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
047087 North Arkansas Regional Medical Center 501 E Sherman Harrison AR 6 (Dallas) 11/01/2018 26PV11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
047088 Intrepid Of The Ozarks, Inc. 109 9th Street, Building 1 Mccrory AR 6 (Dallas) 05/15/2018 DDKJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0574 Plan of care must include the following Element
G0598 Discharge plans communication Element
G0710 Provide services in the plan of care Element
047090 Baptist Health 11900 Colonel Glenn Road, Suite 2000 Little Rock AR 6 (Dallas) 03/19/2026 22BC9B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
G0598 Discharge plans communication Element
G0604 Integrate all orders Element
G0616 Patient medication schedule/instructions Element
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G1022 Discharge and transfer summaries Element
047090 Baptist Health 11900 Colonel Glenn Road, Suite 2000 Little Rock AR 6 (Dallas) 03/23/2023 5F554-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0428 Property and person treated with respect Element
G0434 Participate in care Element
G0480 Treatment or care Element
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G0614 Visit schedule Element
G0960 Make patient and personnel assignments, Element
G1022 Discharge and transfer summaries Element
047090 Baptist Health 11900 Colonel Glenn Road, Suite 2000 Little Rock AR 6 (Dallas) 03/23/2023 5F898-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0428 Property and person treated with respect Element
G0434 Participate in care Element
G0480 Treatment or care Element
G0608 Coordinate care delivery Element
G0614 Visit schedule Element
047090 Baptist Health 11900 Colonel Glenn Road, Suite 2000 Little Rock AR 6 (Dallas) 11/22/2019 3REV11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G1060 Licensed Practical (Vocational) Nurse Standard
G0574 Plan of care must include the following Element
G0616 Patient medication schedule/instructions Element
G0618 Treatments and therapy services Element
G0952 Ensure that HHA employs qualified personnel Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
047093 Jefferson Regional Homecare, Llc 232 Frankie Lane White Hall AR 6 (Dallas) 08/21/2025 1D514A-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
G0580 Only as ordered by a physician Element
G0962 Coordinate patient care Element
047093 Jefferson Regional Homecare, Llc 232 Frankie Lane White Hall AR 6 (Dallas) 09/22/2022 4F6D7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0428 Property and person treated with respect Element
G0590 Promptly alert relevant physician of changes Element
047093 Jefferson Regional Homecare, Llc 232 Frankie Lane White Hall AR 6 (Dallas) 07/17/2019 BIRP11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard
G0520 5 calendar days after start of care Element
G0710 Provide services in the plan of care Element
G0962 Coordinate patient care Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
047096 John Ed Chambers Memorial Hospital Inc Home Health Agency Highway 10 At Detroit Street Danville AR 6 (Dallas) 10/10/2024 64767-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
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
G0608 Coordinate care delivery Element
G0616 Patient medication schedule/instructions Element
G1022 Discharge and transfer summaries Element