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
▼ 109428 Etairos Health Inc 7825 N Dale Mabry Hwy, Ste 200 Tampa FL 4 (Atlanta) 11/08/2018 3BXN11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0598 Discharge plans communication Element
▼ 109437 Supreme Home Health Care, Llc 8910 Miramar Pkwy, Ste 210 Miramar FL 4 (Atlanta) 07/27/2018 QNUS11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0952 Ensure that HHA employs qualified personnel Element
▼ 109449 5 Star Home Health Services Llc 4740 Nw 39th Pl Unit A Gainesville FL 4 (Atlanta) 07/20/2021 1967C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0452 Transfer and discharge Standard
G0428 Property and person treated with respect Element
G0618 Treatments and therapy services Element
▼ 109450 Waterman Village Home Care 130 Waterman Avenue Mount Dora FL 4 (Atlanta) 09/27/2018 2KH711 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0942 Governing body Standard
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G0946 Administrator appointed by governing body Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 109462 All About You Home Health Agency Inc 370 W Camino Gardens Blvd Ste 118 Boca Raton FL 4 (Atlanta) 08/09/2019 GMCF11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0031 Emergency Officials Contact Information Standard
G0948 Responsible for all day-to-day operations Element
▼ 109465 Gifted Health Group Inc 111 Nw 183rd St Ste 110-A Miami Gardens FL 4 (Atlanta) 10/13/2020 8T1N11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0760 Classroom and supervised practical training Element
G0786 Unqualified HH aide providing services Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 109466 Sunrise Home Health & Supplies Of Bradenton 3911 Golf Park Loop Unit #101 Bradenton FL 4 (Atlanta) 01/31/2023 5EB85-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0586 Review and revision of the plan of care Standard
G0768 Competency evaluation Standard
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
▼ 109470 Realcare Home Health, Inc. 6175 Nw 167th St Ste G30 Miami Gardens FL 4 (Atlanta) 10/03/2019 Z2Q511 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 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
G0464 Advise the patient of discharge for cause Element
G0470 Document efforts to resolve problems Element
G0484 Document complaint and resolution Element
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
G0802 Duties of a HH aide Element
▼ 109480 On Site Home Health Care Corp 10516 W Flagler St Miami FL 4 (Atlanta) 10/18/2018 8JPH11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 109496 Quality Life Home Care Corp 7811 Coral Way Ste 135 Miami FL 4 (Atlanta) 08/07/2018 QMU311 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0768 Competency evaluation Standard
G0798 Home health aide assignments and duties Standard
G0808 Onsite supervisory visit every 14 days Element
G0814 Non-skilled direct observation every 60 days Element