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
▼ 047080 Amedisys Arkansas, Llc 2236 Harrison Street Batesville AR 6 (Dallas) 08/05/2022 4F1B1-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
G0610 Patients receive education and training Element
G0616 Patient medication schedule/instructions Element
▼ 047080 Amedisys Arkansas, Llc 2236 Harrison Street Batesville AR 6 (Dallas) 03/01/2019 KFU911 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
G0962 Coordinate patient care Element
G1014 Interventions and patient response Element
▼ 047081 Magnolia Regional Medical Center, Inc. 103 Hospital Drive Magnolia AR 6 (Dallas) 09/03/2020 J1F811 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G1060 Licensed Practical (Vocational) Nurse Standard
G0520 5 calendar days after start of care Element
G0952 Ensure that HHA employs qualified personnel Element
G1022 Discharge and transfer summaries Element
▼ 047082 Baptist Health 778 Scogin Drive Monticello AR 6 (Dallas) 01/24/2025 6535D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0808 Onsite supervisory visit every 14 days Element
▼ 047082 Baptist Health 778 Scogin Drive Monticello AR 6 (Dallas) 10/03/2018 C4XM11 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
G0720 Participate in the HHA's QAPI program; Element
▼ 047083 Conway Regional Homecare Svcs 2843 Prince Street Conway AR 6 (Dallas) 12/05/2024 64DAE-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0614 Visit schedule Element
▼ 047083 Conway Regional Homecare Svcs 2843 Prince Street Conway AR 6 (Dallas) 06/24/2022 4EEDA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
G0726 Nursing services supervised by RN Element
▼ 047083 Conway Regional Homecare Svcs 2843 Prince Street Conway AR 6 (Dallas) 02/07/2019 UBZL11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0708 Development and evaluation of plan of care Element
G1014 Interventions and patient response Element
▼ 047087 North Arkansas Regional Medical Center 501 E Sherman Harrison AR 6 (Dallas) 06/20/2024 63745-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
▼ 047087 North Arkansas Regional Medical Center 501 E Sherman Harrison AR 6 (Dallas) 04/15/2022 38845-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