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
▼ 109497 Omni Home Care Agency Inc 6801 Nw 77th Ave, Ste 104 Miami FL 4 (Atlanta) 09/21/2022 4F687-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0572 Plan of care Standard
G1024 Authentication Standard
G0418 Patient's or legal representative's signature Element
G0434 Participate in care Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0602 Communication with all physicians Element
G0652 Activities lead to an immediate correction Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
G0968 Assure implementation of plan of care Element
G0984 In accordance with current clinical practice Element
G1014 Interventions and patient response Element
▼ 109499 Dps Home Health Agency Inc 5725 Corporate Way Ste 201 West Palm Beach FL 4 (Atlanta) 04/10/2019 797G11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 109502 Aging Paradise Inc 1620 W Oakland Park Blvd Ste 203 Oakland Park FL 4 (Atlanta) 03/07/2023 5F310-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0968 Assure implementation of plan of care Element
▼ 109502 Aging Paradise Inc 1620 W Oakland Park Blvd Ste 203 Oakland Park FL 4 (Atlanta) 02/01/2018 9NWX11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0442 Written notice for non-covered care Element
G0576 All orders recorded in plan of care Element
G0608 Coordinate care delivery Element
▼ 109509 Concentric Homecare Llc 6003 Honore Ave Ste 201 Sarasota FL 4 (Atlanta) 10/17/2023 613DB-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1010 Contents of clinical record Standard
G0728 Rehab services supervised by PT, OT Element
▼ 109539 Concepts In Eldercare 1860 Forest Hill Blvd Ste 207 Lake Clarke Shores FL 4 (Atlanta) 09/06/2022 4F57A-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
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
▼ 109554 American Home Health Providers Corp 3408 W 84th St Ste 203 Hialeah FL 4 (Atlanta) 06/26/2019 23OQ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0418 Patient's or legal representative's signature Element
G0434 Participate in care Element
G0576 All orders recorded in plan of care Element
G0808 Onsite supervisory visit every 14 days Element
▼ 109559 Blue Sky Home Healthcare, Inc 1601 N Palm Ave Ste 204-B Pembroke Pines FL 4 (Atlanta) 08/14/2023 60B74-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 109561 Breeze Health Care Inc 19501 Ne 10th Ave Ste 305 North Miami Beach FL 4 (Atlanta) 11/01/2018 JGNL11 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
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information 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
E0039 EP Testing Requirements Standard
G1024 Authentication Standard
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
G0422 Written notice within 4 business days Element
G0434 Participate in care Element
G0442 Written notice for non-covered care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0584 Verbal orders Element
G0622 Name/contact information of clinical manager Element
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
G0962 Coordinate patient care Element
G0984 In accordance with current clinical practice Element
G1012 Required items in clinical record Element
▼ 109571 Sierra Lifecare Inc 7200 W Commercial Blvd Ste 206 &207 Lauderhill FL 4 (Atlanta) 09/16/2019 WDFV11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G0726 Nursing services supervised by RN Element
G0952 Ensure that HHA employs qualified personnel Element