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
▼ 109756 Alliance A+ Home Care 1239 Mount Vernon St Orlando FL 4 (Atlanta) 09/09/2019 H10511 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
▼ 109768 Unlimited Health Care Services, Inc 2929 E Commercial Blvd Ste 407-408 Fort Lauderdale FL 4 (Atlanta) 01/21/2026 1E01CC-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
▼ 109770 Diagnostic Medical Imaging Services, Inc 8600 Nw 41 Street Ste 203 Doral FL 4 (Atlanta) 02/15/2021 ZLIS11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G1010 Contents of clinical record Standard
G0574 Plan of care must include the following Element
G0716 Preparing clinical notes Element
▼ 109770 Diagnostic Medical Imaging Services, Inc 8600 Nw 41 Street Ste 203 Doral FL 4 (Atlanta) 08/07/2019 17J311 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
G0800 Services provided by HH aide Element
G1014 Interventions and patient response Element
▼ 109772 Key West Hha Llc 1718 N Roosevelt Blvd Key West FL 4 (Atlanta) 06/05/2025 6647B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0438 Have a confidential clinical record Element
▼ 109772 Key West Hha Llc 1718 N Roosevelt Blvd Key West FL 4 (Atlanta) 10/14/2020 DGSJ11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0430 Be free from abuse Element
G0590 Promptly alert relevant physician of changes Element
▼ 109773 Palm Beach Home Health Agency 4722 Nw Boca Raton Blvd Ste C-108 Boca Raton FL 4 (Atlanta) 06/14/2022 4EE0E-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 109773 Palm Beach Home Health Agency 4722 Nw Boca Raton Blvd Ste C-108 Boca Raton FL 4 (Atlanta) 09/27/2019 IKL611 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
▼ 109781 Ultimate Home Care Inc 2020 Ne 163 St Ste 300 North Miami Beach FL 4 (Atlanta) 08/30/2018 9FX511 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
▼ 109783 Discovery At Home Llc 4857 Palm Beach Blvd Fort Myers FL 4 (Atlanta) 04/12/2023 5F7BE-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0442 Written notice for non-covered care Element