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
▼ 108089 Ambar Home Health Agency Inc 633 Ne 167th St Ste 809 North Miami Beach FL 4 (Atlanta) 04/02/2019 KL9L11 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
E0032 Primary/Alternate Means for Communication Standard
E0037 EP Training Program Standard
G0682 Infection Prevention Standard
G0768 Competency evaluation Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0722 Participate in HHA-sponsored in-service Element
▼ 108089 Ambar Home Health Agency Inc 633 Ne 167th St Ste 809 North Miami Beach FL 4 (Atlanta) 04/24/2018 PBMV13 Recertification
Deficiency Tag Deficiency Description Tag Type
G0101 PATIENT RIGHTS Standard
G0102 NOTICE OF RIGHTS Standard
G0103 NOTICE OF RIGHTS Standard
G0108 RIGHT TO BE INFORMED AND PARTICIPATE Standard
G0109 RIGHT TO BE INFORMED AND PARTICIPATE Standard
G0110 RIGHT TO BE INFORMED AND PARTICIPATE Standard
G0159 PLAN OF CARE Standard
G0169 SKILLED NURSING SERVICES Standard
G0170 SKILLED NURSING SERVICES Standard
G0180 DUTIES OF THE LICENSED PRACTICAL NURSE Standard
G0229 SUPERVISION Standard
G0250 CLINICAL RECORD REVIEW Standard
G0321 ENCODING OASIS DATA Standard
▼ 108092 Firstat Nursing Services- Ft Lauderdale 3201 W Commercial Blvd Ste 114 Fort Lauderdale FL 4 (Atlanta) 09/21/2023 60DAA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0440 Payment from federally funded programs Element
▼ 108092 Firstat Nursing Services- Ft Lauderdale 3201 W Commercial Blvd Ste 114 Fort Lauderdale FL 4 (Atlanta) 04/20/2023 5F8B9-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1030 Retrieval of records Standard
▼ 108092 Firstat Nursing Services- Ft Lauderdale 3201 W Commercial Blvd Ste 114 Fort Lauderdale FL 4 (Atlanta) 02/21/2020 GT2111 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
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0948 Responsible for all day-to-day operations Element
G0968 Assure implementation of plan of care Element
▼ 108092 Firstat Nursing Services- Ft Lauderdale 3201 W Commercial Blvd Ste 114 Fort Lauderdale FL 4 (Atlanta) 01/28/2020 LFGL11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0960 Make patient and personnel assignments, Element
▼ 108092 Firstat Nursing Services- Ft Lauderdale 3201 W Commercial Blvd Ste 114 Fort Lauderdale FL 4 (Atlanta) 12/02/2019 W1OT11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0964 Coordinate referrals; Element
G1012 Required items in clinical record Element
▼ 108093 Ameri-Care Professional Service Inc 760 East 49th Street Hialeah FL 4 (Atlanta) 12/09/2021 37EAA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0718 Communication with physicians Element
▼ 108093 Ameri-Care Professional Service Inc 760 East 49th Street Hialeah FL 4 (Atlanta) 01/17/2019 T7J911 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
G1024 Authentication Standard
G1012 Required items in clinical record Element
▼ 108097 Distinguished Home Health Care Services, Inc. 11011 Sheridan St Ste 206 Cooper City FL 4 (Atlanta) 02/22/2024 623F3-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
G0580 Only as ordered by a physician Element
G0616 Patient medication schedule/instructions Element
G0726 Nursing services supervised by RN Element