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
▼ 157592 Lmr Indiana Home Health Inc 1563 E 85th Ave Merrillville IN 5 (Chicago) 07/08/2022 4EF59-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0654 Track adverse patient events Standard
G1024 Authentication Standard
G0574 Plan of care must include the following Element
G0592 Revised plan of care Element
G0616 Patient medication schedule/instructions Element
G0800 Services provided by HH aide Element
▼ 157592 Lmr Indiana Home Health Inc 1563 E 85th Ave Merrillville IN 5 (Chicago) 08/15/2019 BBJJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0024 Policies/Procedures-Volunteers and Staffing Standard
G0442 Written notice for non-covered care Element
G0576 All orders recorded in plan of care Element
▼ 157594 Heritage Home Health Services Of Indiana Llc 1102 S Lebanon St Lebanon IN 5 (Chicago) 07/12/2024 63898-H1 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
G0325 Basis and Scope Condition
G0406 Condition of Participation: Patient rights. Condition
G0560 Discharge Planning Condition
G0940 Organization and administration of services Condition
▼ 157594 Heritage Home Health Services Of Indiana Llc 1102 S Lebanon St Lebanon IN 5 (Chicago) 02/08/2021 CWD411 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
E0013 Development of EP Policies and Procedures Standard
G0578 Conformance with physician orders Standard
G0644 Program data Standard
G0682 Infection Prevention Standard
G0942 Governing body Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0530 Strengths, goals, and care preferences Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0656 Improvements are sustained Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
G0948 Responsible for all day-to-day operations Element
▼ 157594 Heritage Home Health Services Of Indiana Llc 1102 S Lebanon St Lebanon IN 5 (Chicago) 03/23/2018 L7L611 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0584 Verbal orders Element
G0716 Preparing clinical notes Element
G1014 Interventions and patient response Element
▼ 157597 Home Health Care Solutions Llc 32 East Main Street Mooresville IN 5 (Chicago) 08/15/2024 63E0E-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
G0580 Only as ordered by a physician Element
G1022 Discharge and transfer summaries Element
▼ 157597 Home Health Care Solutions Llc 32 East Main Street Mooresville IN 5 (Chicago) 02/09/2022 38370-H1 Focused Infection Control, 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
G0528 Health, psychosocial, functional, cognition Element
G0530 Strengths, goals, and care preferences Element
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G0590 Promptly alert relevant physician of changes Element
G0948 Responsible for all day-to-day operations Element
▼ 157597 Home Health Care Solutions Llc 32 East Main Street Mooresville IN 5 (Chicago) 03/15/2019 XTN011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
G0716 Preparing clinical notes Element
▼ 157597 Home Health Care Solutions Llc 32 East Main Street Mooresville IN 5 (Chicago) 07/10/2018 HX5D11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0512 Standard: Initial assessment visit. Standard
G0572 Plan of care Standard
G0434 Participate in care Element
G0712 Patient, caregiver, and family counseling Element
▼ 157598 Caretenders Visiting Services Of Kentuckiana Llc 1140 W Jefferson Street Ste B Franklin IN 5 (Chicago) 08/22/2024 63EAC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element
G0598 Discharge plans communication Element
G0608 Coordinate care delivery Element
G1022 Discharge and transfer summaries Element