814 Non-skilled direct observation every 60 days Element
G0984 In accordance with current clinical practice Element
▼ 107673 Faith Health Care Inc 11401 Sw 40th St Ste 327 Miami FL 4 (Atlanta) 05/11/2023 5F89B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G0982 Skilled services furnished Standard
G0536 A review of all current medications Element
G0772 Documentation of competency evaluation Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 107673 Faith Health Care Inc 11401 Sw 40th St Ste 327 Miami FL 4 (Atlanta) 06/12/2019 6Y2G11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0798 Home health aide assignments and duties Standard
G0410 Information to patient Element
G0574 Plan of care must include the following Element
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
G0818 HH aide supervision elements Element
G1012 Required items in clinical record Element
▼ 107673 Faith Health Care Inc 11401 Sw 40th St Ste 327 Miami FL 4 (Atlanta) 11/15/2018 HECI11 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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information 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
G0682 Infection Prevention Standard
G0774 12 hours inservice every 12 months Standard
G0414 HHA administrator contact information Element
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0446 Contact info Federal/State-funded entities Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0622 Name/contact information of clinical manager Element
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
G0984 In accordance with current clinical practice Element
G1012 Required items in clinical record Element
▼ 107682 Nursing South Corporation 9380 Sunset Dr Ste B 222 Miami FL 4 (Atlanta) 07/11/2019 8GKF11 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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0768 Competency evaluation Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
G0812 Direct observation every 12 months Element
G1014 Interventions and patient response Element
▼ 107684 Senior Home Care Inc 4465 North Lecanto Highway Ste 7a Beverly Hills FL 4 (Atlanta) 10/24/2018 FE0411 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard