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
▼ 15K023 Help At Home Inc 1515 Union Street Lafayette IN 5 (Chicago) 06/15/2022 38680-H2 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0800 Services provided by HH aide Element
G0802 Duties of a HH aide Element
▼ 15K023 Help At Home Inc 1515 Union Street Lafayette IN 5 (Chicago) 03/21/2022 38680-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0750 Home health aide services Condition
G0940 Organization and administration of services Condition
G0612 Written instructions to patient include: Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0752 Home health aide qualifications Standard
G0768 Competency evaluation Standard
G0798 Home health aide assignments and duties Standard
G0970 Parent-branch relationship Standard
G1024 Authentication Standard
G1030 Retrieval of records Standard
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
G0418 Patient's or legal representative's signature Element
G0432 Make complaints to the HHA Element
G0436 Receive all services in plan of care Element
G0446 Contact info Federal/State-funded entities Element
G0478 Investigate complaints made by patient Element
G0536 A review of all current medications Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0622 Name/contact information of clinical manager Element
G0772 Documentation of competency evaluation Element
G0856 Officer, a director, agent, managing employee Element
G0948 Responsible for all day-to-day operations Element
G0950 Ensure clinical manager is available Element
G0952 Ensure that HHA employs qualified personnel Element
G0974 Direct support and administrative control Element
G1022 Discharge and transfer summaries Element
▼ 15K023 Help At Home Inc 1515 Union Street Lafayette IN 5 (Chicago) 07/08/2021 746P11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0528 Health, psychosocial, functional, cognition Element
G0530 Strengths, goals, and care preferences Element
G0574 Plan of care must include the following Element
▼ 15K023 Help At Home Inc 1515 Union Street Lafayette IN 5 (Chicago) 11/13/2018 9JMK11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
G0798 Home health aide assignments and duties Standard
G0528 Health, psychosocial, functional, cognition Element
G0534 Patient's needs Element
G0574 Plan of care must include the following Element
G0592 Revised plan of care Element
G0602 Communication with all physicians Element
G0608 Coordinate care delivery Element
G0708 Development and evaluation of plan of care Element
G0718 Communication with physicians Element
G0966 Assure patient needs are continually assessed Element
▼ 15K024 Above & Beyond Homecare Inc 1304 Main Street Anderson IN 5 (Chicago) 03/04/2025 65741-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
▼ 15K024 Above & Beyond Homecare Inc 1304 Main Street Anderson IN 5 (Chicago) 04/01/2022 38745-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
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0798 Home health aide assignments and duties Standard
G0528 Health, psychosocial, functional, cognition Element
▼ 15K024 Above & Beyond Homecare Inc 1304 Main Street Anderson IN 5 (Chicago) 05/26/2021 4X0S11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
G0478 Investigate complaints made by patient Element
G0528 Health, psychosocial, functional, cognition Element
G0606 Integrate all services Element
G0800 Services provided by HH aide Element
▼ 15K024 Above & Beyond Homecare Inc 1304 Main Street Anderson IN 5 (Chicago) 06/04/2019 M3Y711 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0442 Written notice for non-covered care Element
G0454 HHA can no longer meet the patient's needs Element
G0464 Advise the patient of discharge for cause Element
▼ 15K024 Above & Beyond Homecare Inc 1304 Main Street Anderson IN 5 (Chicago) 05/06/2019 F2CC11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0700 Skilled professional services Condition
G0750 Home health aide services Condition
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
G0374 Accuracy of encoded OASIS data Standard
G0526 Content of the comprehensive assessment Standard
G0544 Update of the comprehensive assessment Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0654 Track adverse patient events Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0768 Competency evaluation Standard
G0774 12 hours inservice every 12 months Standard
G0798 Home health aide assignments and duties Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G0414 HHA administrator contact information Element
G0432 Make complaints to the HHA Element
G0446 Contact info Federal/State-funded entities Element
G0450 Access to auxiliary aids and language service Element
G0478 Investigate complaints made by patient Element
G0514 RN performs assessment 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
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0584 Verbal orders Element
G0590 Promptly alert relevant physician of changes Element
G0602 Communication with all physicians Element
G0604 Integrate all orders Element
G0606 Integrate all services Element
G0608 Coordinate care delivery Element
G0648 High risk, high volume, or problem-prone area Element
G0652 Activities lead to an immediate correction Element
G0656 Improvements are sustained Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
G0720 Participate in the HHA's QAPI program; Element
G0726 Nursing services supervised by RN Element
G0808 Onsite supervisory visit every 14 days Element
G0948 Responsible for all day-to-day operations Element
G0950 Ensure clinical manager is available Element
G0960 Make patient and personnel assignments, Element
G0962 Coordinate patient care Element
G0964 Coordinate referrals; Element
G0966 Assure patient needs are continually assessed Element
G0968 Assure implementation of plan of care Element
G0974 Direct support and administrative control Element
G0984 In accordance with current clinical practice Element
G1012 Required items in clinical record Element
G1018 Contact information for the patient Element
G1020 Contact info for primary care practitioner Element
▼ 15K025 Individual Support Services Inc 956 Beechwood Avenue Middletown IN 5 (Chicago) 11/09/2023 61647-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