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
▼ 047105 Centerwell Certified Healthcare Corp 4328 Central Avenue, Suite E Hot Springs AR 6 (Dallas) 10/26/2023 61679-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
G0616 Patient medication schedule/instructions Element
▼ 047105 Centerwell Certified Healthcare Corp 4328 Central Avenue, Suite E Hot Springs AR 6 (Dallas) 10/01/2020 7NFD11 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
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 047108 Amedisys Arkansas, Llc 1103 E. Mainstreet Ste C Mountain View AR 6 (Dallas) 10/24/2024 648C0-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
▼ 047108 Amedisys Arkansas, Llc 1103 E. Mainstreet Ste C Mountain View AR 6 (Dallas) 01/21/2022 383E5-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
▼ 047109 Crossett Health Foundation 211 Pine Street Crossett AR 6 (Dallas) 02/12/2026 1E41E8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0616 Patient medication schedule/instructions Element
G0800 Services provided by HH aide Element
▼ 047109 Crossett Health Foundation 211 Pine Street Crossett AR 6 (Dallas) 01/12/2023 5ED30-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
▼ 047109 Crossett Health Foundation 211 Pine Street Crossett AR 6 (Dallas) 10/01/2019 7XKM11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 047114 Jordan Home Health Care, Llc 4102 Jefferson Avenue Texarkana AR 6 (Dallas) 07/15/2022 4F184-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G1014 Interventions and patient response Element
▼ 047114 Jordan Home Health Care, Llc 4102 Jefferson Avenue Texarkana AR 6 (Dallas) 05/31/2019 K8IZ11 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
G0984 In accordance with current clinical practice Element
G1014 Interventions and patient response Element
▼ 047115 Arkansas Homecare Of Fulton, Llc 110 Highway 62 W, Ste 1 Salem AR 6 (Dallas) 11/13/2024 649BD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0466 Make efforts to resolve the problem(s) Element
G0536 A review of all current medications Element
G1014 Interventions and patient response Element