S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
137069 Bear Lake Memorial Hospital Home Health 465 Washington Street Montpelier ID 10 (Seattle) 02/20/2020 HXK211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0446 Contact info Federal/State-funded entities Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
137070 Crest Home Health & Hospice 2100 Northwest Blvd, Ste 120 Coeur D'Alene ID 10 (Seattle) 01/11/2024 61F53-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0430 Be free from abuse Element
G0468 Provide contact info other services Element
G0574 Plan of care must include the following Element
137070 Crest Home Health & Hospice 2100 Northwest Blvd, Ste 120 Coeur D'Alene ID 10 (Seattle) 02/25/2021 KKC911 Focused Infection Control, Other-Fed, 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
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element
G0602 Communication with all physicians Element
G0616 Patient medication schedule/instructions Element
137070 Crest Home Health & Hospice 2100 Northwest Blvd, Ste 120 Coeur D'Alene ID 10 (Seattle) 03/08/2018 IUCC11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G1024 Authentication Standard
G0444 State toll free HH telephone hotline Element
G0528 Health, psychosocial, functional, cognition Element
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G0592 Revised plan of care Element
G0606 Integrate all services Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0730 Medical social services supervised by MSW Element
137074 Loving Care And More Inc 104 Windriver Road Silverton ID 10 (Seattle) 07/23/2024 63C2C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0444 State toll free HH telephone hotline Element
G0710 Provide services in the plan of care Element
G0726 Nursing services supervised by RN Element
137074 Loving Care And More Inc 104 Windriver Road Silverton ID 10 (Seattle) 11/18/2021 37F6B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0706 Interdisciplinary assessment of the patient Element
G0800 Services provided by HH aide Element
137093 Multicare Home Health Services, Inc 324 South Meridian Road, Suite 10 Meridian ID 10 (Seattle) 09/06/2024 641DC-H1 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
G0434 Participate in care Element
G0574 Plan of care must include the following Element
137093 Multicare Home Health Services, Inc 324 South Meridian Road, Suite 10 Meridian ID 10 (Seattle) 11/04/2021 37E33-H1 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
G0406 Patient rights Condition
G0680 Infection prevention and control 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
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0032 Primary/Alternate Means for Communication Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
G0658 Performance improvement projects Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0958 Clinical manager Standard
G1024 Authentication Standard
G0462 Before discharge for cause HHA must: Element
G0464 Advise the patient of discharge for cause Element
G0468 Provide contact info other services Element
G0470 Document efforts to resolve problems Element
G0574 Plan of care must include the following Element
G0952 Ensure that HHA employs qualified personnel Element
137093 Multicare Home Health Services, Inc 324 South Meridian Road, Suite 10 Meridian ID 10 (Seattle) 11/02/2018 HPGF11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0570 Care planning, coordination, quality of care Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0654 Track adverse patient events Standard
G0684 Infection control Standard
G0860 Licensing Standard
G1024 Authentication Standard
G0410 Information to patient Element
G0412 Written notice of patient's rights Element
G0422 Written notice within 4 business days Element
G0430 Be free from abuse Element
G0434 Participate in care Element
G0438 Have a confidential clinical record Element
G0446 Contact info Federal/State-funded entities Element
G0450 Access to auxiliary aids and language service Element
G0484 Document complaint and resolution Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
G0622 Name/contact information of clinical manager Element
G0706 Interdisciplinary assessment of the patient Element
G0714 Patient and caregiver education Element
G0722 Participate in HHA-sponsored in-service Element
G0726 Nursing services supervised by RN Element
G0800 Services provided by HH aide Element
G0804 Aides are members of interdisciplinary team Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
137108 First Choice Home Care, Inc 12400 West Overland Road, Suite 100 Boise ID 10 (Seattle) 05/23/2025 66444-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
G0534 Patient's needs Element
G0574 Plan of care must include the following Element
G0616 Patient medication schedule/instructions Element
G0804 Aides are members of interdisciplinary team Element