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
▼ 187041 Vna Health At Home 740 East Laurel Road London KY 4 (Atlanta) 12/28/2018 GGTT11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0808 Onsite supervisory visit every 14 days Element
▼ 187044 The Medical Center Home Care Program 1953 Scottsville Road, Suite 200 Bowling Green KY 4 (Atlanta) 09/20/2019 LLOV11 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
G1022 Discharge and transfer summaries Element
▼ 187049 Cumberland Valley District Health Department Hha 470 Manchester Square, Suite 212 Manchester KY 4 (Atlanta) 02/28/2019 P04Y11 Recertification
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
▼ 187052 Adventhealth Home Health And Hospice, Inc. 509 Memorial Drive, Suite 2 Manchester KY 4 (Atlanta) 01/16/2020 KI9R11 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
G0860 Licensing Standard
G0536 A review of all current medications Element
▼ 187053 Green River District Hha 1600 Breckinridge Street Owensboro KY 4 (Atlanta) 10/18/2019 7YCA11 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
E0031 Emergency Officials Contact Information Standard
G0682 Infection Prevention Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G0584 Verbal orders Element
▼ 187058 Centerwell Certified Health Care Corporation Dba Centerwell Home Health 2114 Chamber Center Drive Fort Mitchell KY 4 (Atlanta) 01/13/2020 2WTJ11 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
G0800 Services provided by HH aide Element
▼ 187059 Housecall Home Health, Llc Dba Adoration Home Health 13101 Magisterial Drive, Suite 101 Louisville KY 4 (Atlanta) 11/16/2018 C74H11 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
G0682 Infection Prevention Standard
G0428 Property and person treated with respect Element
G0484 Document complaint and resolution Element
G0584 Verbal orders Element
▼ 187062 T. J. Samson Community Hospital Home Care Program 1301 North Race Street Glasgow KY 4 (Atlanta) 07/12/2018 LM6L11 Recertification
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
▼ 187073 Franklin County Home Health 851 East-West Connector Frankfort KY 4 (Atlanta) 11/21/2019 FTA811 Recertification
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
G0860 Licensing Standard
▼ 187074 Jennie Stuart Medical Center Hha 327 West 18th Street, Suite D Hopkinsville KY 4 (Atlanta) 08/09/2019 4MB211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0860 Licensing Standard
G0434 Participate in care Element