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
▼ 107710 Sarasota Memorial Homecare 6075 Rand Blvd Suite 3 Sarasota FL 4 (Atlanta) 06/27/2019 0UYD11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0466 Make efforts to resolve the problem(s) Element
G0480 Treatment or care Element
G0482 Mistreatment, neglect or abuse Element
G0536 A review of all current medications Element
G0606 Integrate all services Element
G0610 Patients receive education and training Element
G0718 Communication with physicians Element
▼ 107711 Gentle Care Inc 1790 Sw 27 Ave Miami FL 4 (Atlanta) 02/21/2024 61E81-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
▼ 107711 Gentle Care Inc 1790 Sw 27 Ave Miami FL 4 (Atlanta) 08/24/2021 1145D-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 107711 Gentle Care Inc 1790 Sw 27 Ave Miami FL 4 (Atlanta) 01/10/2019 3TQP11 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
G0536 A review of all current medications Element
G0808 Onsite supervisory visit every 14 days Element
G0984 In accordance with current clinical practice Element
▼ 107713 Angel Home Care Services Inc 12955 Sw 42 St #104 Miami FL 4 (Atlanta) 01/29/2026 1DDBB1-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
▼ 107713 Angel Home Care Services Inc 12955 Sw 42 St #104 Miami FL 4 (Atlanta) 06/28/2023 5FB9A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0772 Documentation of competency evaluation Element
G0812 Direct observation every 12 months Element
G1022 Discharge and transfer summaries Element
▼ 107713 Angel Home Care Services Inc 12955 Sw 42 St #104 Miami FL 4 (Atlanta) 10/07/2020 AQS611 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0774 12 hours inservice every 12 months Standard
G0812 Direct observation every 12 months Element
▼ 107713 Angel Home Care Services Inc 12955 Sw 42 St #104 Miami FL 4 (Atlanta) 07/19/2018 HDDD11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0030 Names and Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
G0372 Encoding and transmitting OASIS Standard
G0682 Infection Prevention Standard
G1024 Authentication Standard
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0808 Onsite supervisory visit every 14 days Element
G0984 In accordance with current clinical practice Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 107716 Sunrise Home Health & Supplies Llc 22110 Kimble Ave Port Charlotte FL 4 (Atlanta) 04/18/2023 5EF2E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0460 Patient refuses services Element
G0590 Promptly alert relevant physician of changes Element
▼ 107716 Sunrise Home Health & Supplies Llc 22110 Kimble Ave Port Charlotte FL 4 (Atlanta) 09/30/2020 PLHH11 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
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0578 Conformance with physician orders Standard
G0684 Infection control Standard
G0574 Plan of care must include the following Element
G1012 Required items in clinical record Element