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
▼ 157738 Omnia Health Care Llc 3077 East 98th Street, Suite 240, Carmel IN 5 (Chicago) 06/03/2025 66351-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Condition of Participation: Patient rights. Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0644 Program data Standard
G0660 Executive responsibilities for QAPI Standard
G0430 Be free from abuse Element
G0436 Receive all services in plan of care Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0772 Documentation of competency evaluation Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G0948 Responsible for all day-to-day operations Element
G0960 Make patient and personnel assignments, Element
▼ 157738 Omnia Health Care Llc 3077 East 98th Street, Suite 240, Carmel IN 5 (Chicago) 01/06/2022 381C4-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0562 Discharge Planning Standard
G0564 Discharge or Transfer Summary Content Standard
G0462 Before discharge for cause HHA must: Element
G0464 Advise the patient of discharge for cause Element
G0468 Provide contact info other services Element
G0598 Discharge plans communication Element
G0608 Coordinate care delivery Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
G1022 Discharge and transfer summaries Element
▼ 157738 Omnia Health Care Llc 3077 East 98th Street, Suite 240, Carmel IN 5 (Chicago) 08/07/2019 YLMO11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0370 Reporting OASIS information Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0572 Plan of care Standard
G0612 Written instructions to patient include: Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G1024 Authentication Standard
G0418 Patient's or legal representative's signature Element
G0460 Patient refuses services Element
G0484 Document complaint and resolution Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0602 Communication with all physicians Element
G0606 Integrate all services Element
G0616 Patient medication schedule/instructions Element
G0726 Nursing services supervised by RN Element
G0802 Duties of a HH aide Element
G0814 Non-skilled direct observation every 60 days Element
G0948 Responsible for all day-to-day operations Element
G0966 Assure patient needs are continually assessed Element
G0984 In accordance with current clinical practice Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 157741 Care United Home Health Llc 5519 E 82nd St Ste D Indianapolis IN 5 (Chicago) 05/21/2026 23224D-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
▼ 157741 Care United Home Health Llc 5519 E 82nd St Ste D Indianapolis IN 5 (Chicago) 09/11/2024 63EA8-H1 Initial Certification
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
G0576 All orders recorded in plan of care Element
G0948 Responsible for all day-to-day operations Element
▼ 157743 Together Homecare Of Northwest Indiana Llc 455 W Lincolnway Suite C Valparaiso IN 5 (Chicago) 03/06/2024 6251C-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
G0406 Patient rights Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0750 Home health aide services Condition
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0478 Investigate complaints made by patient Element
G0514 RN performs assessment Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following 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
G0800 Services provided by HH aide Element
G0804 Aides are members of interdisciplinary team Element
G0818 HH aide supervision elements Element
▼ 157744 Kmg Homecare Unlimited, Llc 307 E 38th Street Anderson IN 5 (Chicago) 05/15/2025 6622C-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
▼ 157744 Kmg Homecare Unlimited, Llc 307 E 38th Street Anderson IN 5 (Chicago) 06/17/2022 389BD-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 157746 Accessicare Home Health Llc 4692 Duffy Rd Floyds Knobs IN 5 (Chicago) 05/26/2026 234AB5-H1 Initial Certification
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
▼ 157747 Together Homecare Of Jeffersonville Llc 400 Missouri Avenue, Ste 103 Jeffersonville IN 5 (Chicago) 12/11/2025 1D856B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0774 12 hours inservice every 12 months Standard
G0514 RN performs assessment Element
G0590 Promptly alert relevant physician of changes Element
G1012 Required items in clinical record Element