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
▼ 109386 Alpha Homecare & Therapy Agence Llc 401 N Wickham Rd Ste O Melbourne FL 4 (Atlanta) 07/02/2018 108U11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0520 5 calendar days after start of care Element
G0542 Incorporate OASIS items Element
G0606 Integrate all services Element
G0984 In accordance with current clinical practice Element
▼ 109387 Amerihealth Home Care Agency Llc 8603 S Dixie Hwy Ste 401 Miami FL 4 (Atlanta) 07/26/2018 IY8Y11 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
E0009 Local, State, Tribal Collaboration Process Standard
E0032 Primary/Alternate Means for Communication Standard
G0946 Administrator appointed by governing body Element
▼ 109391 J & C Sweet Home Care Llc 15271 Nw 60th Ave Ste 208 Miami Lakes FL 4 (Atlanta) 09/10/2019 YBSL11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
G0572 Plan of care Standard
G0410 Information to patient Element
G0418 Patient's or legal representative's signature Element
G0434 Participate in care Element
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0608 Coordinate care delivery Element
G0708 Development and evaluation of plan of care Element
G0716 Preparing clinical notes Element
G0966 Assure patient needs are continually assessed Element
G0968 Assure implementation of plan of care Element
G0984 In accordance with current clinical practice Element
G1012 Required items in clinical record Element
▼ 109396 Home Care Professionals, Llc 7401 Wiles Rd Ste 136 Coral Springs FL 4 (Atlanta) 10/08/2019 XJG911 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
G0716 Preparing clinical notes Element
▼ 109400 Confident Care Of Florida Corp 1401 Forum Way Ste 740 West Palm Beach FL 4 (Atlanta) 08/27/2018 6GFY11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0946 Administrator appointed by governing body Element
G0948 Responsible for all day-to-day operations Element
▼ 109401 Millennium Home Care Llc 1500 Kings Highway Port Charlotte FL 4 (Atlanta) 04/20/2026 1F33EE-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0598 Discharge plans communication Element
▼ 109401 Millennium Home Care Llc 1500 Kings Highway Port Charlotte FL 4 (Atlanta) 09/02/2021 19652-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0460 Patient refuses services Element
▼ 109407 Dimension Home Health Care, Inc 5951 Nw 151 St 107 Miami Lakes FL 4 (Atlanta) 12/17/2018 6RSS11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0982 Skilled services furnished Standard
▼ 109414 Primary Medical Staffing Inc 3600 Red Rd Ste 303 Miramar FL 4 (Atlanta) 01/17/2024 61F56-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0466 Make efforts to resolve the problem(s) Element
G0966 Assure patient needs are continually assessed Element
▼ 109414 Primary Medical Staffing Inc 3600 Red Rd Ste 303 Miramar FL 4 (Atlanta) 05/23/2018 VOJ511 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0584 Verbal orders Element
G0614 Visit schedule Element