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
▼ 15K246 Just Like Family Home Healthcare Llc 8144 Madison Ave, Ste C Indianapolis IN 5 (Chicago) 04/15/2026 22EADB-H1 Initial Certification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0452 Transfer and discharge Standard
G0682 Infection Prevention Standard
G0768 Competency evaluation Standard
G0618 Treatments and therapy services Element
▼ 15K247 Staffed For Perfection Healthcare Staffing 18 E Us Highway 30 Schererville IN 5 (Chicago) 02/06/2026 1E3902-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
G0750 Home health aide services Condition
G0564 Discharge or Transfer Summary Content Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0768 Competency evaluation Standard
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0800 Services provided by HH aide Element
G0804 Aides are members of interdisciplinary team Element
G0808 Onsite supervisory visit every 14 days Element
▼ 15K248 Misbah Home Health Care Llc 727 E Paulding Rd Fort Wayne IN 5 (Chicago) 03/27/2026 1E4907-H2 Initial Certification
Deficiency Tag Deficiency Description Tag Type
G0800 Services provided by HH aide Element
▼ 15K248 Misbah Home Health Care Llc 727 E Paulding Rd Fort Wayne IN 5 (Chicago) 02/18/2026 1E4907-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
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G0598 Discharge plans communication Element
G0614 Visit schedule Element
G0706 Interdisciplinary assessment of the patient Element
G0772 Documentation of competency evaluation Element
G0804 Aides are members of interdisciplinary team Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 15K250 Benevolent Care Home Health Services Llc 6801 Lake Plaza Rd Ste B215 Indianapolis IN 5 (Chicago) 05/28/2026 233FDC-H1 Other-Fed
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
G0580 Only as ordered by a physician Element
G0716 Preparing clinical notes Element
▼ 15K252 Crown Health Services Llc 610 North High School Rd Ste B Indianapolis IN 5 (Chicago) 06/15/2026 236169-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
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
▼ 15K253 Mama Annies Home Health Care Llc 9165 Otis Avenue Ste107 Indianapolis IN 5 (Chicago) 06/22/2026 236AE9-H1 Other-Fed
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0658 Performance improvement projects Standard
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0984 In accordance with current clinical practice Element
▼ 15K254 Inspiring Care At Home 6525 E. 82nd St Ste 115 Indianapolis IN 5 (Chicago) 06/11/2026 236516-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
G0640 Quality assessment/performance improvement Condition
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0416 OASIS privacy notice Element
G0444 State toll free HH telephone hotline Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0818 HH aide supervision elements Element
G1022 Discharge and transfer summaries Element
▼ 167002 The Finley Hospital 1333 Delhi St Dubuque IA 7 (Kansas City) 10/10/2019 I38U11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 167002 The Finley Hospital 1333 Delhi St Dubuque IA 7 (Kansas City) 07/05/2018 OL9911 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0546 Last 5 days of every 60 days unless: Element
G0548 Within 48 hours of the patient's return Element
G0608 Coordinate care delivery Element