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
10K069 Suky Hlth Care Svcs Inc 2350 Sw 8th St Ste 202 Miami FL 4 (Atlanta) 08/11/2021 1143E-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
10K069 Suky Hlth Care Svcs Inc 2350 Sw 8th St Ste 202 Miami FL 4 (Atlanta) 09/23/2020 821511 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
10K069 Suky Hlth Care Svcs Inc 2350 Sw 8th St Ste 202 Miami FL 4 (Atlanta) 12/04/2019 IKY911 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0039 EP Testing Requirements Standard
G0446 Contact info Federal/State-funded entities Element
G0764 HH aide training program topics Element
10K074 All Care Home Nursing Services Llc 6621 Southpoint Dr N Ste 120 Jacksonville FL 4 (Atlanta) 08/14/2019 ERW811 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0944 Administrator must: Standard
G0436 Receive all services in plan of care Element
10K077 Suncrest Omni 1413 Tech Boulevard Ste 126 Tampa FL 4 (Atlanta) 06/20/2024 628CE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G0572 Plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0654 Track adverse patient events Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0702 Services by skilled professionals Standard
G0982 Skilled services furnished Standard
G0656 Improvements are sustained Element
10K077 Suncrest Omni 1413 Tech Boulevard Ste 126 Tampa FL 4 (Atlanta) 10/06/2022 5DF14-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
10K077 Suncrest Omni 1413 Tech Boulevard Ste 126 Tampa FL 4 (Atlanta) 03/08/2019 VTM111 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0570 Care planning, coordination, quality of care Condition
G0476 Investigation of complaints Standard
G0436 Receive all services in plan of care Element
G0484 Document complaint and resolution Element
G0590 Promptly alert relevant physician of changes Element
G0614 Visit schedule Element
G0808 Onsite supervisory visit every 14 days Element
G0814 Non-skilled direct observation every 60 days Element
10K095 A1 America Home Health Agency, Inc 2454 Winkler Ave Fort Myers FL 4 (Atlanta) 03/03/2021 68DE11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0454 HHA can no longer meet the patient's needs Element
10K095 A1 America Home Health Agency, Inc 2454 Winkler Ave Fort Myers FL 4 (Atlanta) 08/06/2018 YMR011 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0576 All orders recorded in plan of care Element
G0584 Verbal orders Element
G0608 Coordinate care delivery Element
10K098 Total Care Home Services Inc 2550 Nw 72 Ave Ste 210 Miami FL 4 (Atlanta) 03/27/2019 CGDS11 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
G0940 Organization and administration of services Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
E0029 Development of Communication Plan Standard
G0452 Transfer and discharge Standard
G0572 Plan of care Standard
G0768 Competency evaluation Standard
G0774 12 hours inservice every 12 months Standard
G0982 Skilled services furnished Standard
G0414 HHA administrator contact information Element
G0422 Written notice within 4 business days Element
G0446 Contact info Federal/State-funded entities Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0582 Influenza and pneumococcal vaccines Element
G0622 Name/contact information of clinical manager Element
G0800 Services provided by HH aide Element
G0812 Direct observation every 12 months Element
G0814 Non-skilled direct observation every 60 days Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element