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
137108 First Choice Home Care, Inc 12400 West Overland Road, Suite 100 Boise ID 10 (Seattle) 10/14/2022 5DFA2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0642 Program scope Standard
G0574 Plan of care must include the following Element
137108 First Choice Home Care, Inc 12400 West Overland Road, Suite 100 Boise ID 10 (Seattle) 10/04/2019 RKVD11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0680 Infection prevention and control Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G0374 Accuracy of encoded OASIS data Standard
G0544 Update of the comprehensive assessment Standard
G0572 Plan of care Standard
G0654 Track adverse patient events Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0768 Competency evaluation Standard
G0942 Governing body Standard
G0410 Information to patient Element
G0440 Payment from federally funded programs Element
G0464 Advise the patient of discharge for cause Element
G0466 Make efforts to resolve the problem(s) Element
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0534 Patient's needs Element
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
G0592 Revised plan of care Element
G0602 Communication with all physicians Element
G0606 Integrate all services Element
G0608 Coordinate care delivery Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0716 Preparing clinical notes Element
G0804 Aides are members of interdisciplinary team Element
G0812 Direct observation every 12 months Element
G0954 Ensures qualified pre-designated person Element
G0966 Assure patient needs are continually assessed Element
G0968 Assure implementation of plan of care Element
G0978 Must have a written agreement Element
137110 Whitewater Healthcare, Llc 240 West Burnside Avenue, Suite B Chubbuck ID 10 (Seattle) 04/08/2025 65D4C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
137110 Whitewater Healthcare, Llc 240 West Burnside Avenue, Suite B Chubbuck ID 10 (Seattle) 11/16/2023 618D4-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
G0572 Plan of care Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
137112 Gentiva Certified Healthcare Corp 1230 Northwood Center Ct Suite C Coeur D'Alene ID 10 (Seattle) 01/10/2019 THPJ11 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
G0654 Track adverse patient events Standard
G0798 Home health aide assignments and duties Standard
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G0708 Development and evaluation of plan of care Element
G0800 Services provided by HH aide Element
G1022 Discharge and transfer summaries Element
137114 Teton Healthcare, Inc. 855 N College Rd Twin Falls ID 10 (Seattle) 03/12/2026 1F4DDE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0654 Track adverse patient events Standard
G0684 Infection control Standard
G0436 Receive all services in plan of care Element
G0574 Plan of care must include the following Element
137114 Teton Healthcare, Inc. 855 N College Rd Twin Falls ID 10 (Seattle) 05/11/2023 5FCD5-H1 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
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
137114 Teton Healthcare, Inc. 855 N College Rd Twin Falls ID 10 (Seattle) 10/15/2020 MJSS12 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0564 Discharge or Transfer Summary Content Standard
G0606 Integrate all services Element
G0714 Patient and caregiver education Element
137114 Teton Healthcare, Inc. 855 N College Rd Twin Falls ID 10 (Seattle) 08/21/2020 MJSS11 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
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0654 Track adverse patient events Standard
G0684 Infection control Standard
G0768 Competency evaluation Standard
G0528 Health, psychosocial, functional, cognition 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
G0590 Promptly alert relevant physician of changes Element
G0592 Revised plan of care Element
G0608 Coordinate care delivery Element
G0706 Interdisciplinary assessment of the patient Element
G0708 Development and evaluation of plan of care Element
G0712 Patient, caregiver, and family counseling Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
G0726 Nursing services supervised by RN Element
G0966 Assure patient needs are continually assessed Element
G0968 Assure implementation of plan of care Element
137114 Teton Healthcare, Inc. 855 N College Rd Twin Falls ID 10 (Seattle) 09/17/2018 6TP111 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
G0488 Immediate reporting of abuse by all staff Element