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
▼ 057100 Loma Linda Univ Med Ctr Hha 11265 Mt View Ave Ste H14 Loma Linda CA 9 (San Francisco) 03/08/2019 ZNQ711 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0602 Communication with all physicians Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 057135 Saint Agnes Home Health And Hospice 6729 North Willow Ave Suite 103 Fresno CA 9 (San Francisco) 01/28/2025 651A9-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0704 Responsibilities of skilled professionals Standard
G0542 Incorporate OASIS items Element
G0580 Only as ordered by a physician Element
G0608 Coordinate care delivery Element
▼ 057143 Centerwell Home Health 2525 Camino Del Rio S Ste 22o San Diego CA 9 (San Francisco) 07/03/2025 6689D-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
G1024 Authentication Standard
G0614 Visit schedule Element
▼ 057143 Centerwell Home Health 2525 Camino Del Rio S Ste 22o San Diego CA 9 (San Francisco) 08/25/2022 4F467-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
G0514 RN performs assessment Element
G0984 In accordance with current clinical practice Element
▼ 057143 Centerwell Home Health 2525 Camino Del Rio S Ste 22o San Diego CA 9 (San Francisco) 11/21/2019 821P11 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
G0514 RN performs assessment Element
G0584 Verbal orders Element
G0948 Responsible for all day-to-day operations Element
▼ 057187 Presbyterian Intercommunity Hospital 15050 Imperial Hwy La Mirada CA 9 (San Francisco) 07/10/2025 66357-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
G0580 Only as ordered by a physician Element
▼ 057187 Presbyterian Intercommunity Hospital 15050 Imperial Hwy La Mirada CA 9 (San Francisco) 05/23/2025 66357-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0544 Update of the comprehensive assessment Standard
G0572 Plan of care Standard
G0612 Written instructions to patient include: Standard
G0704 Responsibilities of skilled professionals Standard
G0536 A review of all current medications Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0592 Revised plan of care Element
G0610 Patients receive education and training Element
G0706 Interdisciplinary assessment of the patient Element
G0714 Patient and caregiver education Element
▼ 057187 Presbyterian Intercommunity Hospital 15050 Imperial Hwy La Mirada CA 9 (San Francisco) 01/11/2019 FL7Z11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0610 Patients receive education and training Element
▼ 057190 Pathways Home Health And Hospice 585 North Mary Avenue Sunnyvale CA 9 (San Francisco) 05/26/2023 5FD46-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0444 State toll free HH telephone hotline Element
G0536 A review of all current medications Element
▼ 057190 Pathways Home Health And Hospice 585 North Mary Avenue Sunnyvale CA 9 (San Francisco) 11/20/2018 2EB011 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0606 Integrate all services Element
G0710 Provide services in the plan of care Element