S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
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
109428 Elite Hh Tampa Bay Llc 330 Pauls Dr Ste 224 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