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
▼ 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
▼ 117021 Caresouth Hha Holdings Gainesville, Llc 601 Broad Street Se, Suite F Gainesville GA 4 (Atlanta) 04/14/2022 38930-H1 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
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
▼ 117021 Caresouth Hha Holdings Gainesville, Llc 601 Broad Street Se, Suite F Gainesville GA 4 (Atlanta) 03/20/2019 C20F11 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
G0860 Licensing Standard
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
▼ 117022 Suncrest Home Health -Southside, Llc. 1039 Ridge Ave Sw Atlanta GA 4 (Atlanta) 12/06/2023 61A8E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0550 At discharge Element
▼ 117023 The Medical Center Of Central Georgia Inc. 6261 Peake Road Suite A Macon GA 4 (Atlanta) 02/19/2025 65641-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
G0574 Plan of care must include the following Element
▼ 117023 The Medical Center Of Central Georgia Inc. 6261 Peake Road Suite A Macon GA 4 (Atlanta) 03/03/2022 38521-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
G0580 Only as ordered by a physician Element