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
▼ 109571 Sierra Lifecare Inc 7200 W Commercial Blvd Ste 206 &207 Lauderhill FL 4 (Atlanta) 07/05/2019 JK5M11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 109574 D & J Home Health Agency Inc 12855 Sw 136th Ave Ste 102 Miami FL 4 (Atlanta) 10/25/2019 L6I212 Recertification
Deficiency Tag Deficiency Description Tag Type
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
▼ 109574 D & J Home Health Agency Inc 12855 Sw 136th Ave Ste 102 Miami FL 4 (Atlanta) 08/21/2019 L6I211 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
E0013 Development of EP Policies and Procedures Standard
E0029 Development of Communication Plan Standard
E0036 EP Training and Testing Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0982 Skilled services furnished Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G0584 Verbal orders Element
G0606 Integrate all services Element
G0716 Preparing clinical notes Element
G0968 Assure implementation of plan of care Element
G0984 In accordance with current clinical practice Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 109575 Esther's Home Health Services, Inc. 3192 W Hallandale Beach Blvd Ste 5 Pembroke Park FL 4 (Atlanta) 07/30/2019 16Y312 Complaint
Deficiency Tag Deficiency Description Tag Type
G0452 Transfer and discharge Standard
G0572 Plan of care Standard
▼ 109575 Esther's Home Health Services, Inc. 3192 W Hallandale Beach Blvd Ste 5 Pembroke Park FL 4 (Atlanta) 06/27/2019 16Y311 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0948 Responsible for all day-to-day operations Element
▼ 109591 Home Preferred Solution Corp 2828 Coral Way Suite 307 Miami FL 4 (Atlanta) 01/08/2020 60IM11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0426 Rights of the patient Standard
G0798 Home health aide assignments and duties Standard
G0410 Information to patient Element
G0440 Payment from federally funded programs Element
G0442 Written notice for non-covered care Element
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
▼ 109602 Master Home Health Care Llc 2200 W Commercial Blvd Ste 301 Fort Lauderdale FL 4 (Atlanta) 01/16/2025 651F9-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0948 Responsible for all day-to-day operations Element
G1012 Required items in clinical record Element
▼ 109603 Quality Life Home Health Agency Corp 1443 Del Prado Blvd S Ste D Cape Coral FL 4 (Atlanta) 06/01/2018 V97311 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0606 Integrate all services Element
▼ 109607 Central Florida Quality Care Services Inc 723 East Colonial Drive Ste 200 Orlando FL 4 (Atlanta) 07/08/2021 11428-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0550 At discharge Element
▼ 109607 Central Florida Quality Care Services Inc 723 East Colonial Drive Ste 200 Orlando FL 4 (Atlanta) 07/30/2019 MDBE11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element