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
10K007 Americare Home Health Care Services Inc 20 Nw 181st St Miami FL 4 (Atlanta) 09/24/2020 FZ7211 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
E0013 Development of EP Policies and Procedures 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
G0774 12 hours inservice every 12 months Standard
G1010 Contents of clinical record Standard
G0582 Influenza and pneumococcal vaccines Element
G0808 Onsite supervisory visit every 14 days Element
G0812 Direct observation every 12 months Element
G0814 Non-skilled direct observation every 60 days Element
G0818 HH aide supervision elements Element
G1012 Required items in clinical record Element
10K007 Americare Home Health Care Services Inc 20 Nw 181st St Miami FL 4 (Atlanta) 02/08/2018 M1Z211 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0376 Transmittal of OASIS data Standard
G0380 Successfully transmit test data Element
10K008 Coastal Nursecare Of Florida Inc 2160 Creighton Rd Pensacola FL 4 (Atlanta) 07/16/2025 1D0DDC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0710 Provide services in the plan of care Element
10K008 Coastal Nursecare Of Florida Inc 2160 Creighton Rd Pensacola FL 4 (Atlanta) 07/28/2022 4F198-H1 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
G0574 Plan of care must include the following Element
G0800 Services provided by HH aide Element
10K008 Coastal Nursecare Of Florida Inc 2160 Creighton Rd Pensacola FL 4 (Atlanta) 08/01/2019 Y3FP11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0800 Services provided by HH aide Element
10K012 Coastal Kids Care 114 Se 20th Ave Pompano Beach FL 4 (Atlanta) 03/20/2024 623F6-H1 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
G0372 Encoding and transmitting OASIS Standard
G0436 Receive all services in plan of care Element
G0590 Promptly alert relevant physician of changes Element
G0954 Ensures qualified pre-designated person Element
10K013 Interim Healthcare Of Northwest Florida Inc 1962-B Village Green Way Tallahassee FL 4 (Atlanta) 07/18/2024 63868-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
10K013 Interim Healthcare Of Northwest Florida Inc 1962-B Village Green Way Tallahassee FL 4 (Atlanta) 01/31/2019 V8ZQ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
10K015 Florida Hospital Waterman Home Care Services Priva 3270 Waterman Way Tavares FL 4 (Atlanta) 01/25/2018 9K0X11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0159 PLAN OF CARE Standard
10K018 Innovative Nursing Inc 561 E Mitchell Hammock Road Ste 200 Oviedo FL 4 (Atlanta) 05/13/2021 L4A211 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0444 State toll free HH telephone hotline Element
G1022 Discharge and transfer summaries Element