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
▼ 109107 Divine Health Care Corp 106b Sw 27th Ave Miami FL 4 (Atlanta) 12/15/2020 H44M11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0426 Rights of the patient Standard
G0600 Coordination of Care Standard
G1010 Contents of clinical record Standard
G0410 Information to patient Element
G0428 Property and person treated with respect Element
▼ 109120 Granny's Home Health Care Inc 8323 Nw 12th St Ste 100 Miami FL 4 (Atlanta) 05/13/2021 988411 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0802 Duties of a HH aide Element
G0814 Non-skilled direct observation every 60 days Element
▼ 109137 The Trend Group Corporation 1111 Park Centre Blvd Ste 360 Miami FL 4 (Atlanta) 04/23/2021 4G3T11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0476 Investigation of complaints Standard
G0600 Coordination of Care Standard
G0798 Home health aide assignments and duties Standard
G1010 Contents of clinical record Standard
G0410 Information to patient Element
G0434 Participate in care Element
G0480 Treatment or care Element
G0608 Coordinate care delivery Element
G0962 Coordinate patient care Element
G0966 Assure patient needs are continually assessed Element
▼ 109137 The Trend Group Corporation 1111 Park Centre Blvd Ste 360 Miami FL 4 (Atlanta) 06/18/2019 74MG11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0452 Transfer and discharge Standard
G0572 Plan of care Standard
G0798 Home health aide assignments and duties Standard
G1010 Contents of clinical record Standard
G0412 Written notice of patient's rights Element
G0418 Patient's or legal representative's signature Element
G0434 Participate in care Element
G0468 Provide contact info other services Element
G0470 Document efforts to resolve problems Element
G0814 Non-skilled direct observation every 60 days Element
▼ 109137 The Trend Group Corporation 1111 Park Centre Blvd Ste 360 Miami FL 4 (Atlanta) 08/29/2018 KATW11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0442 Written notice for non-covered care Element
G0574 Plan of care must include the following Element
G0818 HH aide supervision elements Element
▼ 109140 First Care Home Services Inc 2040 Ne 163rd Street - #303 North Miami Beach FL 4 (Atlanta) 01/31/2018 1F2Y11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0750 Home health aide services Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0023 Policies/Procedures for Medical Documentation 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
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0574 Plan of care must include the following Element
G0800 Services provided by HH aide Element
G0802 Duties of a HH aide Element
G1014 Interventions and patient response Element
▼ 109144 Agramonte Home Care Corp 10691 Sw 88th St Ste 311 Miami FL 4 (Atlanta) 02/06/2018 W8YN11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0602 Communication with all physicians Element
▼ 109167 Beatriz Home Health Care Inc 2555 Collins Ave Ste C-10 Miami Beach FL 4 (Atlanta) 03/03/2020 N4BD11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0772 Documentation of competency evaluation Element
G0814 Non-skilled direct observation every 60 days Element
▼ 109172 Professional Solutions Home Health Agency Inc 7925 Nw 12 St Ste 407 Miami FL 4 (Atlanta) 01/25/2018 JQO511 Recertification, Sample Validation
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
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0704 Responsibilities of skilled professionals Standard
G1010 Contents of clinical record Standard
G0414 HHA administrator contact information Element
G0446 Contact info Federal/State-funded entities Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0622 Name/contact information of clinical manager Element
G0716 Preparing clinical notes Element
▼ 109180 Marilu Home Health Care Inc 3785 Nw 82 Ave Ste 203 Doral FL 4 (Atlanta) 05/14/2019 NPXV11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0426 Rights of the patient Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G1010 Contents of clinical record Standard
G0608 Coordinate care delivery Element
G0614 Visit schedule Element
G0808 Onsite supervisory visit every 14 days Element
G0818 HH aide supervision elements Element
G1012 Required items in clinical record Element