S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 108009 Firstat Nursing Services - West Palm Beach 5601 Corporate Way Ste 404 West Palm Beach FL 4 (Atlanta) 08/10/2023 60A79-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1010 Contents of clinical record Standard
G0714 Patient and caregiver education Element
▼ 108009 Firstat Nursing Services - West Palm Beach 5601 Corporate Way Ste 404 West Palm Beach FL 4 (Atlanta) 05/06/2022 38A12-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0432 Make complaints to the HHA Element
G0434 Participate in care Element
G0608 Coordinate care delivery Element
▼ 108009 Firstat Nursing Services - West Palm Beach 5601 Corporate Way Ste 404 West Palm Beach FL 4 (Atlanta) 10/24/2019 ZEMV11 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
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0718 Communication with physicians Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
▼ 108010 Suwannee Medical Personnel 1852 Sw Barnett Way Ste 103 Lake City FL 4 (Atlanta) 04/05/2024 62834-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
▼ 108014 Lhcg Clvii, Llc 2170 W State Rd 434 Longwood FL 4 (Atlanta) 08/01/2024 63B05-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0460 Patient refuses services Element
G0596 Revisions communicated to patient and MDs Element
▼ 108015 Aaa Home Health Services, Inc 2929 Sw 3rd Ave Ste 520 Miami FL 4 (Atlanta) 06/26/2025 66235-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
▼ 108015 Aaa Home Health Services, Inc 2929 Sw 3rd Ave Ste 520 Miami FL 4 (Atlanta) 07/20/2022 3886F-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
G0768 Competency evaluation Standard
G0434 Participate in care Element
G0576 All orders recorded in plan of care Element
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 108015 Aaa Home Health Services, Inc 2929 Sw 3rd Ave Ste 520 Miami FL 4 (Atlanta) 01/10/2020 2FHN11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0682 Infection Prevention Standard
G0768 Competency evaluation Standard
G1024 Authentication Standard
G0446 Contact info Federal/State-funded entities Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0584 Verbal orders Element
G0622 Name/contact information of clinical manager Element
G0772 Documentation of competency evaluation Element
G0812 Direct observation every 12 months Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 108021 Premium Home Health Care, Inc 2760 Sw 97th Ave Apt 107 Miami FL 4 (Atlanta) 02/08/2024 61361-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
▼ 108021 Premium Home Health Care, Inc 2760 Sw 97th Ave Apt 107 Miami FL 4 (Atlanta) 10/24/2018 BUI411 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
G0768 Competency evaluation Standard
G0574 Plan of care must include the following Element
G1014 Interventions and patient response Element