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
▼ 107762 Southeast Homecare 3403 Nw 82nd Ave, Ste 210 Doral FL 4 (Atlanta) 05/29/2018 OD9L11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0604 Integrate all orders Element
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
▼ 107768 Bayada Nurses Inc 3001 Executive Dr Ste 250 Clearwater FL 4 (Atlanta) 07/11/2019 2PDS11 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
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
▼ 107769 Total Nursing Svcs Inc 5951 Nw 173 Dr Ste 11 Miami FL 4 (Atlanta) 05/08/2025 65D64-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 107769 Total Nursing Svcs Inc 5951 Nw 173 Dr Ste 11 Miami FL 4 (Atlanta) 03/02/2022 38473-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0686 Infection control education Standard
G0418 Patient's or legal representative's signature Element
G1014 Interventions and patient response Element
▼ 107769 Total Nursing Svcs Inc 5951 Nw 173 Dr Ste 11 Miami FL 4 (Atlanta) 07/11/2019 77S111 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
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0037 EP Training Program Standard
G0572 Plan of care Standard
G0774 12 hours inservice every 12 months Standard
G0798 Home health aide assignments and duties Standard
G1010 Contents of clinical record Standard
G0410 Information to patient Element
G0412 Written notice of patient's rights Element
G0514 RN performs assessment Element
G0582 Influenza and pneumococcal vaccines Element
G0608 Coordinate care delivery Element
G0614 Visit schedule Element
G0812 Direct observation every 12 months Element
G0814 Non-skilled direct observation every 60 days Element
G1012 Required items in clinical record Element
▼ 107772 Exclusive Services Inc 7181 Sw 43rd St Miami FL 4 (Atlanta) 03/06/2025 656D2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
G1014 Interventions and patient response Element
▼ 107772 Exclusive Services Inc 7181 Sw 43rd St Miami FL 4 (Atlanta) 08/22/2019 FFLR11 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
E0013 Development of EP Policies and Procedures Standard
E0029 Development of Communication Plan Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
G0372 Encoding and transmitting OASIS Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0982 Skilled services furnished Standard
G1024 Authentication Standard
G0410 Information to patient Element
G0440 Payment from federally funded programs Element
G0442 Written notice for non-covered care Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G0608 Coordinate care delivery Element
G0716 Preparing clinical notes Element
▼ 107773 Tehc Llc 8669 Nw 36th St Ste 355 Doral FL 4 (Atlanta) 06/23/2025 66234-H1 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
▼ 107773 Tehc Llc 8669 Nw 36th St Ste 355 Doral FL 4 (Atlanta) 08/10/2022 4F015-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0576 All orders recorded in plan of care Element
G1022 Discharge and transfer summaries Element
▼ 107773 Tehc Llc 8669 Nw 36th St Ste 355 Doral FL 4 (Atlanta) 05/19/2021 FQYK11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0702 Services by skilled professionals Standard
G0536 A review of all current medications Element
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element