S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 10K026 Maxim Healthcare Services Inc 1530 Cornerstone Blvd Ste 230 Daytona Beach FL 4 (Atlanta) 01/21/2021 MB6Z11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0642 Program scope Standard
G0658 Performance improvement projects Standard
▼ 10K026 Maxim Healthcare Services Inc 1530 Cornerstone Blvd Ste 230 Daytona Beach FL 4 (Atlanta) 03/06/2019 9XO211 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 10K029 Maxim Healthcare Services 6301 Nw 5th Way Ste 5010 Fort Lauderdale FL 4 (Atlanta) 03/06/2026 1E46BF-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
G0958 Clinical manager Standard
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G0754 A qualified HH aide successfully completed: Element
G0948 Responsible for all day-to-day operations Element
▼ 10K029 Maxim Healthcare Services 6301 Nw 5th Way Ste 5010 Fort Lauderdale FL 4 (Atlanta) 04/29/2025 6605D-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0590 Promptly alert relevant physician of changes Element
▼ 10K029 Maxim Healthcare Services 6301 Nw 5th Way Ste 5010 Fort Lauderdale FL 4 (Atlanta) 04/17/2024 623FA-H1 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
G0436 Receive all services in plan of care Element
G0580 Only as ordered by a physician Element
G0592 Revised plan of care Element
▼ 10K029 Maxim Healthcare Services 6301 Nw 5th Way Ste 5010 Fort Lauderdale FL 4 (Atlanta) 09/30/2022 4F65B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0600 Coordination of Care Standard
G0482 Mistreatment, neglect or abuse Element
G0580 Only as ordered by a physician Element
G0602 Communication with all physicians Element
G0604 Integrate all orders Element
G0606 Integrate all services Element
▼ 10K029 Maxim Healthcare Services 6301 Nw 5th Way Ste 5010 Fort Lauderdale FL 4 (Atlanta) 06/10/2021 1138E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0606 Integrate all services Element
▼ 10K031 Maxim Healthcare Services Inc 85 W Airport Blvd Ste 5 Pensacola FL 4 (Atlanta) 01/12/2023 5E84F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 10K031 Maxim Healthcare Services Inc 85 W Airport Blvd Ste 5 Pensacola FL 4 (Atlanta) 12/11/2019 9DO811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 10K031 Maxim Healthcare Services Inc 85 W Airport Blvd Ste 5 Pensacola FL 4 (Atlanta) 10/18/2018 J2D811 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0718 Communication with physicians Element
G0952 Ensure that HHA employs qualified personnel Element