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
▼ 197038 Evangeline Home Health Llc 3019 Stagg Ave Basile LA 6 (Dallas) 01/24/2024 62017-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 197039 Lhcg Lxxviii, Llc 1322 Elton Road, Suite B Jennings LA 6 (Dallas) 06/07/2023 5FF23-H1 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
▼ 197044 Synergy Home Care-Central Region, Inc. 137 Yorktown Drive Alexandria LA 6 (Dallas) 03/08/2018 4KQ111 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0702 Services by skilled professionals Standard
G0548 Within 48 hours of the patient's return Element
G0608 Coordinate care delivery Element
▼ 197056 Hme Hlth Dept Willis Knighton 3300 Albert Bicknell Dr Shreveport LA 6 (Dallas) 07/15/2025 669D0-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 197056 Hme Hlth Dept Willis Knighton 3300 Albert Bicknell Dr Shreveport LA 6 (Dallas) 04/17/2024 62D23-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0584 Verbal orders Element
▼ 197057 Lhcg Xiii, Llc 901 Hugh Wallis Road South, Suite B103 Lafayette LA 6 (Dallas) 12/03/2025 1DC20E-H1 Recertification
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
▼ 197057 Lhcg Xiii, Llc 901 Hugh Wallis Road South, Suite B103 Lafayette LA 6 (Dallas) 12/15/2022 5E76A-H1 Recertification
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
G0608 Coordinate care delivery Element
▼ 197057 Lhcg Xiii, Llc 901 Hugh Wallis Road South, Suite B103 Lafayette LA 6 (Dallas) 01/16/2020 27SJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
▼ 197058 Board Of Commissioners-Hospital Service District #2 Of Lasalle Parish 212 Ninth Street Jena LA 6 (Dallas) 12/16/2025 1DE26D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0592 Revised plan of care Element
▼ 197058 Board Of Commissioners-Hospital Service District #2 Of Lasalle Parish 212 Ninth Street Jena LA 6 (Dallas) 01/04/2023 5EA12-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element