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
▼ 108387 Kidcare Nursing Services 6187 Nw 167th St Unit H-23 Hialeah FL 4 (Atlanta) 12/21/2020 UU7E11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0956 Available during all operating hours Element
▼ 108387 Kidcare Nursing Services 6187 Nw 167th St Unit H-23 Hialeah FL 4 (Atlanta) 01/30/2020 1FZC11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0768 Competency evaluation Standard
G0774 12 hours inservice every 12 months Standard
G0798 Home health aide assignments and duties Standard
G0812 Direct observation every 12 months Element
G1012 Required items in clinical record Element
▼ 108387 Kidcare Nursing Services 6187 Nw 167th St Unit H-23 Hialeah FL 4 (Atlanta) 12/04/2019 RP4B11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G1024 Authentication Standard
G0440 Payment from federally funded programs Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
▼ 108387 Kidcare Nursing Services 6187 Nw 167th St Unit H-23 Hialeah FL 4 (Atlanta) 11/09/2018 QNHP11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0592 Revised plan of care Element
G0596 Revisions communicated to patient and MDs Element
G0602 Communication with all physicians Element
G0718 Communication with physicians Element
▼ 108387 Kidcare Nursing Services 6187 Nw 167th St Unit H-23 Hialeah FL 4 (Atlanta) 10/18/2018 7DMK11 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
G0680 Infection prevention and control 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
G0372 Encoding and transmitting OASIS Standard
G0586 Review and revision of the plan of care Standard
G0682 Infection Prevention Standard
G0768 Competency evaluation Standard
G0774 12 hours inservice every 12 months Standard
G0798 Home health aide assignments and duties Standard
G0982 Skilled services furnished Standard
G0414 HHA administrator contact information Element
G0446 Contact info Federal/State-funded entities Element
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
G0576 All orders recorded in plan of care Element
G0582 Influenza and pneumococcal vaccines Element
G0590 Promptly alert relevant physician of changes Element
G0622 Name/contact information of clinical manager Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0726 Nursing services supervised by RN Element
G0760 Classroom and supervised practical training Element
G0808 Onsite supervisory visit every 14 days Element
G0812 Direct observation every 12 months Element
G0952 Ensure that HHA employs qualified personnel Element
G0962 Coordinate patient care Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
▼ 108389 Intercare Home Health Services Inc 10300 Sunset Dr Ste 460 Unit 6 Miami FL 4 (Atlanta) 06/11/2025 66233-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 108389 Intercare Home Health Services Inc 10300 Sunset Dr Ste 460 Unit 6 Miami FL 4 (Atlanta) 06/23/2022 4EA48-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
G0452 Transfer and discharge Standard
G0686 Infection control education Standard
G0536 A review of all current medications Element
G1012 Required items in clinical record Element
▼ 108389 Intercare Home Health Services Inc 10300 Sunset Dr Ste 460 Unit 6 Miami FL 4 (Atlanta) 01/23/2020 0RSU11 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
G0768 Competency evaluation Standard
G0812 Direct observation every 12 months Element
▼ 108389 Intercare Home Health Services Inc 10300 Sunset Dr Ste 460 Unit 6 Miami FL 4 (Atlanta) 02/07/2018 GS6T11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0029 Development of Communication Plan Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0704 Responsibilities of skilled professionals Standard
G0982 Skilled services furnished Standard
G0446 Contact info Federal/State-funded entities Element
G0536 A review of all current medications Element
G0622 Name/contact information of clinical manager Element
G0814 Non-skilled direct observation every 60 days Element
▼ 108394 On The Way Home Care Inc 4005 Nw 114 Avenue Unit 4-5 Doral FL 4 (Atlanta) 07/25/2023 5F830-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element