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
▼ 108422 Rx Home Health Services Inc 12955 Biscayne Blvd Ste 406 A North Miami FL 4 (Atlanta) 06/07/2018 11FX11 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
E0007 EP Program Patient Population Standard
E0032 Primary/Alternate Means for Communication Standard
E0037 EP Training Program Standard
G0578 Conformance with physician orders Standard
G0414 HHA administrator contact information Element
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
G0622 Name/contact information of clinical manager Element
G0716 Preparing clinical notes Element
▼ 108424 E & V Health Care Inc 2500 Nw 79th Ave, Ste 167 Doral FL 4 (Atlanta) 07/10/2025 66236-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 108424 E & V Health Care Inc 2500 Nw 79th Ave, Ste 167 Doral FL 4 (Atlanta) 07/29/2022 4EA4A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1022 Discharge and transfer summaries Element
▼ 108424 E & V Health Care Inc 2500 Nw 79th Ave, Ste 167 Doral FL 4 (Atlanta) 01/30/2020 1C7Z11 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
▼ 108424 E & V Health Care Inc 2500 Nw 79th Ave, Ste 167 Doral FL 4 (Atlanta) 09/10/2019 Q1RL11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0426 Rights of the patient Standard
G0586 Review and revision of the plan of care Standard
G0798 Home health aide assignments and duties Standard
G0410 Information to patient Element
G0412 Written notice of patient's rights Element
G0416 OASIS privacy notice Element
G0418 Patient's or legal representative's signature Element
G0434 Participate in care Element
G0436 Receive all services in plan of care Element
G0440 Payment from federally funded programs Element
G0442 Written notice for non-covered care Element
G0608 Coordinate care delivery Element
G0614 Visit schedule Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
▼ 108424 E & V Health Care Inc 2500 Nw 79th Ave, Ste 167 Doral FL 4 (Atlanta) 01/12/2018 N6Y711 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
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
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan 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
G0127 SERVICES FURNISHED Standard
▼ 108432 Virtue Health Care Services, Inc 9050 Pines Blvd. Ste 359 Pembroke Pines FL 4 (Atlanta) 09/24/2021 196FB-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0602 Communication with all physicians Element
G0604 Integrate all orders Element
▼ 108434 M D Home Health Llc 580 Village Blvd Ste 315 West Palm Beach FL 4 (Atlanta) 07/16/2025 1D0ED9-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
G0710 Provide services in the plan of care Element
G0948 Responsible for all day-to-day operations Element
▼ 108434 M D Home Health Llc 580 Village Blvd Ste 315 West Palm Beach FL 4 (Atlanta) 09/09/2022 4F485-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
▼ 108434 M D Home Health Llc 580 Village Blvd Ste 315 West Palm Beach FL 4 (Atlanta) 02/16/2022 38492-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
G0798 Home health aide assignments and duties Standard
G0542 Incorporate OASIS items Element
G0580 Only as ordered by a physician Element
G1012 Required items in clinical record Element