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
▼ 047034 Area Agency On Aging Of Western Arkansas, Inc. 3600 Wheeler Ave Ste 2 Fort Smith AR 6 (Dallas) 02/13/2018 U56111 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 047035 Lhcg Cxxxxi, Llc 3109 East Moore Avenue Searcy AR 6 (Dallas) 12/18/2025 1DF0F1-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
G0608 Coordinate care delivery Element
G1014 Interventions and patient response Element
▼ 047035 Lhcg Cxxxxi, Llc 3109 East Moore Avenue Searcy AR 6 (Dallas) 12/01/2022 5E875-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
▼ 047035 Lhcg Cxxxxi, Llc 3109 East Moore Avenue Searcy AR 6 (Dallas) 08/29/2019 VNBS11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 047038 Gentiva Certified Healthcare Corp 2120 South Waldron Road, Building C Fort Smith AR 6 (Dallas) 03/21/2025 65BB1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0610 Patients receive education and training Element
G1014 Interventions and patient response Element
▼ 047038 Gentiva Certified Healthcare Corp 2120 South Waldron Road, Building C Fort Smith AR 6 (Dallas) 08/25/2022 4F4CA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
▼ 047038 Gentiva Certified Healthcare Corp 2120 South Waldron Road, Building C Fort Smith AR 6 (Dallas) 03/14/2019 VMB411 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
G0984 In accordance with current clinical practice Element
G1014 Interventions and patient response Element
▼ 047043 Arkansas In-Home Partner-I, Llc 4000 Hwy 5, Suite 4 Bryant AR 6 (Dallas) 05/18/2023 5FDD7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 047043 Arkansas In-Home Partner-I, Llc 4000 Hwy 5, Suite 4 Bryant AR 6 (Dallas) 12/31/2019 1S7M11 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
G0578 Conformance with physician orders Standard
G0774 12 hours inservice every 12 months Standard
G0528 Health, psychosocial, functional, cognition Element
G0608 Coordinate care delivery Element
G0808 Onsite supervisory visit every 14 days Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 047044 Trinity North Home Health Llc 2710 Phillips Drive Jonesboro AR 6 (Dallas) 10/27/2022 5E080-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
G0590 Promptly alert relevant physician of changes Element
G0766 HHA maintains documentation of training Element