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
▼ 108063 Angels Care Home Health 4801 George Rd Ste 190 Tampa FL 4 (Atlanta) 05/14/2024 62EF4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0584 Verbal orders Element
G1014 Interventions and patient response Element
▼ 108063 Angels Care Home Health 4801 George Rd Ste 190 Tampa FL 4 (Atlanta) 09/28/2018 CCW011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0031 Emergency Officials Contact Information Standard
G0578 Conformance with physician orders Standard
G1010 Contents of clinical record Standard
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
▼ 108067 Caretenders Of Jacksonville Llc 6621 Southpoint Dr N Ste 340 Jacksonville FL 4 (Atlanta) 10/03/2019 MP1311 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
▼ 108068 Pinnacle Home Care Of Spring Hill Inc 5286 Applegate Dr Spring Hill FL 4 (Atlanta) 05/10/2018 HFQF11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0660 Executive responsibilities for QAPI Standard
▼ 108069 Hospital Without Walls 1200 S Federal Hwy, Ste 205 Boynton Beach FL 4 (Atlanta) 11/22/2019 SRJG11 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
G0578 Conformance with physician orders Standard
G0710 Provide services in the plan of care Element
▼ 108075 A & B Home Health Inc 4431 Davie Rd Ste 119 Davie FL 4 (Atlanta) 02/28/2019 KVGY11 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
G0616 Patient medication schedule/instructions Element
▼ 108081 Trinity Health Care Services, Inc. 3951 N Haverhill Rd Ste 202-204 West Palm Beach FL 4 (Atlanta) 04/07/2026 1F3157-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
▼ 108085 Pro-Health Nursing Services, Inc 2231 N University Dr Unit C Pembroke Pines FL 4 (Atlanta) 12/08/2025 1DC44D-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0370 Reporting OASIS information Condition
G0510 Comprehensive Assessment of Patients Condition
G0374 Accuracy of encoded OASIS data Standard
G0528 Health, psychosocial, functional, cognition Element
▼ 108085 Pro-Health Nursing Services, Inc 2231 N University Dr Unit C Pembroke Pines FL 4 (Atlanta) 08/31/2023 60D99-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0952 Ensure that HHA employs qualified personnel Element
▼ 108085 Pro-Health Nursing Services, Inc 2231 N University Dr Unit C Pembroke Pines FL 4 (Atlanta) 08/06/2018 0SOV11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0480 Treatment or care Element
G0726 Nursing services supervised by RN Element