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
▼ 15K212 First Rate Caregivers Health Llc 3500 Depauw Blvd Ste 10806 Indianapolis IN 5 (Chicago) 06/12/2025 666A8-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
E0030 Names and Contact Information Standard
▼ 15K213 Gifted Touch Home Healthcare, Llc 55 State Ave, Ste 205 Indianapolis IN 5 (Chicago) 05/15/2025 662EA-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
G0406 Condition of Participation: Patient rights. Condition
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
G0436 Receive all services in plan of care Element
G0528 Health, psychosocial, functional, cognition Element
G0530 Strengths, goals, and care preferences Element
G0532 Continuing need for home care Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0602 Communication with all physicians Element
▼ 15K215 Innovative Care Llc 9102 N Meridian St Ste 555 Indianapolis IN 5 (Chicago) 06/12/2025 666AD-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
G0528 Health, psychosocial, functional, cognition Element
G0530 Strengths, goals, and care preferences Element
G0534 Patient's needs Element
G0574 Plan of care must include the following Element
▼ 15K216 Enchanted Hearts Home Health Care Llc 650 N Girlschool Road Indianapolis IN 5 (Chicago) 06/26/2025 66857-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
G0534 Patient's needs Element
G0574 Plan of care must include the following Element
▼ 15K218 Raw Home Healthcare Services Llc 5645 E Raymond St Indianapolis IN 5 (Chicago) 08/06/2025 1D3572-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
G0798 Home health aide assignments and duties Standard
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
G0416 OASIS privacy notice Element
G0444 State toll free HH telephone hotline Element
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
G0622 Name/contact information of clinical manager Element
G0948 Responsible for all day-to-day operations Element
▼ 15K219 Right Hand Home Health Llc 8012 E 10th St., Suite A Indianapolis IN 5 (Chicago) 08/12/2025 1D3F42-H1 Initial Certification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0530 Strengths, goals, and care preferences Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
▼ 15K220 Able Beings Home Healthcare Llc 911 W. 86th St Ste 101 Indianapolis IN 5 (Chicago) 08/26/2025 1D5360-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
G0564 Discharge or Transfer Summary Content Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
▼ 15K222 A Better Tomorrow Health And Wellness Llc 405 S. Eisenhower Dr. Edinburgh IN 5 (Chicago) 09/02/2025 1D58AD-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
G0574 Plan of care must include the following Element
▼ 15K223 Eternal Guardian Home Health Care 1505 Oak Street Ste. 140 Zionsville IN 5 (Chicago) 09/11/2025 1D6BD8-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
G0798 Home health aide assignments and duties Standard
G0574 Plan of care must include the following Element
G0610 Patients receive education and training Element
G0984 In accordance with current clinical practice Element
▼ 15K225 Tesmac Llc 5455 W 86th Street Indianapolis IN 5 (Chicago) 10/20/2025 1D5DFD-H2 Initial Certification
Deficiency Tag Deficiency Description Tag Type
G0574 Plan of care must include the following Element