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
▼ 117088 Sjc Home Health Services, Inc. 4635 New Jesup Hwy Brunswick GA 4 (Atlanta) 02/13/2018 XS9712 Recertification
Deficiency Tag Deficiency Description Tag Type
E0001 Establishment of the Emergency Program (EP) Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
▼ 117090 Centerwell Certified Healthcare Corp 2280 East Victory Drive, Suite B Savannah GA 4 (Atlanta) 04/01/2025 65C62-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
G0590 Promptly alert relevant physician of changes Element
G0592 Revised plan of care Element
▼ 117091 Taylor Regional Hospital 202 Perry Highway Hawkinsville GA 4 (Atlanta) 02/07/2019 GCIM11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0806 Supervision of home health aides Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 117092 Pruitthealth Home Health-South Atlanta, Inc. 147 West Ellis Road, Suite B & C Griffin GA 4 (Atlanta) 06/25/2025 667CB-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
▼ 117092 Pruitthealth Home Health-South Atlanta, Inc. 147 West Ellis Road, Suite B & C Griffin GA 4 (Atlanta) 09/01/2022 4F533-H1 Focused Infection Control, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0772 Documentation of competency evaluation Element
▼ 117092 Pruitthealth Home Health-South Atlanta, Inc. 147 West Ellis Road, Suite B & C Griffin GA 4 (Atlanta) 02/21/2019 A03F11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0808 Onsite supervisory visit every 14 days Element
G1014 Interventions and patient response Element
▼ 117093 Amedisys Georgia, L.L.C. 6040 Lakeside Commons Drive Suite B Macon GA 4 (Atlanta) 04/20/2023 5F96A-H1 Complaint
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
▼ 117093 Amedisys Georgia, L.L.C. 6040 Lakeside Commons Drive Suite B Macon GA 4 (Atlanta) 06/16/2022 4EBC3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
▼ 117093 Amedisys Georgia, L.L.C. 6040 Lakeside Commons Drive Suite B Macon GA 4 (Atlanta) 05/16/2019 TRGK11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1014 Interventions and patient response Element
▼ 117095 Mountain Hha, Llc 516-A Blue Ridge St, Suite A Blairsville GA 4 (Atlanta) 12/03/2025 1DCB06-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