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
▼ 047115 Arkansas Homecare Of Fulton, Llc 110 Highway 62 W, Ste 1 Salem AR 6 (Dallas) 06/10/2022 4ECA4-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
▼ 047115 Arkansas Homecare Of Fulton, Llc 110 Highway 62 W, Ste 1 Salem AR 6 (Dallas) 02/14/2019 NKDU11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0612 Written instructions to patient include: Standard
▼ 047116 Home Health Professionals Inc 509 Hutson Street Blytheville AR 6 (Dallas) 08/14/2023 60C36-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G0616 Patient medication schedule/instructions Element
▼ 047116 Home Health Professionals Inc 509 Hutson Street Blytheville AR 6 (Dallas) 03/06/2020 VTUW11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0808 Onsite supervisory visit every 14 days Element
▼ 047117 Stat Home Health - Cenark, Llc 15104 Pride Valley Road Little Rock AR 6 (Dallas) 08/25/2023 60D87-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0808 Onsite supervisory visit every 14 days Element
▼ 047117 Stat Home Health - Cenark, Llc 15104 Pride Valley Road Little Rock AR 6 (Dallas) 09/25/2020 EIO011 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0606 Integrate all services Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 047117 Stat Home Health - Cenark, Llc 15104 Pride Valley Road Little Rock AR 6 (Dallas) 01/05/2018 GSZQ11 Recertification
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
E0004 Develop EP Plan, Review and Update Annually Standard
E0013 Development of EP Policies and Procedures Standard
E0029 Development of Communication Plan Standard
E0036 EP Training and Testing Standard
E0042 Integrated EP Program Standard
G0121 COMPLIANCE W/ ACCEPTED PROFESSIONAL STD Standard
G0172 DUTIES OF THE REGISTERED NURSE Standard
G0236 CLINICAL RECORDS Standard
G0244 EVALUATION OF THE AGENCY'S PROGRAM Standard
▼ 047118 Approve Home Medical Services 2000 East Harrison St Suite E Batesville AR 6 (Dallas) 09/12/2024 642FF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
▼ 047122 Arkansas Home Health Providers-Iii, Llc 1227 State Hwy 77 Suite E 2 Marion AR 6 (Dallas) 07/11/2024 639F6-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
G0808 Onsite supervisory visit every 14 days Element
G1014 Interventions and patient response Element
▼ 047122 Arkansas Home Health Providers-Iii, Llc 1227 State Hwy 77 Suite E 2 Marion AR 6 (Dallas) 01/07/2022 3824A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element