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
▼ 197297 Nsi, Inc. 1025 Camellia Blvd Lafayette LA 6 (Dallas) 10/16/2024 64680-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
▼ 197297 Nsi, Inc. 1025 Camellia Blvd Lafayette LA 6 (Dallas) 11/18/2021 37EA1-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
G0682 Infection Prevention Standard
G0590 Promptly alert relevant physician of changes Element
▼ 197297 Nsi, Inc. 1025 Camellia Blvd Lafayette LA 6 (Dallas) 12/19/2018 R3LK11 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
▼ 197297 Nsi, Inc. 1025 Camellia Blvd Lafayette LA 6 (Dallas) 04/20/2018 LHTE11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0458 Outcomes/goals have been achieved Element
▼ 197312 The Medical Team Inc 3445 N. Causeway Blvd Ste 904 Metairie LA 6 (Dallas) 04/08/2022 38870-H1 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
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0984 In accordance with current clinical practice Element
▼ 197312 The Medical Team Inc 3445 N. Causeway Blvd Ste 904 Metairie LA 6 (Dallas) 05/03/2019 0WOT11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 197315 Synergy Home Care-Acadiana Region, Inc 422 Kade Street Jennings LA 6 (Dallas) 05/20/2025 662AE-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
G0714 Patient and caregiver education Element
▼ 197315 Synergy Home Care-Acadiana Region, Inc 422 Kade Street Jennings LA 6 (Dallas) 06/15/2022 4ED6C-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
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
▼ 197315 Synergy Home Care-Acadiana Region, Inc 422 Kade Street Jennings LA 6 (Dallas) 09/30/2020 ETPS11 Complaint, 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
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0602 Communication with all physicians Element
G0706 Interdisciplinary assessment of the patient Element
G0714 Patient and caregiver education Element
G1012 Required items in clinical record Element
▼ 197317 Medistar Home Health Of Marksville, Llc 320 Acton Road, Ste B Marksville LA 6 (Dallas) 05/01/2024 62EC5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard