S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 047153 Johnson Regional Homecare 1100 East Poplar Street Clarksville AR 6 (Dallas) 04/10/2018 E6UW11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 047156 Area Agency On Aging Of Western Arkansas Inc 333 South First Street Paris AR 6 (Dallas) 11/30/2023 61A42-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
G1022 Discharge and transfer summaries Element
▼ 047156 Area Agency On Aging Of Western Arkansas Inc 333 South First Street Paris AR 6 (Dallas) 03/26/2021 608CE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 047157 Area Agency On Aging Of Western Arkansas, Inc. 1579 Clyde Hawkins Drive Waldron AR 6 (Dallas) 04/10/2019 4F3Y11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard
G0798 Home health aide assignments and duties Standard
G0952 Ensure that HHA employs qualified personnel Element
▼ 047158 Area Agency On Aging Of Western Arkansas, Inc. 333 South 1st Street Paris AR 6 (Dallas) 03/26/2021 KD2Q11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 047162 Area Agency On Aging Of Western Arkansas, Inc. 600 Seventh Street Mena AR 6 (Dallas) 04/10/2025 65E3C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 047162 Area Agency On Aging Of Western Arkansas, Inc. 600 Seventh Street Mena AR 6 (Dallas) 03/21/2019 HI2G11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard
▼ 047167 Ozark Health, Inc. 428 Medical Center Parkway Clinton AR 6 (Dallas) 08/09/2019 XSVH11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0536 A review of all current medications Element
▼ 047168 Ahm Action Home Health, Lp 3809 East 9th Street - Suite 12 Texarkana AR 6 (Dallas) 06/22/2023 6029D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0614 Visit schedule Element
G1012 Required items in clinical record Element
▼ 047168 Ahm Action Home Health, Lp 3809 East 9th Street - Suite 12 Texarkana AR 6 (Dallas) 01/24/2020 TXZO11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard
G1014 Interventions and patient response Element