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
▼ 157569 Eh Home Health Of The Midwest, Llc 20 East Us Highway 30 Schererville IN 5 (Chicago) 09/11/2018 KF6N11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0444 State toll free HH telephone hotline Element
G0706 Interdisciplinary assessment of the patient Element
▼ 157570 Total Home Health Services Inc 770 N Main Street Crown Point IN 5 (Chicago) 12/06/2024 64CD8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0544 Update of the comprehensive assessment Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
G0458 Outcomes/goals have been achieved Element
G0514 RN performs assessment 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
G0618 Treatments and therapy services Element
G0716 Preparing clinical notes Element
G0952 Ensure that HHA employs qualified personnel Element
G0984 In accordance with current clinical practice Element
▼ 157570 Total Home Health Services Inc 770 N Main Street Crown Point IN 5 (Chicago) 12/17/2021 3803E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0572 Plan of care Standard
G0704 Responsibilities of skilled professionals Standard
G1024 Authentication Standard
G0528 Health, psychosocial, functional, cognition Element
G0534 Patient's needs 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
G0616 Patient medication schedule/instructions Element
G0706 Interdisciplinary assessment of the patient Element
G0800 Services provided by HH aide Element
G1014 Interventions and patient response Element
▼ 157570 Total Home Health Services Inc 770 N Main Street Crown Point IN 5 (Chicago) 06/14/2019 8PSD12 Recertification
Deficiency Tag Deficiency Description Tag Type
G1022 Discharge and transfer summaries Element
▼ 157570 Total Home Health Services Inc 770 N Main Street Crown Point IN 5 (Chicago) 04/02/2019 8PSD11 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
G0700 Skilled professional services Condition
E0009 Local, State, Tribal Collaboration Process Standard
G0518 Completion of the comprehensive assessment Standard
G0526 Content of the comprehensive assessment Standard
G0544 Update of the comprehensive assessment Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0768 Competency evaluation Standard
G0774 12 hours inservice every 12 months Standard
G0798 Home health aide assignments and duties Standard
G1024 Authentication Standard
G1028 Protection of records Standard
G0412 Written notice of patient's rights Element
G0420 [Removed and Reserved] Element
G0438 Have a confidential clinical record Element
G0444 State toll free HH telephone hotline Element
G0514 RN performs assessment 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
G0584 Verbal orders Element
G0588 Reviewed, revised by physician every 60 days Element
G0590 Promptly alert relevant physician of changes Element
G0602 Communication with all physicians Element
G0606 Integrate all services Element
G0706 Interdisciplinary assessment of the patient Element
G0714 Patient and caregiver education Element
G0716 Preparing clinical notes Element
G0726 Nursing services supervised by RN Element
G0728 Rehab services supervised by PT, OT Element
G0800 Services provided by HH aide Element
G0804 Aides are members of interdisciplinary team Element
G0980 Primary HHA is responsible for patient care Element
G1014 Interventions and patient response Element
▼ 157571 Caretenders Visiting Servcies Of Kentuckiana Llc 1724 State Street New Albany IN 5 (Chicago) 04/20/2026 22E1D9-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
▼ 157571 Caretenders Visiting Servcies Of Kentuckiana Llc 1724 State Street New Albany IN 5 (Chicago) 07/31/2024 63B78-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0520 5 calendar days after start of care Element
G0522 Eligibility for Medicare home health benefit Element
G0546 Last 5 days of every 60 days unless: Element
▼ 157571 Caretenders Visiting Servcies Of Kentuckiana Llc 1724 State Street New Albany IN 5 (Chicago) 01/12/2024 61D47-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0586 Review and revision of the plan of care Standard
G0612 Written instructions to patient include: Standard
G0682 Infection Prevention Standard
G0944 Administrator must: Standard
G0616 Patient medication schedule/instructions Element
G0948 Responsible for all day-to-day operations Element
▼ 157571 Caretenders Visiting Servcies Of Kentuckiana Llc 1724 State Street New Albany IN 5 (Chicago) 01/07/2021 K2BX11 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
G0942 Governing body Standard
G0616 Patient medication schedule/instructions Element
G0620 Other pertinent instructions Element
G0948 Responsible for all day-to-day operations Element
▼ 157571 Caretenders Visiting Servcies Of Kentuckiana Llc 1724 State Street New Albany IN 5 (Chicago) 02/16/2018 YG2811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0706 Interdisciplinary assessment of the patient Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element