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
▼ 107700 Mederi Caretenders 7330 Little Road Ste 101 New Port Richey FL 4 (Atlanta) 05/16/2024 6306D-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
G0602 Communication with all physicians Element
▼ 107702 Aftercare Nursing Services Inc 1655 27th St Ste 1 Vero Beach FL 4 (Atlanta) 10/09/2019 FURD11 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
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 107703 Community Home Health Care Services 707 60th St Ct E Ste C Bradenton FL 4 (Atlanta) 01/05/2018 UGHE11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0144 COORDINATION OF PATIENT SERVICES Standard
G0157 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
▼ 107704 Tehc Llc 7899 Baymeadows Way Ste 100 Jacksonville FL 4 (Atlanta) 08/22/2019 28GD11 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
▼ 107705 D'First Home Care, Inc 13060 Sw 133 Ct Miami FL 4 (Atlanta) 11/15/2023 60B7B-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
G0418 Patient's or legal representative's signature Element
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element
G0812 Direct observation every 12 months Element
G1022 Discharge and transfer summaries Element
▼ 107705 D'First Home Care, Inc 13060 Sw 133 Ct Miami FL 4 (Atlanta) 10/22/2020 CF8O11 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
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0658 Performance improvement projects Standard
G0686 Infection control education Standard
G1024 Authentication Standard
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G0716 Preparing clinical notes Element
G0772 Documentation of competency evaluation Element
G1022 Discharge and transfer summaries Element
▼ 107705 D'First Home Care, Inc 13060 Sw 133 Ct Miami FL 4 (Atlanta) 09/27/2018 ISHR11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G0798 Home health aide assignments and duties Standard
G1024 Authentication Standard
G0414 HHA administrator contact information Element
G0440 Payment from federally funded programs Element
G0446 Contact info Federal/State-funded entities Element
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0584 Verbal orders Element
G0622 Name/contact information of clinical manager Element
G0800 Services provided by HH aide Element
G0818 HH aide supervision elements Element
G0962 Coordinate patient care Element
G0968 Assure implementation of plan of care Element
G0984 In accordance with current clinical practice Element
G1012 Required items in clinical record Element
▼ 107707 Apex Home Healthcare 2765 Rebecca Ln Ste A & B Orange City FL 4 (Atlanta) 08/22/2024 63F04-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
G0614 Visit schedule Element
▼ 107707 Apex Home Healthcare 2765 Rebecca Ln Ste A & B Orange City FL 4 (Atlanta) 02/27/2018 X77011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0646 Program activities Standard
G0608 Coordinate care delivery Element
▼ 107708 Unisource Home Health Services 7400 Sw 50th Ter Ste 203 Miami FL 4 (Atlanta) 01/16/2019 Q0ZK11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 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
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0578 Conformance with physician orders Standard
G0768 Competency evaluation Standard
G0414 HHA administrator contact information Element
G0438 Have a confidential clinical record 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
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G0592 Revised plan of care Element
G0622 Name/contact information of clinical manager Element
G0716 Preparing clinical notes Element
G0948 Responsible for all day-to-day operations Element