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
▼ 047006 Chi National Home Care 220 Mcauley Court Hot Springs National AR 6 (Dallas) 11/21/2024 64C31-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G1014 Interventions and patient response Element
▼ 047006 Chi National Home Care 220 Mcauley Court Hot Springs National AR 6 (Dallas) 03/04/2022 385AE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0536 A review of all current medications Element
▼ 047006 Chi National Home Care 220 Mcauley Court Hot Springs National AR 6 (Dallas) 09/26/2018 UIZU11 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
G0710 Provide services in the plan of care Element
▼ 047011 Mercy Hospital Fort Smith 2713 S 74th Street Fort Smith AR 6 (Dallas) 02/16/2023 5F138-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
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
G0590 Promptly alert relevant physician of changes Element
▼ 047011 Mercy Hospital Fort Smith 2713 S 74th Street Fort Smith AR 6 (Dallas) 10/29/2019 8LKC11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
▼ 047016 Baxter County Regional Hospital, Inc. 30 Ryan Road Cotter AR 6 (Dallas) 05/13/2022 4EA15-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders 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
G0590 Promptly alert relevant physician of changes Element
▼ 047016 Baxter County Regional Hospital, Inc. 30 Ryan Road Cotter AR 6 (Dallas) 12/19/2018 P0V911 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0612 Written instructions to patient include: Standard
G0798 Home health aide assignments and duties Standard
G1014 Interventions and patient response Element
▼ 047020 Springdale Home Care Services, Llc 2921 Old Missouri Road, Suite 1 & 2 Springdale AR 6 (Dallas) 04/23/2026 2307CB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 047020 Springdale Home Care Services, Llc 2921 Old Missouri Road, Suite 1 & 2 Springdale AR 6 (Dallas) 04/27/2023 5FB03-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
▼ 047020 Springdale Home Care Services, Llc 2921 Old Missouri Road, Suite 1 & 2 Springdale AR 6 (Dallas) 03/23/2018 F8GB11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0414 HHA administrator contact information Element
G0622 Name/contact information of clinical manager Element
G0808 Onsite supervisory visit every 14 days Element