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
▼ 108324 Serenity Home Health Care Inc 7925 Nw 12 St Ste 106 Miami FL 4 (Atlanta) 01/03/2018 5M1U11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0108 RIGHT TO BE INFORMED AND PARTICIPATE Standard
G0109 RIGHT TO BE INFORMED AND PARTICIPATE Standard
G0144 COORDINATION OF PATIENT SERVICES Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0159 PLAN OF CARE Standard
G0166 CONFORMANCE WITH PHYSICIAN ORDERS Standard
G0180 DUTIES OF THE LICENSED PRACTICAL NURSE Standard
▼ 108327 Lakeside Quality Home Health Care Inc 109 S Lake Ave Pahokee FL 4 (Atlanta) 10/21/2021 1977F-H1 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
G1012 Required items in clinical record Element
▼ 108327 Lakeside Quality Home Health Care Inc 109 S Lake Ave Pahokee FL 4 (Atlanta) 01/31/2018 C6Z311 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G0682 Infection Prevention Standard
G0702 Services by skilled professionals Standard
G0984 In accordance with current clinical practice Element
▼ 108330 Perfect Care Inc 14411 Commerce Way Ste 220 Miami Lakes FL 4 (Atlanta) 04/03/2025 6558B-H1 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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0036 EP Training and Testing Standard
G1022 Discharge and transfer summaries Element
▼ 108330 Perfect Care Inc 14411 Commerce Way Ste 220 Miami Lakes FL 4 (Atlanta) 07/26/2023 60812-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1022 Discharge and transfer summaries Element
▼ 108330 Perfect Care Inc 14411 Commerce Way Ste 220 Miami Lakes FL 4 (Atlanta) 11/04/2021 19751-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
E0039 EP Testing Requirements Standard
G0434 Participate in care Element
G0772 Documentation of competency evaluation Element
G0812 Direct observation every 12 months Element
▼ 108330 Perfect Care Inc 14411 Commerce Way Ste 220 Miami Lakes FL 4 (Atlanta) 04/18/2019 KZW811 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
E0013 Development of EP Policies and Procedures Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0037 EP Training Program Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G1024 Authentication Standard
G0410 Information to patient Element
G0436 Receive all services in plan of care Element
G0442 Written notice for non-covered care Element
G0480 Treatment or care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0614 Visit schedule Element
G0618 Treatments and therapy services Element
G0710 Provide services in the plan of care Element
G1016 Goals in the patient's plans of care Element
▼ 108334 Abbey Home Health Care Inc 7800 W Oakland Park Blvd Ste 304 Sunrise FL 4 (Atlanta) 02/28/2020 SSRR12 Complaint
Deficiency Tag Deficiency Description Tag Type
G0860 Licensing Standard
▼ 108334 Abbey Home Health Care Inc 7800 W Oakland Park Blvd Ste 304 Sunrise FL 4 (Atlanta) 11/18/2019 Z7QX11 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
G0608 Coordinate care delivery Element
G0962 Coordinate patient care Element
▼ 108335 Caresouth Hha Holdings Of The Bay Area Llc 2201 Cantu Ct Ste 202 Sarasota FL 4 (Atlanta) 01/22/2020 829C11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1012 Required items in clinical record Element