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
▼ 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) 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
▼ 108339 Santa Fe Home Health Care Inc 7280 Nw 7th St Ste 108 Miami FL 4 (Atlanta) 02/16/2022 3828B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0686 Infection control education Standard
G0418 Patient's or legal representative's signature Element
G0716 Preparing clinical notes Element
G0772 Documentation of competency evaluation Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 108339 Santa Fe Home Health Care Inc 7280 Nw 7th St Ste 108 Miami FL 4 (Atlanta) 05/30/2019 YCK411 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
E0009 Local, State, Tribal Collaboration Process Standard
E0030 Names and Contact Information Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0682 Infection Prevention Standard
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
G0584 Verbal orders Element
G0772 Documentation of competency evaluation Element
G0808 Onsite supervisory visit every 14 days Element
G0812 Direct observation every 12 months Element
G0818 HH aide supervision elements Element
▼ 108345 American Home Health Care Corp 12150 Sw 128 Ct Ste 137 Miami FL 4 (Atlanta) 07/05/2018 W1VX11 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
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0682 Infection Prevention Standard
G0982 Skilled services furnished Standard
G0446 Contact info Federal/State-funded entities Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G0808 Onsite supervisory visit every 14 days Element
G0952 Ensure that HHA employs qualified personnel Element