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
▼ 108236 Angels Care Home Health 1635 E Highway 50 Ste 101 Clermont FL 4 (Atlanta) 08/29/2019 BVH711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0598 Discharge plans communication Element
▼ 108240 Medi Home Health Agency 8333 N Davis Hwy, 6th Floor Pensacola FL 4 (Atlanta) 04/22/2021 8DG411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0592 Revised plan of care Element
▼ 108240 Medi Home Health Agency 8333 N Davis Hwy, 6th Floor Pensacola FL 4 (Atlanta) 11/01/2018 V2QF11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0702 Services by skilled professionals Standard
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
▼ 108240 Medi Home Health Agency 8333 N Davis Hwy, 6th Floor Pensacola FL 4 (Atlanta) 03/02/2018 DSN111 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0642 Program scope Standard
G0682 Infection Prevention Standard
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
▼ 108241 America-Loving Care Home Health Inc 1916 Nw 84 Ave Doral FL 4 (Atlanta) 01/30/2020 RPXW11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0426 Rights of the patient Standard
G0798 Home health aide assignments and duties Standard
G0812 Direct observation every 12 months Element
▼ 108241 America-Loving Care Home Health Inc 1916 Nw 84 Ave Doral FL 4 (Atlanta) 08/27/2018 7ZRS11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 108248 Care One Home Health Inc 1535 Sw 87th Ave Miami FL 4 (Atlanta) 02/01/2024 60D37-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
▼ 108248 Care One Home Health Inc 1535 Sw 87th Ave Miami FL 4 (Atlanta) 12/03/2020 QD9U11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0982 Skilled services furnished Standard
G0814 Non-skilled direct observation every 60 days Element
▼ 108248 Care One Home Health Inc 1535 Sw 87th Ave Miami FL 4 (Atlanta) 09/06/2018 8NQ011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0750 Home health aide services Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
E0037 EP Training Program Standard
G0578 Conformance with physician orders Standard
G0600 Coordination of Care Standard
G0682 Infection Prevention Standard
G0768 Competency evaluation Standard
G0798 Home health aide assignments and duties Standard
G0982 Skilled services furnished Standard
G0440 Payment from federally funded programs Element
G0514 RN performs assessment 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
G0582 Influenza and pneumococcal vaccines Element
G0584 Verbal orders Element
G0608 Coordinate care delivery Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G0812 Direct observation every 12 months Element
G0814 Non-skilled direct observation every 60 days Element
G0818 HH aide supervision elements Element
G0962 Coordinate patient care Element
G1018 Contact information for the patient Element
▼ 108250 Ace Home Health Services Corp 1470 Nw 107th Ave Ste 13l Sweetwater FL 4 (Atlanta) 07/14/2022 4EA4B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0418 Patient's or legal representative's signature Element
G1022 Discharge and transfer summaries Element