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
▼ 197265 The Good Shepherd Home Health Agency , Inc. 1835 Oak Park Blvd., Suite 101 Lake Charles LA 6 (Dallas) 05/21/2024 63181-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
▼ 197265 The Good Shepherd Home Health Agency , Inc. 1835 Oak Park Blvd., Suite 101 Lake Charles LA 6 (Dallas) 07/08/2021 SZMJ11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0608 Coordinate care delivery Element
▼ 197272 Capital Region Home Health Inc. 307 W Minnesota Park Rd Hammond LA 6 (Dallas) 03/14/2025 65908-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
G0372 Encoding and transmitting OASIS Standard
G0588 Reviewed, revised by physician every 60 days Element
G0808 Onsite supervisory visit every 14 days Element
▼ 197272 Capital Region Home Health Inc. 307 W Minnesota Park Rd Hammond LA 6 (Dallas) 04/29/2022 38963-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0452 Transfer and discharge Standard
G0718 Communication with physicians Element
▼ 197272 Capital Region Home Health Inc. 307 W Minnesota Park Rd Hammond LA 6 (Dallas) 05/15/2019 IOCD11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
▼ 197274 Allied Home Care, Inc. 220 B W Mill Street Crowley LA 6 (Dallas) 01/14/2025 650C8-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
▼ 197274 Allied Home Care, Inc. 220 B W Mill Street Crowley LA 6 (Dallas) 04/03/2019 2Q7B11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0800 Services provided by HH aide Element
▼ 197278 Post Acute Holdings, Llc 3330 North Causeway Blvd. Suite 102 Metairie LA 6 (Dallas) 04/22/2021 CBUL11 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
▼ 197294 Pediatric Services Of America, Llc 3421 N Causeway Blvd Ste 502 Metairie LA 6 (Dallas) 09/04/2019 SGYC11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0718 Communication with physicians Element
▼ 197295 Mangham Home Care, Inc. 714 Broadway Mangham LA 6 (Dallas) 10/15/2024 63E5F-H1 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