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
108146 Boca Home Care Inc 3600 Fau Blvd Ste 201 Boca Raton FL 4 (Atlanta) 11/15/2019 MX5Z11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0980 Primary HHA is responsible for patient care Element
108149 Hca Florida Healthcare At Home 6709 Ridge Rd Suites 208 Port Richey FL 4 (Atlanta) 03/17/2020 5LE311 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0430 Be free from abuse Element
G0968 Assure implementation of plan of care Element
108150 Renaissance Home Health Care, Inc 14680 Sw 8th St Ste 205 Miami FL 4 (Atlanta) 01/10/2024 60D35-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
108150 Renaissance Home Health Care, Inc 14680 Sw 8th St Ste 205 Miami FL 4 (Atlanta) 11/19/2020 O29Y11 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
108150 Renaissance Home Health Care, Inc 14680 Sw 8th St Ste 205 Miami FL 4 (Atlanta) 08/23/2018 2I9F11 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
G0818 HH aide supervision elements Element
G0984 In accordance with current clinical practice Element
108152 Specialized Nursing Services Inc 190 Ne 199th St Ste 204 Miami FL 4 (Atlanta) 08/13/2025 66636-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
108152 Specialized Nursing Services Inc 190 Ne 199th St Ste 204 Miami FL 4 (Atlanta) 10/20/2022 4F01E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G0578 Conformance with physician orders Standard
G0586 Review and revision of the plan of care Standard
G0682 Infection Prevention Standard
G1024 Authentication Standard
G0418 Patient's or legal representative's signature Element
G0576 All orders recorded in plan of care Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0812 Direct observation every 12 months Element
G1022 Discharge and transfer summaries Element
108152 Specialized Nursing Services Inc 190 Ne 199th St Ste 204 Miami FL 4 (Atlanta) 03/05/2020 VWOD11 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
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0030 Names and Contact Information Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0682 Infection Prevention Standard
G0704 Responsibilities of skilled professionals Standard
G0768 Competency evaluation Standard
G0774 12 hours inservice every 12 months Standard
G0798 Home health aide assignments and duties Standard
G1024 Authentication Standard
G1068 Physical Therapist Assistant Standard
G0412 Written notice of patient's rights Element
G0434 Participate in care Element
G0442 Written notice for non-covered care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0716 Preparing clinical notes Element
G0726 Nursing services supervised by RN Element
G0754 A qualified HH aide successfully completed: Element
G0766 HHA maintains documentation of training Element
G0808 Onsite supervisory visit every 14 days Element
G0812 Direct observation every 12 months Element
108153 Preferred Nursing Services, Inc 15300 Jog Road Ste 203 Delray Beach FL 4 (Atlanta) 10/04/2019 3CPK11 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
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0608 Coordinate care delivery Element
108155 Medical Services Of America Home Health 2221 Lee Rd Ste 28 Winter Park FL 4 (Atlanta) 01/31/2025 65303-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
G0372 Encoding and transmitting OASIS Standard
G0562 Discharge Planning Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0684 Infection control Standard
G0418 Patient's or legal representative's signature Element
G0590 Promptly alert relevant physician of changes Element
G0720 Participate in the HHA's QAPI program; Element
G0948 Responsible for all day-to-day operations Element
G0978 Must have a written agreement Element
G0980 Primary HHA is responsible for patient care Element
G1012 Required items in clinical record Element