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
▼ 108305 Highland County Home Care Llc 342 Poinsettia Ave Apt 302 Sebring FL 4 (Atlanta) 03/08/2018 I58G11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0454 HHA can no longer meet the patient's needs Element
G0608 Coordinate care delivery Element
▼ 108310 Certified Health Care Services, Inc 915 Middle River Dr Ste 314 Fort Lauderdale FL 4 (Atlanta) 09/17/2018 LF9E11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0798 Home health aide assignments and duties Standard
G0728 Rehab services supervised by PT, OT Element
G0808 Onsite supervisory visit every 14 days Element
▼ 108314 Advanced Nursing Concepts Llc 5900 Lake Ellenor Dr Ste 700 Orlando FL 4 (Atlanta) 02/19/2020 O2JM11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0432 Make complaints to the HHA Element
G0948 Responsible for all day-to-day operations Element
▼ 108315 Reliance Home Health Care Llc 9200 Belvedere Rd, Ste 101 Royal Palm Beach FL 4 (Atlanta) 01/11/2018 FWH811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0170 SKILLED NURSING SERVICES Standard
▼ 108320 Hartford Health Services Llc 3309 Wedgewood Ln The Villages FL 4 (Atlanta) 01/02/2019 U5CR11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0598 Discharge plans communication Element
▼ 108322 Preferred Home Health Agency Inc 13831 Sw 59 Street Suite 105 Miami FL 4 (Atlanta) 09/13/2023 1974F-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
G0686 Infection control education Standard
G0548 Within 48 hours of the patient's return Element
G0550 At discharge Element
G0608 Coordinate care delivery Element
G0808 Onsite supervisory visit every 14 days Element
G0814 Non-skilled direct observation every 60 days Element
G1022 Discharge and transfer summaries Element
▼ 108322 Preferred Home Health Agency Inc 13831 Sw 59 Street Suite 105 Miami FL 4 (Atlanta) 10/30/2020 TXOF11 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
G0814 Non-skilled direct observation every 60 days Element
▼ 108322 Preferred Home Health Agency Inc 13831 Sw 59 Street Suite 105 Miami FL 4 (Atlanta) 07/26/2018 6FPW11 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
E0030 Names and Contact Information Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0682 Infection Prevention Standard
G0768 Competency evaluation Standard
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G0716 Preparing clinical notes Element
G0800 Services provided by HH aide Element
G0812 Direct observation every 12 months Element
G0984 In accordance with current clinical practice Element
▼ 108323 Vital Health Services Inc 8600 Nw South River Dr Ste 99 Medley FL 4 (Atlanta) 02/07/2018 B57N11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0476 Investigation of complaints Standard
G0752 Home health aide qualifications Standard
G0768 Competency evaluation Standard
G0774 12 hours inservice every 12 months Standard
G0434 Participate in care Element
G0478 Investigate complaints made by patient Element
G0482 Mistreatment, neglect or abuse Element
G0592 Revised plan of care Element
G0754 A qualified HH aide successfully completed: Element
G0772 Documentation of competency evaluation Element
G0778 Documentation of inservice training Element
G0786 Unqualified HH aide providing services Element
G0968 Assure implementation of plan of care Element
▼ 108324 Serenity Home Health Care Inc 7925 Nw 12 St Ste 106 Miami FL 4 (Atlanta) 03/19/2018 DPRL11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0588 Reviewed, revised by physician every 60 days Element
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
G0716 Preparing clinical notes Element
G0726 Nursing services supervised by RN Element
G0808 Onsite supervisory visit every 14 days Element
G0968 Assure implementation of plan of care Element