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
▼ 157423 Parkview Health At Home Llc 1900 Carew St Ste 5 Fort Wayne IN 5 (Chicago) 09/10/2021 THPR-H2 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0716 Preparing clinical notes Element
▼ 157423 Parkview Health At Home Llc 1900 Carew St Ste 5 Fort Wayne IN 5 (Chicago) 05/21/2021 THPR11 Focused Infection Control, Other-Fed, 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
G0570 Care planning, coordination, quality of care Condition
E0013 Development of EP Policies and Procedures Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0042 Integrated EP Program Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0428 Property and person treated with respect Element
G0438 Have a confidential clinical record Element
G0534 Patient's needs Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0610 Patients receive education and training Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0618 Treatments and therapy services Element
G0622 Name/contact information of clinical manager Element
G0984 In accordance with current clinical practice Element
▼ 157423 Parkview Health At Home Llc 1900 Carew St Ste 5 Fort Wayne IN 5 (Chicago) 07/19/2018 6N9411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0436 Receive all services in plan of care Element
G0444 State toll free HH telephone hotline 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
G0606 Integrate all services Element
G0608 Coordinate care delivery Element
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
G0948 Responsible for all day-to-day operations Element
G0962 Coordinate patient care Element
G0968 Assure implementation of plan of care Element
▼ 157428 Home Care Network Inc 8580 Cedar Place Drive, Suite 115a Indianapolis IN 5 (Chicago) 06/13/2024 63535-H1 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
E0031 Emergency Officials Contact Information Standard
G0982 Skilled services furnished Standard
▼ 157428 Home Care Network Inc 8580 Cedar Place Drive, Suite 115a Indianapolis IN 5 (Chicago) 02/12/2024 6222C-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
G0656 Improvements are sustained Element
G0946 Administrator appointed by governing body Element
G0948 Responsible for all day-to-day operations Element
G0954 Ensures qualified pre-designated person Element
G0980 Primary HHA is responsible for patient care Element
▼ 157428 Home Care Network Inc 8580 Cedar Place Drive, Suite 115a Indianapolis IN 5 (Chicago) 11/15/2023 60EC3-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
G0982 Skilled services furnished Standard
▼ 157428 Home Care Network Inc 8580 Cedar Place Drive, Suite 115a Indianapolis IN 5 (Chicago) 10/02/2023 60EC3-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0940 Organization and administration of services Condition
G0518 Completion of the comprehensive assessment Standard
G0526 Content of the comprehensive assessment Standard
G0544 Update of the comprehensive assessment Standard
G0682 Infection Prevention Standard
G0704 Responsibilities of skilled professionals Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G0528 Health, psychosocial, functional, cognition Element
G0602 Communication with all physicians Element
G0726 Nursing services supervised by RN Element
G0946 Administrator appointed by governing body Element
G0948 Responsible for all day-to-day operations Element
G0950 Ensure clinical manager is available Element
G0956 Available during all operating hours Element
▼ 157428 Home Care Network Inc 8580 Cedar Place Drive, Suite 115a Indianapolis IN 5 (Chicago) 07/23/2021 0HQB11 Focused Infection Control, Other-Fed, 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
G1024 Authentication Standard
G0436 Receive all services in plan of care Element
G0454 HHA can no longer meet the patient's needs Element
G0968 Assure implementation of plan of care Element
▼ 157428 Home Care Network Inc 8580 Cedar Place Drive, Suite 115a Indianapolis IN 5 (Chicago) 08/24/2020 U1E711 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0948 Responsible for all day-to-day operations Element
▼ 157428 Home Care Network Inc 8580 Cedar Place Drive, Suite 115a Indianapolis IN 5 (Chicago) 11/15/2018 KBT311 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element