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
▼ 157180 Centerwell Certified Healthcare Corp 400 N High Street Suite 202 Muncie IN 5 (Chicago) 03/02/2022 38519-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element
G0706 Interdisciplinary assessment of the patient Element
▼ 157187 Anew Home Health L.L.C. 3830 E Southport Road, Suite 700 Indianapolis IN 5 (Chicago) 02/26/2025 65338-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Condition of Participation: Patient rights. Condition
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0430 Be free from abuse Element
G0434 Participate in care Element
G0442 Written notice for non-covered care Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
G0608 Coordinate care delivery Element
G0726 Nursing services supervised by RN Element
G0946 Administrator appointed by governing body Element
G0984 In accordance with current clinical practice Element
▼ 157187 Anew Home Health L.L.C. 3830 E Southport Road, Suite 700 Indianapolis IN 5 (Chicago) 05/03/2019 ECQ512 Complaint
Deficiency Tag Deficiency Description Tag Type
E0039 EP Testing Requirements Standard
▼ 157187 Anew Home Health L.L.C. 3830 E Southport Road, Suite 700 Indianapolis IN 5 (Chicago) 02/20/2019 ECQ511 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0798 Home health aide assignments and duties Standard
G0942 Governing body Standard
G1024 Authentication Standard
G0480 Treatment or care Element
G0486 Protect patient during investigation Element
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
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
G0584 Verbal orders Element
G0590 Promptly alert relevant physician of changes Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0966 Assure patient needs are continually assessed Element
G0968 Assure implementation of plan of care Element
G0972 Report all branch locations to SA Element
G1012 Required items in clinical record Element
▼ 157197 Home Care Network Inc 8580 Cedar Place Drive, Suite 115b Indianapolis IN 5 (Chicago) 06/12/2024 63537-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0031 Emergency Officials Contact Information Standard
G0564 Discharge or Transfer Summary Content Standard
G0454 HHA can no longer meet the patient's needs Element
▼ 157197 Home Care Network Inc 8580 Cedar Place Drive, Suite 115b Indianapolis IN 5 (Chicago) 02/12/2024 6222B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G0574 Plan of care must include the following Element
G0656 Improvements are sustained Element
G0954 Ensures qualified pre-designated person Element
G0980 Primary HHA is responsible for patient care Element
G1022 Discharge and transfer summaries Element
▼ 157197 Home Care Network Inc 8580 Cedar Place Drive, Suite 115b Indianapolis IN 5 (Chicago) 10/02/2023 61237-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
G0518 Completion of the comprehensive assessment Standard
G0526 Content of the comprehensive assessment Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G0454 HHA can no longer meet the patient's needs Element
G0528 Health, psychosocial, functional, cognition Element
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
G0602 Communication with all physicians Element
G0726 Nursing services supervised by RN Element
G0814 Non-skilled direct observation every 60 days Element
G0948 Responsible for all day-to-day operations Element
G0950 Ensure clinical manager is available Element
G0956 Available during all operating hours Element
▼ 157197 Home Care Network Inc 8580 Cedar Place Drive, Suite 115b Indianapolis IN 5 (Chicago) 02/01/2019 TKFJ11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0033 Methods for Sharing Information Standard
G0642 Program scope Standard
G0658 Performance improvement projects Standard
G0982 Skilled services furnished Standard
G0434 Participate in care Element
G0436 Receive all services in plan of care Element
G0454 HHA can no longer meet the patient's needs Element
G0484 Document complaint and resolution Element
G0584 Verbal orders Element
G0608 Coordinate care delivery Element
G0656 Improvements are sustained Element
G0948 Responsible for all day-to-day operations Element
G0962 Coordinate patient care Element
G0968 Assure implementation of plan of care Element
G1012 Required items in clinical record Element
▼ 157200 Caretenders Visiting Services Of Kentuckiana Llc 511 E 4th St Ste 111 Huntingburg IN 5 (Chicago) 12/10/2019 VT4N12 Recertification
Deficiency Tag Deficiency Description Tag Type
G0788 Org. had partial/extended survey Element
G0856 Officer, a director, agent, managing employee Element
G0858 Responsible for the management of the HHA Element
G0946 Administrator appointed by governing body Element
G0948 Responsible for all day-to-day operations Element
G0954 Ensures qualified pre-designated person Element
▼ 157200 Caretenders Visiting Services Of Kentuckiana Llc 511 E 4th St Ste 111 Huntingburg IN 5 (Chicago) 07/24/2019 VT4N11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0572 Plan of care Standard
G0642 Program scope Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0942 Governing body Standard
G1028 Protection of records Standard
G0438 Have a confidential clinical record Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G1012 Required items in clinical record Element