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
▼ 047169 Dallas County Medical Center Home Care, Llc 310 W College Street Fordyce AR 6 (Dallas) 02/18/2022 38495-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0726 Nursing services supervised by RN Element
▼ 047169 Dallas County Medical Center Home Care, Llc 310 W College Street Fordyce AR 6 (Dallas) 08/30/2018 FFSS11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 047170 Ahm Action Home Health, Lp 7325 Meeshow Dr. Springdale AR 6 (Dallas) 01/31/2025 654BC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 047170 Ahm Action Home Health, Lp 7325 Meeshow Dr. Springdale AR 6 (Dallas) 04/29/2022 384A0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
▼ 047172 Ahm Action Home Health, Lp 7325 Meeshow Dr. Springdale AR 6 (Dallas) 10/10/2024 646ED-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
G0536 A review of all current medications Element
▼ 047172 Ahm Action Home Health, Lp 7325 Meeshow Dr. Springdale AR 6 (Dallas) 02/22/2022 384A6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 047173 Care Iv Home Health 1008 West Main Street Russellville AR 6 (Dallas) 11/05/2020 XUUY11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
▼ 047174 Care Iv, Inc. 100 Ridgeway, Suite 3 Hot Springs AR 6 (Dallas) 10/06/2022 4F805-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 047174 Care Iv, Inc. 100 Ridgeway, Suite 3 Hot Springs AR 6 (Dallas) 07/01/2019 IYM311 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard
G1022 Discharge and transfer summaries Element
▼ 047175 Community Home Health Care Of Arkansas, Inc 2315 Hwy 62/412 Highland AR 6 (Dallas) 08/17/2023 60B5A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0536 A review of all current medications Element