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
▼ 047135 Home Health Professionals Inc 2222 Spence Circle Jonesboro AR 6 (Dallas) 08/03/2018 S64Z11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 047138 Southwest Arkansas Homecare, Llc 614 S. Main St. Ste 2 Nashville AR 6 (Dallas) 12/10/2025 1DDDF0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
▼ 047138 Southwest Arkansas Homecare, Llc 614 S. Main St. Ste 2 Nashville AR 6 (Dallas) 11/14/2022 5E553-H1 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
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
▼ 047138 Southwest Arkansas Homecare, Llc 614 S. Main St. Ste 2 Nashville AR 6 (Dallas) 07/25/2019 B3HJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0612 Written instructions to patient include: Standard
G0798 Home health aide assignments and duties Standard
G0520 5 calendar days after start of care Element
G0606 Integrate all services Element
G0808 Onsite supervisory visit every 14 days Element
G0964 Coordinate referrals; Element
G1012 Required items in clinical record Element
▼ 047139 Little River Medical Center, Inc. 170 South 4th Street Ashdown AR 6 (Dallas) 02/27/2025 6585B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1014 Interventions and patient response Element
▼ 047139 Little River Medical Center, Inc. 170 South 4th Street Ashdown AR 6 (Dallas) 10/24/2018 G2D911 Recertification
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
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
▼ 047140 Bradley County Medical Center 204 Bragg Street Warren AR 6 (Dallas) 06/08/2023 5FF1F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 047140 Bradley County Medical Center 204 Bragg Street Warren AR 6 (Dallas) 12/10/2019 1GJ811 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1060 Licensed Practical (Vocational) Nurse Standard
G0444 State toll free HH telephone hotline Element
G0574 Plan of care must include the following Element
G0616 Patient medication schedule/instructions Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 047145 Arkansas Home Health Providers-Iv, Llc 3024 Red Wolf Blvd, Suite 6 Jonesboro AR 6 (Dallas) 12/22/2023 61E9A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0478 Investigate complaints made by patient Element
G0962 Coordinate patient care Element
G1014 Interventions and patient response Element
▼ 047145 Arkansas Home Health Providers-Iv, Llc 3024 Red Wolf Blvd, Suite 6 Jonesboro AR 6 (Dallas) 01/31/2022 384B0-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
G0590 Promptly alert relevant physician of changes Element