S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
047029 Gentiva Certified Healthcare Corp 10825 Financial Centre Parkway, Suite 210 Little Rock AR 6 (Dallas) 05/28/2019 S4W811 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
G0510 Comprehensive Assessment of Patients Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
E0039 EP Testing Requirements Standard
G0612 Written instructions to patient include: Standard
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0706 Interdisciplinary assessment of the patient Element
G0952 Ensure that HHA employs qualified personnel Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
047030 Area Agency On Aging Of Se Ar Inc 711 South Lincoln Avenue Star City AR 6 (Dallas) 05/27/2022 4EC32-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
047030 Area Agency On Aging Of Se Ar Inc 711 South Lincoln Avenue Star City AR 6 (Dallas) 12/06/2018 8XXE11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard
G1014 Interventions and patient response Element
047031 Piggott Community Hospital 408 Sw 2nd Street Corning AR 6 (Dallas) 08/31/2023 60EBD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
047031 Piggott Community Hospital 408 Sw 2nd Street Corning AR 6 (Dallas) 09/09/2020 1XIQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
047032 Arkansas Home Health Providers, Llc 1708 West C Place Russellville AR 6 (Dallas) 12/12/2024 64EF9-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
047032 Arkansas Home Health Providers, Llc 1708 West C Place Russellville AR 6 (Dallas) 07/01/2022 4EF87-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
047032 Arkansas Home Health Providers, Llc 1708 West C Place Russellville AR 6 (Dallas) 01/17/2019 MI1J11 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
G0618 Treatments and therapy services Element
G0710 Provide services in the plan of care Element
G0720 Participate in the HHA's QAPI program; Element
G0808 Onsite supervisory visit every 14 days Element
G1014 Interventions and patient response Element
047033 St Bernards Home Care 1726 Marie Circle Jonesboro AR 6 (Dallas) 04/23/2021 2LGR11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1022 Discharge and transfer summaries Element
047034 Area Agency On Aging Of Western Arkansas, Inc. 3600 Wheeler Ave Ste 2 Fort Smith AR 6 (Dallas) 06/01/2021 U9B711 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element