S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 047338 Baxter County Regional Hospital, Inc. 30 Ryan Road Cotter AR 6 (Dallas) 05/27/2022 4EB65-H1 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
▼ 047338 Baxter County Regional Hospital, Inc. 30 Ryan Road Cotter AR 6 (Dallas) 01/09/2019 GMOQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
G1014 Interventions and patient response Element
▼ 047339 Lhcg Xlii, Llc 2904 Jenny Lind Road Fort Smith AR 6 (Dallas) 09/19/2025 1D8237-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 047339 Lhcg Xlii, Llc 2904 Jenny Lind Road Fort Smith AR 6 (Dallas) 10/13/2022 5DE2E-H1 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
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
▼ 047339 Lhcg Xlii, Llc 2904 Jenny Lind Road Fort Smith AR 6 (Dallas) 08/12/2019 N7Q211 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0520 5 calendar days after start of care Element
G0808 Onsite supervisory visit every 14 days Element
G1014 Interventions and patient response Element
▼ 047346 Lhcg Xlii, Llc 4847 Kaylee Avenue, Suite B Springdale AR 6 (Dallas) 07/18/2024 63B0E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 047346 Lhcg Xlii, Llc 4847 Kaylee Avenue, Suite B Springdale AR 6 (Dallas) 09/19/2019 FGY211 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0702 Services by skilled professionals Standard
G1024 Authentication Standard
▼ 047803 Kah Development 4, Llc 105 East Crandall Avenue Ste A Harrison AR 6 (Dallas) 08/24/2023 60D04-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 047803 Kah Development 4, Llc 105 East Crandall Avenue Ste A Harrison AR 6 (Dallas) 09/02/2020 B4DN11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 047818 Kah Development 4, Llc 420 West Gaines Street, Suite 1 Monticello AR 6 (Dallas) 11/04/2020 SPOT11 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