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
▼ 107754 Green Cross Home Care Services Inc 15383 Nw 7th Ave Miami FL 4 (Atlanta) 03/01/2021 5VMY11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G1010 Contents of clinical record Standard
G1072 Registered Nurse Standard
G0716 Preparing clinical notes Element
▼ 107754 Green Cross Home Care Services Inc 15383 Nw 7th Ave Miami FL 4 (Atlanta) 05/02/2019 9XIX11 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
G0406 Patient rights Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation 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
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0452 Transfer and discharge Standard
G0518 Completion of the comprehensive assessment Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0774 12 hours inservice every 12 months Standard
G0798 Home health aide assignments and duties Standard
G0982 Skilled services furnished Standard
G1024 Authentication Standard
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
G0416 OASIS privacy notice Element
G0418 Patient's or legal representative's signature Element
G0422 Written notice within 4 business days Element
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0444 State toll free HH telephone hotline Element
G0446 Contact info Federal/State-funded entities Element
G0448 Freedom from discrimination or reprisal Element
G0450 Access to auxiliary aids and language service Element
G0528 Health, psychosocial, functional, cognition Element
G0530 Strengths, goals, and care preferences Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0582 Influenza and pneumococcal vaccines Element
G0584 Verbal orders Element
G0590 Promptly alert relevant physician of changes Element
G0596 Revisions communicated to patient and MDs Element
G0604 Integrate all orders Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0622 Name/contact information of clinical manager Element
G0716 Preparing clinical notes Element
G0772 Documentation of competency evaluation Element
G0808 Onsite supervisory visit every 14 days Element
G0952 Ensure that HHA employs qualified personnel Element
G0968 Assure implementation of plan of care Element
G0984 In accordance with current clinical practice Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
▼ 107754 Green Cross Home Care Services Inc 15383 Nw 7th Ave Miami FL 4 (Atlanta) 02/08/2019 TH8E11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
G0416 OASIS privacy notice Element
G0418 Patient's or legal representative's signature Element
G0422 Written notice within 4 business days Element
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0444 State toll free HH telephone hotline Element
G0446 Contact info Federal/State-funded entities Element
G0448 Freedom from discrimination or reprisal Element
G0450 Access to auxiliary aids and language service Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0604 Integrate all orders Element
G0622 Name/contact information of clinical manager Element
G0716 Preparing clinical notes Element
G0966 Assure patient needs are continually assessed Element
G0968 Assure implementation of plan of care Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
▼ 107754 Green Cross Home Care Services Inc 15383 Nw 7th Ave Miami FL 4 (Atlanta) 06/05/2018 1MFO11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0438 Have a confidential clinical record Element
▼ 107761 Home Bound Care, Inc. 340 Nw 183rd St Miami FL 4 (Atlanta) 02/22/2022 380A0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0956 Available during all operating hours Element
▼ 107761 Home Bound Care, Inc. 340 Nw 183rd St Miami FL 4 (Atlanta) 03/04/2020 ON6I11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
▼ 107761 Home Bound Care, Inc. 340 Nw 183rd St Miami FL 4 (Atlanta) 03/14/2019 4ELG11 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
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster 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
G0578 Conformance with physician orders Standard
G0586 Review and revision of the plan of care Standard
G0682 Infection Prevention Standard
G0702 Services by skilled professionals Standard
G0774 12 hours inservice every 12 months Standard
G1024 Authentication Standard
G1072 Registered Nurse Standard
G0536 A review of all current medications Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G0584 Verbal orders Element
G0716 Preparing clinical notes Element
G0726 Nursing services supervised by RN Element
G0808 Onsite supervisory visit every 14 days Element
G0960 Make patient and personnel assignments, Element
G0962 Coordinate patient care Element
G0984 In accordance with current clinical practice Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 107761 Home Bound Care, Inc. 340 Nw 183rd St Miami FL 4 (Atlanta) 05/11/2018 E2IU11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0452 Transfer and discharge Standard
G0578 Conformance with physician orders Standard
G0586 Review and revision of the plan of care Standard
G0682 Infection Prevention Standard
G1024 Authentication Standard
G1056 Clinical Manager Standard
G0414 HHA administrator contact information Element
G0434 Participate in care Element
G0436 Receive all services in plan of care Element
G0442 Written notice for non-covered care Element
G0446 Contact info Federal/State-funded entities Element
G0480 Treatment or care Element
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0592 Revised plan of care Element
G0716 Preparing clinical notes Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 107762 Southeast Homecare 3403 Nw 82nd Ave, Ste 210 Doral FL 4 (Atlanta) 07/02/2019 VGCT11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
▼ 107762 Southeast Homecare 3403 Nw 82nd Ave, Ste 210 Doral FL 4 (Atlanta) 12/19/2018 PTHJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
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