S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
107773 Tehc Llc 8669 Nw 36th St Ste 355 Doral FL 4 (Atlanta) 02/20/2020 83H511 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
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0682 Infection Prevention Standard
G1010 Contents of clinical record Standard
G0434 Participate in care Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G0772 Documentation of competency evaluation Element
G0978 Must have a written agreement Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
107773 Tehc Llc 8669 Nw 36th St Ste 355 Doral FL 4 (Atlanta) 03/08/2018 HCWO11 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
E0009 Local, State, Tribal Collaboration Process Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0034 Information on Occupancy/Needs Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G1024 Authentication Standard
G0446 Contact info Federal/State-funded entities Element
G0536 A review of all current medications Element
G0716 Preparing clinical notes Element
G0722 Participate in HHA-sponsored in-service Element
G0978 Must have a written agreement Element
G0980 Primary HHA is responsible for patient care Element
G0984 In accordance with current clinical practice Element
107775 Certified Homecare Of South Florida 1301 E Broward Blvd Ste 250 Fort Lauderdale FL 4 (Atlanta) 02/19/2025 655C6-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
G0682 Infection Prevention Standard
107776 Ub Of West Fl, Llc 129 S Pebble Beach Blvd Ste 103 Sun City Center FL 4 (Atlanta) 10/16/2019 LP5811 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
107779 Trinity Health Care Services Llc 6151 Miramar Pkwy Ste 101 Miramar FL 4 (Atlanta) 09/15/2023 60DA3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
107779 Trinity Health Care Services Llc 6151 Miramar Pkwy Ste 101 Miramar FL 4 (Atlanta) 12/11/2019 3Q3C11 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
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0808 Onsite supervisory visit every 14 days Element
107779 Trinity Health Care Services Llc 6151 Miramar Pkwy Ste 101 Miramar FL 4 (Atlanta) 08/31/2018 SOCX11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
107780 Pines Home Health Care Services Inc 5400 S University Dr Ste 409 Davie FL 4 (Atlanta) 04/10/2019 BWTM11 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
G0372 Encoding and transmitting OASIS Standard
G0580 Only as ordered by a physician Element
107785 Usa Home Health Services 5300 W Atlantic Ave Ste 200 & 300 Delray Beach FL 4 (Atlanta) 10/22/2019 6DC511 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
G0618 Treatments and therapy services Element
107785 Usa Home Health Services 5300 W Atlantic Ave Ste 200 & 300 Delray Beach FL 4 (Atlanta) 01/19/2018 XXXJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0144 COORDINATION OF PATIENT SERVICES Standard