S&C QCOR HHA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
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
▼ 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
▼ 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