S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

Please select the calendar year or years for which you would like data.

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
10K056 Pediatric Services Of America Inc 2114 Airport Blvd Ste 2000 Pensacola FL 4 (Atlanta) 08/30/2018 LQ6Q11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0426 Rights of the patient Standard
G0572 Plan of care Standard
G0710 Provide services in the plan of care Element
10K058 Ycsc Pen Management Llc 321 N De Villiers St Ste 304 Pensacola FL 4 (Atlanta) 01/14/2021 KR9Z11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
10K058 Ycsc Pen Management Llc 321 N De Villiers St Ste 304 Pensacola FL 4 (Atlanta) 06/10/2020 3OZ511 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0590 Promptly alert relevant physician of changes Element
G0808 Onsite supervisory visit every 14 days Element
10K060 Aveanna Healthcare 1700 Nw 64th St Ste 450 Fort Lauderdale FL 4 (Atlanta) 08/13/2025 1D3C78-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0488 Immediate reporting of abuse by all staff Element
10K062 Star Multi Care Services Inc 8551 W Sunrise Blvd Ste 103 Plantation FL 4 (Atlanta) 03/03/2026 1E37BC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0982 Skilled services furnished Standard
10K062 Star Multi Care Services Inc 8551 W Sunrise Blvd Ste 103 Plantation FL 4 (Atlanta) 09/11/2019 TWBW11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0430 Be free from abuse Element
G0482 Mistreatment, neglect or abuse Element
G0484 Document complaint and resolution Element
10K062 Star Multi Care Services Inc 8551 W Sunrise Blvd Ste 103 Plantation FL 4 (Atlanta) 10/03/2018 FJT011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0580 Only as ordered by a physician Element
G0608 Coordinate care delivery Element
G0952 Ensure that HHA employs qualified personnel Element
10K066 West Broward Referral & Nurses Agency, Inc 4534 N University Dr Lauderhill FL 4 (Atlanta) 05/01/2018 L4LG11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0848 Compliance with Federal, State, Local Law Condition
G0940 Organization and administration of services Condition
G0852 Information to the state survey agency Standard
G0854 All persons with ownership interest Element
G0948 Responsible for all day-to-day operations Element
10K068 Maxim Healthcare Services 26750 Us Highway 19 N Ste 400 Clearwater FL 4 (Atlanta) 06/12/2024 63070-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0488 Immediate reporting of abuse by all staff Element
G0710 Provide services in the plan of care Element
10K069 Suky Hlth Care Svcs Inc 2350 Sw 8th St Ste 202 Miami FL 4 (Atlanta) 10/12/2022 4F66C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
E0037 EP Training Program Standard
G0686 Infection control education Standard
G0982 Skilled services furnished Standard
G0814 Non-skilled direct observation every 60 days Element