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
▼ 109180 Marilu Home Health Care Inc 3785 Nw 82 Ave Ste 203 Doral FL 4 (Atlanta) 12/12/2018 WG1511 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
G0576 All orders recorded in plan of care Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
▼ 109181 Martins Florida Elder Care Inc 8200 Nw 27 St Ste 117 Doral FL 4 (Atlanta) 04/06/2021 IPGS11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0600 Coordination of Care Standard
G1010 Contents of clinical record Standard
G0410 Information to patient Element
G0442 Written notice for non-covered care Element
G0480 Treatment or care Element
G0574 Plan of care must include the following Element
▼ 109207 Comprehensive Home Care Of Northwest Florida Inc 7552 Navarre Parkway Unit 4 Navarre FL 4 (Atlanta) 06/20/2018 T1VQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0642 Program scope Standard
G1024 Authentication Standard
G1026 Retention of records Standard
G0514 RN performs assessment Element
G0590 Promptly alert relevant physician of changes Element
G0596 Revisions communicated to patient and MDs Element
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 109218 T & A Home Health Care Inc 5901 Nw 151 St Ste 112 Miami Lakes FL 4 (Atlanta) 12/08/2020 ZKJK11 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
G0434 Participate in care Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G0614 Visit schedule Element
G0716 Preparing clinical notes Element
G1022 Discharge and transfer summaries Element
▼ 109218 T & A Home Health Care Inc 5901 Nw 151 St Ste 112 Miami Lakes FL 4 (Atlanta) 10/30/2019 D8ZL11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0586 Review and revision of the plan of care Standard
G0412 Written notice of patient's rights Element
G0418 Patient's or legal representative's signature Element
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
▼ 109225 House Call Home Health Agency Corp 11055 Sw 186th St Ste 104 Cutler Bay FL 4 (Atlanta) 02/04/2021 TUUR11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0582 Influenza and pneumococcal vaccines Element
▼ 109229 Mdt Home Health Care Agency Inc 8672 Sw 40th St Ste 200 Miami FL 4 (Atlanta) 07/23/2019 V0JK11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0440 Payment from federally funded programs Element
G0442 Written notice for non-covered care Element
G0454 HHA can no longer meet the patient's needs Element
G0462 Before discharge for cause HHA must: Element
G0464 Advise the patient of discharge for cause Element
G0466 Make efforts to resolve the problem(s) Element
G0468 Provide contact info other services Element
G0470 Document efforts to resolve problems Element
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G0716 Preparing clinical notes Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 109229 Mdt Home Health Care Agency Inc 8672 Sw 40th St Ste 200 Miami FL 4 (Atlanta) 11/26/2018 O87S11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0586 Review and revision of the plan of care Standard
G0442 Written notice for non-covered care Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0708 Development and evaluation of plan of care Element
G0716 Preparing clinical notes Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 109229 Mdt Home Health Care Agency Inc 8672 Sw 40th St Ste 200 Miami FL 4 (Atlanta) 10/11/2018 BXDN11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0514 RN performs assessment Element
G0818 HH aide supervision elements Element
▼ 109255 Florida Nurses Home Health Agency Inc 3909 Ne 163 St Ste 218 North Miami FL 4 (Atlanta) 02/29/2024 624FE-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