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
▼ 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
▼ 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