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

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
107686 Family Home Health Service 777 37th St Ste C102 Vero Beach FL 4 (Atlanta) 04/18/2018 VYFJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
107687 Senior Home Care Inc 10161 Centurion Pkwy North Ste 320 Jacksonville FL 4 (Atlanta) 07/17/2024 6368F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0410 Information to patient Element
G0412 Written notice of patient's rights Element
G0514 RN performs assessment Element
G0590 Promptly alert relevant physician of changes Element
G0604 Integrate all orders Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0984 In accordance with current clinical practice Element
107687 Senior Home Care Inc 10161 Centurion Pkwy North Ste 320 Jacksonville FL 4 (Atlanta) 04/12/2018 VUWH11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0600 Coordination of Care Standard
G0798 Home health aide assignments and duties Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0550 At discharge Element
G0590 Promptly alert relevant physician of changes Element
G0620 Other pertinent instructions Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
G1014 Interventions and patient response Element
107690 Suncrest Omni 7028 W Gulf To Lake Hwy Lake City FL 4 (Atlanta) 01/14/2022 3815D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0600 Coordination of Care Standard
G1024 Authentication Standard
G0436 Receive all services in plan of care Element
107690 Suncrest Omni 7028 W Gulf To Lake Hwy Lake City FL 4 (Atlanta) 12/07/2018 FEK411 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
107691 Quali-Care Home Health Agency, Inc. 7750 Sw 117th Ave, Ste 307 Palmetto Bay FL 4 (Atlanta) 04/18/2018 L2AX11 Recertification, Sample Validation
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
G1024 Authentication Standard
G0536 A review of all current medications Element
G0716 Preparing clinical notes Element
107699 Genesis Home Health Inc 1175 Ne 125th St, Suite 618 North Miami FL 4 (Atlanta) 05/06/2021 5FDD11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0476 Investigation of complaints Standard
G0484 Document complaint and resolution Element
G1012 Required items in clinical record Element
107699 Genesis Home Health Inc 1175 Ne 125th St, Suite 618 North Miami FL 4 (Atlanta) 06/22/2020 H2FB11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0716 Preparing clinical notes Element
107699 Genesis Home Health Inc 1175 Ne 125th St, Suite 618 North Miami FL 4 (Atlanta) 06/18/2019 VV6A12 Recertification
Deficiency Tag Deficiency Description Tag Type
E0037 EP Training Program Standard
107699 Genesis Home Health Inc 1175 Ne 125th St, Suite 618 North Miami FL 4 (Atlanta) 04/10/2019 VV6A11 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
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
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
G0512 Standard: Initial assessment visit. Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0702 Services by skilled professionals Standard
G0704 Responsibilities of skilled professionals Standard
G0768 Competency evaluation Standard
G1024 Authentication Standard
G0410 Information to patient Element
G0414 HHA administrator contact information Element
G0446 Contact info Federal/State-funded entities Element
G0514 RN performs assessment 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
G0708 Development and evaluation of plan of care Element
G0812 Direct observation every 12 months Element
G0818 HH aide supervision elements Element
G0984 In accordance with current clinical practice Element