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
▼ 15K225 Tesmac Llc 5455 W 86th Street Indianapolis IN 5 (Chicago) 08/28/2025 1D5DFD-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
G0750 Home health aide services Condition
G0564 Discharge or Transfer Summary Content Standard
G0684 Infection control Standard
G0768 Competency evaluation Standard
G0436 Receive all services in plan of care Element
G0514 RN performs assessment Element
G0754 A qualified HH aide successfully completed: Element
G0766 HHA maintains documentation of training Element
G0808 Onsite supervisory visit every 14 days Element
▼ 15K227 Taylored By Renee's Helping Hands Home Health 5170 Allisonville Rd Ste A Indianapolis IN 5 (Chicago) 10/23/2025 1D9F51-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
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0800 Services provided by HH aide Element
▼ 15K228 All For You Home Health Care Llc 5250 E Us Hwy 36 Avon IN 5 (Chicago) 10/30/2025 1DA88F-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
G0580 Only as ordered by a physician Element
G0614 Visit schedule Element
G0618 Treatments and therapy services Element
▼ 15K229 Abound Home Health Care, Llc 310 E 96th St, Suite 200 Indianapolis IN 5 (Chicago) 11/14/2025 1DB912-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
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0768 Competency evaluation Standard
G1022 Discharge and transfer summaries Element
▼ 15K230 First Choice Quality Care Home Health Corp 652 N. Girls School Rd Ste 230 Indianapolis IN 5 (Chicago) 11/13/2025 1DB8D4-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
G0572 Plan of care Standard
G0590 Promptly alert relevant physician of changes Element
G0800 Services provided by HH aide Element
G0804 Aides are members of interdisciplinary team Element
▼ 15K231 Precious Pearl Home Health Care Agency Llc 6801 Lake Plaza Dr Ste C-305 Indianapolis IN 5 (Chicago) 11/19/2025 1DBBB1-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
▼ 15K232 Physician's Choice Home Health Inc 931 E 86th St. Indianapolis IN 5 (Chicago) 11/18/2025 1DBEED-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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
G0572 Plan of care Standard
G0414 HHA administrator contact information Element
G0422 Written notice within 4 business days Element
G0444 State toll free HH telephone hotline Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0604 Integrate all orders Element
G0622 Name/contact information of clinical manager Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 15K233 Choice 4u Home Health Llc 6801 Lake Plaza Dr Ste B-206 Indianapolis IN 5 (Chicago) 12/05/2025 1DDA2F-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
G0572 Plan of care Standard
G0798 Home health aide assignments and duties Standard
G0412 Written notice of patient's rights Element
G0416 OASIS privacy notice Element
G0546 Last 5 days of every 60 days unless: Element
G0726 Nursing services supervised by RN Element
▼ 15K234 Ready And Willing 2 Help Healthcare Llc 5935 Emerson Ave Ste 100 Indianapolis IN 5 (Chicago) 01/23/2026 1E1ADB-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0564 Discharge or Transfer Summary Content Standard
G1028 Protection of records Standard
G0478 Investigate complaints made by patient Element
G0484 Document complaint and resolution Element
G0550 At discharge Element
G0598 Discharge plans communication Element
G1022 Discharge and transfer summaries Element
▼ 15K234 Ready And Willing 2 Help Healthcare Llc 5935 Emerson Ave Ste 100 Indianapolis IN 5 (Chicago) 12/11/2025 1DE5A1-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
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element