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
10K018 Innovative Nursing Inc 561 E Mitchell Hammock Road Ste 200 Oviedo FL 4 (Atlanta) 04/11/2018 EV6X11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
10K019 Interim Healthcare Of Northwest Florida Inc 1331 Creighton Rd Ste A Pensacola FL 4 (Atlanta) 11/14/2019 4ZWG11 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
G0710 Provide services in the plan of care Element
G0800 Services provided by HH aide Element
G0814 Non-skilled direct observation every 60 days Element
10K022 Maxim Healthcare Services 601 S Lake Destiny Rd Ste 350 Maitland FL 4 (Atlanta) 02/19/2025 65310-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G1024 Authentication Standard
G0608 Coordinate care delivery Element
10K022 Maxim Healthcare Services 601 S Lake Destiny Rd Ste 350 Maitland FL 4 (Atlanta) 10/26/2023 61564-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
G0608 Coordinate care delivery Element
10K022 Maxim Healthcare Services 601 S Lake Destiny Rd Ste 350 Maitland FL 4 (Atlanta) 06/06/2022 4EC92-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
10K022 Maxim Healthcare Services 601 S Lake Destiny Rd Ste 350 Maitland FL 4 (Atlanta) 04/28/2022 3893B-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0608 Coordinate care delivery Element
G0652 Activities lead to an immediate correction Element
10K022 Maxim Healthcare Services 601 S Lake Destiny Rd Ste 350 Maitland FL 4 (Atlanta) 11/02/2018 KSHT11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
10K022 Maxim Healthcare Services 601 S Lake Destiny Rd Ste 350 Maitland FL 4 (Atlanta) 02/08/2018 FDKL11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0580 Only as ordered by a physician Element
G0800 Services provided by HH aide Element
10K023 Maxim Healthcare Svcs Miami 8400 Nw 33 St Ste 100 Doral FL 4 (Atlanta) 07/24/2025 1D0CA1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
G0710 Provide services in the plan of care Element
10K023 Maxim Healthcare Svcs Miami 8400 Nw 33 St Ste 100 Doral FL 4 (Atlanta) 09/01/2022 4F4B1-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0578 Conformance with physician orders Standard
G1024 Authentication Standard
G0436 Receive all services in plan of care Element
G0542 Incorporate OASIS items Element
G0710 Provide services in the plan of care Element
G0968 Assure implementation of plan of care Element