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
▼ 047096 John Ed Chambers Memorial Hospital Inc Home Health Agency Highway 10 At Detroit Street Danville AR 6 (Dallas) 04/22/2022 3891C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 047096 John Ed Chambers Memorial Hospital Inc Home Health Agency Highway 10 At Detroit Street Danville AR 6 (Dallas) 12/12/2018 WXHA11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0039 EP Testing Requirements Standard
G0612 Written instructions to patient include: Standard
G0984 In accordance with current clinical practice Element
▼ 047097 Baptist Health Home Health - Heber Springs 1709 West Main Heber Springs AR 6 (Dallas) 05/09/2024 62EF3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0590 Promptly alert relevant physician of changes Element
G0594 Plan of care revisions must be communicated Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
▼ 047097 Baptist Health Home Health - Heber Springs 1709 West Main Heber Springs AR 6 (Dallas) 10/27/2021 5Y2X-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 047097 Baptist Health Home Health - Heber Springs 1709 West Main Heber Springs AR 6 (Dallas) 09/24/2021 5Y2X11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 047097 Baptist Health Home Health - Heber Springs 1709 West Main Heber Springs AR 6 (Dallas) 03/23/2018 QTCM11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0718 Communication with physicians Element
▼ 047099 Chi National Home Care, Llc 4 Hospital Drive Ste 205 Morrilton AR 6 (Dallas) 02/02/2023 5EECB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 047099 Chi National Home Care, Llc 4 Hospital Drive Ste 205 Morrilton AR 6 (Dallas) 12/18/2019 8M8A11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0612 Written instructions to patient include: Standard
G1060 Licensed Practical (Vocational) Nurse Standard
G0804 Aides are members of interdisciplinary team Element
G0808 Onsite supervisory visit every 14 days Element
G1014 Interventions and patient response Element
▼ 047102 Washington Regional Medical Center 2683 N Quality Lane Fayetteville AR 6 (Dallas) 04/01/2022 3878A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 047102 Washington Regional Medical Center 2683 N Quality Lane Fayetteville AR 6 (Dallas) 11/16/2018 MTGY11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 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
G0612 Written instructions to patient include: Standard
G0516 Skilled professional performs assessment Element
G0536 A review of all current medications Element
G0984 In accordance with current clinical practice Element