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
▼ 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
▼ 109255 Florida Nurses Home Health Agency Inc 3909 Ne 163 St Ste 218 North Miami FL 4 (Atlanta) 02/25/2021 9XQ811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
G0982 Skilled services furnished Standard
▼ 109255 Florida Nurses Home Health Agency Inc 3909 Ne 163 St Ste 218 North Miami FL 4 (Atlanta) 04/12/2018 SM8U11 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
E0004 Develop EP Plan, Review and Update Annually Standard
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
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
G0982 Skilled services furnished Standard
▼ 109257 Integrity Health Services 8200 Nw 41st St Ste 305 Doral FL 4 (Atlanta) 03/17/2022 386F7-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0602 Communication with all physicians Element
▼ 109257 Integrity Health Services 8200 Nw 41st St Ste 305 Doral FL 4 (Atlanta) 12/05/2019 9PFY11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1010 Contents of clinical record Standard