S&C QCOR HHA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
HHAs 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ 15K011 Best Home Health Care Services, Inc 325 N Eastern Ave Connersville IN 5 (Chicago) 09/23/2020 L82311 Focused Infection Control, Other-Fed, 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
G0436 Receive all services in plan of care Element
G0574 Plan of care must include the following Element
G0716 Preparing clinical notes Element
G0802 Duties of a HH aide Element
▼ 15K015 Faithful Friends Home Healthcare Inc 203 S Washington Street Marion IN 5 (Chicago) 05/23/2025 6636A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0436 Receive all services in plan of care Element
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
▼ 15K015 Faithful Friends Home Healthcare Inc 203 S Washington Street Marion IN 5 (Chicago) 01/29/2024 61EF7-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0438 Have a confidential clinical record Element
G0608 Coordinate care delivery Element
G0984 In accordance with current clinical practice Element
▼ 15K015 Faithful Friends Home Healthcare Inc 203 S Washington Street Marion IN 5 (Chicago) 07/08/2022 4EE71-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0534 Patient's needs Element
G0800 Services provided by HH aide Element
▼ 15K015 Faithful Friends Home Healthcare Inc 203 S Washington Street Marion IN 5 (Chicago) 11/07/2019 NPPM11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0644 Program data Standard
G0682 Infection Prevention Standard
G0774 12 hours inservice every 12 months Standard
G0798 Home health aide assignments and duties Standard
G0478 Investigate complaints made by patient Element
G0528 Health, psychosocial, functional, cognition Element
G0530 Strengths, goals, and care preferences Element
G0534 Patient's needs Element
G0536 A review of all current medications Element
G0538 Primary caregiver(s), if any Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0800 Services provided by HH aide Element
G0978 Must have a written agreement Element
▼ 15K021 Help At Home Llc 5281 Fountain Drive Suite F Schererville IN 5 (Chicago) 08/15/2022 4F043-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
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0374 Accuracy of encoded OASIS data Standard
G0544 Update of the comprehensive assessment Standard
G0564 Discharge or Transfer Summary Content Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0798 Home health aide assignments and duties Standard
G1024 Authentication Standard
G1028 Protection of records Standard
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
G0458 Outcomes/goals have been achieved Element
G0484 Document complaint and resolution Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0584 Verbal orders Element
G0588 Reviewed, revised by physician every 60 days Element
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
G0614 Visit schedule Element
G0618 Treatments and therapy services Element
G0622 Name/contact information of clinical manager Element
G0648 High risk, high volume, or problem-prone area Element
G0652 Activities lead to an immediate correction Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0726 Nursing services supervised by RN Element
G0800 Services provided by HH aide Element
G0804 Aides are members of interdisciplinary team Element
G0818 HH aide supervision elements Element
G0948 Responsible for all day-to-day operations Element
G0968 Assure implementation of plan of care Element
G1012 Required items in clinical record Element
▼ 15K021 Help At Home Llc 5281 Fountain Drive Suite F Schererville IN 5 (Chicago) 05/21/2021 3DYY11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G1024 Authentication Standard
G0434 Participate in care Element
G0468 Provide contact info other services Element
G0478 Investigate complaints made by patient Element
G0534 Patient's needs Element
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0800 Services provided by HH aide Element
G0818 HH aide supervision elements Element
▼ 15K023 Help At Home Inc 1515 Union Street Lafayette IN 5 (Chicago) 10/10/2024 6424E-H1 Complaint, 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
G0464 Advise the patient of discharge for cause Element
G0484 Document complaint and resolution Element
▼ 15K023 Help At Home Inc 1515 Union Street Lafayette IN 5 (Chicago) 02/07/2024 6219C-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 Patient rights Condition
G0750 Home health aide services Condition
G0768 Competency evaluation Standard
G0760 Classroom and supervised practical training Element
G0762 Minimum hours of training Element
G0766 HHA maintains documentation of training Element
G0948 Responsible for all day-to-day operations Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 15K023 Help At Home Inc 1515 Union Street Lafayette IN 5 (Chicago) 07/07/2023 603A3-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0754 A qualified HH aide successfully completed: Element
G0766 HHA maintains documentation of training Element
G0952 Ensure that HHA employs qualified personnel Element