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
▼ 108265 Home Care Resources Home Health Agency Inc 5979 Nw 151st Street Ste 109 Miami Lakes FL 4 (Atlanta) 05/17/2023 5F89F-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
▼ 108265 Home Care Resources Home Health Agency Inc 5979 Nw 151st Street Ste 109 Miami Lakes FL 4 (Atlanta) 06/14/2018 Y3QA11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0414 HHA administrator contact information Element
G0446 Contact info Federal/State-funded entities Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0984 In accordance with current clinical practice Element
▼ 108268 All Coast Therapy Services Inc 13940 N Us Hwy 441 Bldg 603 Ste 603 Lady Lake FL 4 (Atlanta) 08/08/2019 743Q11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0822 Ensuring the overall quality of care provided Element
▼ 108270 Infinity Home Care Of Port Charlotte Llc 4161 Tamiami Trl Bldg 8 Unit 801 A Port Charlotte FL 4 (Atlanta) 03/27/2025 659CC-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0478 Investigate complaints made by patient Element
G0484 Document complaint and resolution Element
G0984 In accordance with current clinical practice Element
▼ 108275 Advantis Home Care Inc 8864b Sw 129th Ter Miami FL 4 (Atlanta) 01/03/2019 S67711 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0600 Coordination of Care Standard
G0434 Participate in care Element
G0436 Receive all services in plan of care Element
G0574 Plan of care must include the following Element
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
G0984 In accordance with current clinical practice Element
▼ 108275 Advantis Home Care Inc 8864b Sw 129th Ter Miami FL 4 (Atlanta) 08/20/2018 NLGZ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0478 Investigate complaints made by patient Element
G0484 Document complaint and resolution Element
G0514 RN performs assessment Element
▼ 108284 Accentcare Home Health Of Daytona 1200 West Granada Blvd Ste 4 Ormond Beach FL 4 (Atlanta) 01/24/2020 QNU411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0432 Make complaints to the HHA Element
G0436 Receive all services in plan of care Element
▼ 108289 Angels Care Home Health Inc 2260 Sw 8th St Ste 301 Miami FL 4 (Atlanta) 06/04/2019 3SZH12 Recertification
Deficiency Tag Deficiency Description Tag Type
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
▼ 108289 Angels Care Home Health Inc 2260 Sw 8th St Ste 301 Miami FL 4 (Atlanta) 03/21/2019 3SZH11 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
E0039 EP Testing Requirements Standard
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G0814 Non-skilled direct observation every 60 days Element
G1012 Required items in clinical record Element
▼ 108290 Pinnacle Home Care Of Pinellas Inc 4033 Tampa Rd Ste 102 Oldsmar FL 4 (Atlanta) 01/11/2018 1S1S11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0165 CONFORMANCE WITH PHYSICIAN ORDERS Standard