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
▼ 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
▼ 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