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
▼ 117000 Visiting Nurse Health System, Inc 1165 Northchase Parkway, Suite 400 Marietta GA 4 (Atlanta) 02/12/2020 8B8U11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element
G0764 HH aide training program topics Element
G0808 Onsite supervisory visit every 14 days Element
G0980 Primary HHA is responsible for patient care Element
▼ 117000 Visiting Nurse Health System, Inc 1165 Northchase Parkway, Suite 400 Marietta GA 4 (Atlanta) 01/11/2018 EB6B11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0156 ACCEPTANCE OF PATIENTS, POC, MED SUPER Condition
G0330 COMPREHENSIVE ASSESSMENT OF PATIENTS Condition
G0143 COORDINATION OF PATIENT SERVICES Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0159 PLAN OF CARE Standard
G0166 CONFORMANCE WITH PHYSICIAN ORDERS Standard
G0236 CLINICAL RECORDS Standard
G0332 INITIAL ASSESSMENT VISIT Standard
G0337 DRUG REGIMEN REVIEW Standard
G0341 UPDATE OF THE COMPREHENSIVE ASSESSMENT Standard
▼ 117002 Island Health Care, Inc. 4a Skidaway Village Walk Savannah GA 4 (Atlanta) 09/30/2021 Y63J11 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
G0718 Communication with physicians Element
G0808 Onsite supervisory visit every 14 days Element
▼ 117009 Adoration Home Health Care Georgia, Llc 1811 Green Circle Valdosta GA 4 (Atlanta) 08/09/2023 60B12-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0852 Information to the state survey agency Standard
▼ 117009 Adoration Home Health Care Georgia, Llc 1811 Green Circle Valdosta GA 4 (Atlanta) 07/25/2019 QF5411 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
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
▼ 117010 Floyd Homecare, Llc 101 E 2nd Avenue, Suite 200 Rome GA 4 (Atlanta) 11/14/2024 64AC4-H1 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
▼ 117010 Floyd Homecare, Llc 101 E 2nd Avenue, Suite 200 Rome GA 4 (Atlanta) 09/05/2024 64167-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Condition of Participation: Patient rights. Condition
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G0942 Governing body Standard
G0454 HHA can no longer meet the patient's needs Element
G0478 Investigate complaints made by patient Element
G0598 Discharge plans communication Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G1022 Discharge and transfer summaries Element
▼ 117010 Floyd Homecare, Llc 101 E 2nd Avenue, Suite 200 Rome GA 4 (Atlanta) 11/04/2021 37DCC-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
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 117012 Hospital Authority Of Wayne County 140 Colonial Way Jesup GA 4 (Atlanta) 08/15/2019 8J3Y11 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
▼ 117019 Trinity Home Health Services 1021 Jamestown Blvd Suite 219 Watkinsville GA 4 (Atlanta) 07/14/2022 4F15E-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element