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
▼ 047176 Gracon, Inc. 358 Highway 5 North Mountain Home AR 6 (Dallas) 08/01/2024 63D43-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 047176 Gracon, Inc. 358 Highway 5 North Mountain Home AR 6 (Dallas) 11/04/2021 37DB1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0536 A review of all current medications Element
▼ 047178 Care Iv, Inc. 1023 Rushing Circle Little Rock AR 6 (Dallas) 08/02/2019 6IDV11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0536 A review of all current medications Element
G0808 Onsite supervisory visit every 14 days Element
G0984 In accordance with current clinical practice Element
G1014 Interventions and patient response Element
▼ 047179 Care Iv Inc. 438 East Millsap Road Fayetteville AR 6 (Dallas) 11/18/2021 37E71-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 047180 Thrive Pediatric Nursing, Inc 7197 Sheridan Road, Suite 105 White Hall AR 6 (Dallas) 06/05/2024 63570-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0612 Written instructions to patient include: Standard
G0682 Infection Prevention Standard
G0590 Promptly alert relevant physician of changes Element
▼ 047181 Thrive Pediatric Nursing, Inc 808 Reservoir Road, Suite A Little Rock AR 6 (Dallas) 07/28/2023 609AE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1014 Interventions and patient response Element
▼ 047306 Aaa Southeast Ar Drew Co 110 East Gains Street Monticello AR 6 (Dallas) 04/07/2022 38843-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
▼ 047306 Aaa Southeast Ar Drew Co 110 East Gains Street Monticello AR 6 (Dallas) 10/18/2018 3JKL11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard
▼ 047309 Area Agency On Aging Southeast Arkansas, Inc. 730 North Pecan Street Rison AR 6 (Dallas) 02/15/2018 VG0R11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0948 Responsible for all day-to-day operations Element
▼ 047326 Baptist Health Home Health - Arkadelphia 205 N 26th Street Ste B Arkadelphia AR 6 (Dallas) 10/11/2018 ZNO411 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard
G0536 A review of all current medications Element