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
▼ 107718 Tehc Llc 182 Barton Blvd Ste B Rockledge FL 4 (Atlanta) 11/16/2018 SGKB11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0606 Integrate all services Element
▼ 107723 Well Done Home Care Inc 10250 Normandy Blvd Ste 502 Jacksonville FL 4 (Atlanta) 01/13/2021 LPBL11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
▼ 107730 Fatima Home Care 1454 Sw 1 St Ste 120 Miami FL 4 (Atlanta) 04/28/2022 3862C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0982 Skilled services furnished Standard
G0814 Non-skilled direct observation every 60 days Element
▼ 107730 Fatima Home Care 1454 Sw 1 St Ste 120 Miami FL 4 (Atlanta) 12/05/2019 ZVTA11 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
E0039 EP Testing Requirements Standard
G0768 Competency evaluation Standard
G0596 Revisions communicated to patient and MDs Element
G0716 Preparing clinical notes Element
G0802 Duties of a HH aide Element
G0814 Non-skilled direct observation every 60 days Element
G1012 Required items in clinical record Element
▼ 107739 Senior Home Care, Inc. 300 Primera Blvd Ste 132 Lake Mary FL 4 (Atlanta) 03/17/2022 38688-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
▼ 107742 Bayront Home Health Care, Llc 603 Seventh Street S Ste 430 Saint Petersburg FL 4 (Atlanta) 03/23/2022 3849D-H1 Recertification
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
▼ 107746 Nationwide Healthcare Services Inc 111 Nw 183rd St Ste 420 Miami Gardens FL 4 (Atlanta) 03/20/2025 65A39-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G0800 Services provided by HH aide Element
G0814 Non-skilled direct observation every 60 days Element
G0968 Assure implementation of plan of care Element
▼ 107746 Nationwide Healthcare Services Inc 111 Nw 183rd St Ste 420 Miami Gardens FL 4 (Atlanta) 01/06/2022 3809B-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
G0436 Receive all services in plan of care Element
G1022 Discharge and transfer summaries Element
▼ 107746 Nationwide Healthcare Services Inc 111 Nw 183rd St Ste 420 Miami Gardens FL 4 (Atlanta) 10/07/2019 W4MK11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0800 Services provided by HH aide Element
▼ 107746 Nationwide Healthcare Services Inc 111 Nw 183rd St Ste 420 Miami Gardens FL 4 (Atlanta) 02/28/2019 5ITZ11 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
E0024 Policies/Procedures-Volunteers and Staffing 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
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0768 Competency evaluation Standard
G0546 Last 5 days of every 60 days unless: Element
G0548 Within 48 hours of the patient's return Element
G0550 At discharge Element
G0582 Influenza and pneumococcal vaccines Element
G0812 Direct observation every 12 months Element
G0814 Non-skilled direct observation every 60 days Element
G0818 HH aide supervision elements Element
G0960 Make patient and personnel assignments, Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element