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
▼ 117095 Mountain Hha, Llc 516-A Blue Ridge St, Suite A Blairsville GA 4 (Atlanta) 04/25/2019 HTHN11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G1014 Interventions and patient response Element
▼ 117096 Lhcg Xl, Llc 2000 Riveredge Parkway Suite 925 Atlanta GA 4 (Atlanta) 01/29/2025 6538E-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
G0572 Plan of care Standard
▼ 117096 Lhcg Xl, Llc 2000 Riveredge Parkway Suite 925 Atlanta GA 4 (Atlanta) 01/28/2022 38374-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
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
G1014 Interventions and patient response Element
▼ 117096 Lhcg Xl, Llc 2000 Riveredge Parkway Suite 925 Atlanta GA 4 (Atlanta) 05/09/2018 BO3111 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
G0800 Services provided by HH aide Element
▼ 117097 Amicita Home Health, Llc 825 Baxter Street Athens GA 4 (Atlanta) 02/02/2022 383C1-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
▼ 117097 Amicita Home Health, Llc 825 Baxter Street Athens GA 4 (Atlanta) 09/20/2018 ZN8T11 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
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
▼ 117100 Phoebe Putney Memoriail Hospital, Inc. 810 14th Ave Albany GA 4 (Atlanta) 05/01/2024 62F05-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
G0584 Verbal orders Element
▼ 117100 Phoebe Putney Memoriail Hospital, Inc. 810 14th Ave Albany GA 4 (Atlanta) 04/28/2021 GZ2L11 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
▼ 117101 Northeast Georgia Home Health Iii, Llc 157 Adams Drive Demorest GA 4 (Atlanta) 09/15/2021 QX8711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0702 Services by skilled professionals Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G1014 Interventions and patient response Element
▼ 117102 Wellstar Health System 1800 Parkway Place, Suite 720 Marietta GA 4 (Atlanta) 01/24/2019 LZ5I11 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
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element