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
▼ 15K198 Elite Home & Nursing Care Llc 600 N Weinbach Ave, Ste 630 Evansville IN 5 (Chicago) 12/04/2024 64D3E-H1 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0490 Accessibility Standard
G0446 Contact info Federal/State-funded entities Element
G0608 Coordinate care delivery Element
G0614 Visit schedule Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
▼ 15K199 Elite Home & Nursing Care Llc 2307 E Center St Warsaw IN 5 (Chicago) 11/01/2024 649A3-H1 Initial Certification
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
G0640 Quality assessment/performance improvement Condition
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G1024 Authentication Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0984 In accordance with current clinical practice Element
▼ 15K202 Comfort At Home Healthcare Inc 630 North Gardner St Scottsburg IN 5 (Chicago) 03/28/2025 65A9C-H1 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
G0574 Plan of care must include the following Element
G0726 Nursing services supervised by RN Element
G1022 Discharge and transfer summaries Element
▼ 15K202 Comfort At Home Healthcare Inc 630 North Gardner St Scottsburg IN 5 (Chicago) 12/02/2020 P90711 Complaint
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
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G1024 Authentication Standard
G0436 Receive all services in plan of care Element
G0454 HHA can no longer meet the patient's needs Element
G0484 Document complaint and resolution Element
G0590 Promptly alert relevant physician of changes Element
G0616 Patient medication schedule/instructions Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0718 Communication with physicians Element
▼ 15K203 1047 Home Health & More Llc 6128 N. College Ave Indianapolis IN 5 (Chicago) 02/20/2026 1E3C51-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0982 Skilled services furnished Standard
▼ 15K205 Sky Home Health Care Inc 5026 Decatur Road Fort Wayne IN 5 (Chicago) 02/14/2025 65638-H1 Initial Certification
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
G0682 Infection Prevention Standard
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G0614 Visit schedule Element
G0622 Name/contact information of clinical manager Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 15K206 Sofia Home Health Care Llc 2520 Lake Avenue Fort Wayne IN 5 (Chicago) 07/03/2025 668EC-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0800 Services provided by HH aide Element
▼ 15K206 Sofia Home Health Care Llc 2520 Lake Avenue Fort Wayne IN 5 (Chicago) 03/24/2025 65B73-H1 Initial Certification
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
G0514 RN performs assessment Element
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
G0804 Aides are members of interdisciplinary team Element
G0808 Onsite supervisory visit every 14 days Element
▼ 15K208 The Frazier Health Group Llc 3209 W Smith Valley Rd Ste 235 Greenwood IN 5 (Chicago) 03/26/2025 65C8C-H1 Initial Certification
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
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0528 Health, psychosocial, functional, cognition Element
G0530 Strengths, goals, and care preferences Element
G0532 Continuing need for home care Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0602 Communication with all physicians Element
G0610 Patients receive education and training Element
G0948 Responsible for all day-to-day operations Element
▼ 15K209 Aba Home Health Care Inc 2415 Director'S Row Ste D Indianapolis IN 5 (Chicago) 05/06/2025 66154-H1 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0444 State toll free HH telephone hotline Element
G0580 Only as ordered by a physician Element