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
▼ 108406 Precise Home Care Llc 8659 Baypine Road Suite 200 Bldg 3 Jacksonville FL 4 (Atlanta) 12/19/2024 64DEB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0658 Performance improvement projects Standard
G0720 Participate in the HHA's QAPI program; Element
▼ 108406 Precise Home Care Llc 8659 Baypine Road Suite 200 Bldg 3 Jacksonville FL 4 (Atlanta) 02/14/2019 B5C311 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
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G1012 Required items in clinical record Element
▼ 108410 Premier Care Homecare Llc 1711 Citrus Blvd Leesburg FL 4 (Atlanta) 08/15/2018 KUJQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
▼ 108411 Humanity Home Health Care Inc 85 Grand Canal Drive Suite 305 Miami FL 4 (Atlanta) 02/10/2021 WBS411 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G1010 Contents of clinical record Standard
▼ 108411 Humanity Home Health Care Inc 85 Grand Canal Drive Suite 305 Miami FL 4 (Atlanta) 12/12/2019 09BM11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
▼ 108411 Humanity Home Health Care Inc 85 Grand Canal Drive Suite 305 Miami FL 4 (Atlanta) 02/22/2018 0FMF11 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
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0023 Policies/Procedures for Medical Documentation 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
E0034 Information on Occupancy/Needs Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0982 Skilled services furnished Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0716 Preparing clinical notes Element
G0766 HHA maintains documentation of training Element
G0802 Duties of a HH aide Element
▼ 108415 Cr & Ra Investments Llc 9250 Baymeadows Rd Ste 450 Jacksonville FL 4 (Atlanta) 06/12/2018 GH5V11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
▼ 108415 Cr & Ra Investments Llc 9250 Baymeadows Rd Ste 450 Jacksonville FL 4 (Atlanta) 02/28/2018 CIUN11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0590 Promptly alert relevant physician of changes Element
▼ 108422 Rx Home Health Services Inc 12955 Biscayne Blvd Ste 406 A North Miami FL 4 (Atlanta) 01/08/2026 1DDBA6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0706 Interdisciplinary assessment of the patient Element
▼ 108422 Rx Home Health Services Inc 12955 Biscayne Blvd Ste 406 A North Miami FL 4 (Atlanta) 10/01/2020 YWH711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
G0586 Review and revision of the plan of care Standard
G0774 12 hours inservice every 12 months Standard
G1024 Authentication Standard
G0592 Revised plan of care Element
G0716 Preparing clinical notes Element
G0772 Documentation of competency evaluation Element
G0812 Direct observation every 12 months Element