S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
157747 Together Homecare Of Jeffersonville Llc 400 Missouri Avenue, Ste 103 Jeffersonville IN 5 (Chicago) 03/24/2023 5F4A6-H1 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
G0414 HHA administrator contact information Element
G0574 Plan of care must include the following Element
G0622 Name/contact information of clinical manager Element
G0772 Documentation of competency evaluation Element
157748 Together Homecare Of Indianapolis, Llc 8275 Allison Pointe Trail Ste 350 Indianapolis IN 5 (Chicago) 01/25/2024 61FE3-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0490 Accessibility Standard
G0612 Written instructions to patient include: Standard
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element
G0616 Patient medication schedule/instructions Element
G1022 Discharge and transfer summaries Element
157748 Together Homecare Of Indianapolis, Llc 8275 Allison Pointe Trail Ste 350 Indianapolis IN 5 (Chicago) 06/14/2021 CVAH11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0528 Health, psychosocial, functional, cognition Element
G0530 Strengths, goals, and care preferences Element
G0584 Verbal orders Element
157748 Together Homecare Of Indianapolis, Llc 8275 Allison Pointe Trail Ste 350 Indianapolis IN 5 (Chicago) 05/02/2019 YRNW11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0570 Care planning, coordination, quality of care Condition
G0750 Home health aide services Condition
G0798 Home health aide assignments and duties Standard
G0430 Be free from abuse Element
G0606 Integrate all services Element
G0800 Services provided by HH aide Element
G0802 Duties of a HH aide Element
G0804 Aides are members of interdisciplinary team Element
G1012 Required items in clinical record Element
157748 Together Homecare Of Indianapolis, Llc 8275 Allison Pointe Trail Ste 350 Indianapolis IN 5 (Chicago) 09/20/2018 FEOL11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element
157750 Together Homecare Of Greenwood Llc 555 E County Line Road Suite 205 Greenwood IN 5 (Chicago) 10/03/2024 64472-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
157750 Together Homecare Of Greenwood Llc 555 E County Line Road Suite 205 Greenwood IN 5 (Chicago) 03/17/2022 38657-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G1008 Clinical records Condition
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0704 Responsibilities of skilled professionals Standard
G0942 Governing body Standard
G0988 Institutional planning Standard
G1010 Contents of clinical record Standard
G0432 Make complaints to the HHA Element
G0436 Receive all services in plan of care Element
G0530 Strengths, goals, and care preferences Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0616 Patient medication schedule/instructions Element
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
G0948 Responsible for all day-to-day operations Element
G0968 Assure implementation of plan of care Element
G0984 In accordance with current clinical practice Element
G1014 Interventions and patient response Element
157750 Together Homecare Of Greenwood Llc 555 E County Line Road Suite 205 Greenwood IN 5 (Chicago) 09/18/2020 ZP5711 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0940 Organization and administration of services Condition
G0526 Content of the comprehensive assessment Standard
G0572 Plan of care Standard
G0586 Review and revision of the plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0654 Track adverse patient events Standard
G0658 Performance improvement projects Standard
G0428 Property and person treated with respect Element
G0430 Be free from abuse Element
G0436 Receive all services in plan of care Element
G0482 Mistreatment, neglect or abuse Element
G0484 Document complaint and resolution Element
G0538 Primary caregiver(s), if any Element
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
G0648 High risk, high volume, or problem-prone area Element
G0708 Development and evaluation of plan of care Element
G0714 Patient and caregiver education Element
G0716 Preparing clinical notes Element
G0802 Duties of a HH aide Element
G0818 HH aide supervision elements Element
G0948 Responsible for all day-to-day operations Element
G0966 Assure patient needs are continually assessed Element
G0968 Assure implementation of plan of care Element
157750 Together Homecare Of Greenwood Llc 555 E County Line Road Suite 205 Greenwood IN 5 (Chicago) 05/15/2020 EFOT11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
G0572 Plan of care Standard
G0686 Infection control education Standard
G0798 Home health aide assignments and duties Standard
157750 Together Homecare Of Greenwood Llc 555 E County Line Road Suite 205 Greenwood IN 5 (Chicago) 04/03/2019 P08X11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
G0644 Program data Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0768 Competency evaluation Standard
G0942 Governing body Standard
G0982 Skilled services furnished Standard
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0588 Reviewed, revised by physician every 60 days Element
G0708 Development and evaluation of plan of care Element
G0718 Communication with physicians Element
G0800 Services provided by HH aide Element
G0818 HH aide supervision elements Element
G0948 Responsible for all day-to-day operations Element
G0962 Coordinate patient care Element
G1012 Required items in clinical record Element