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
▼ 017088 Fayette Medical Center Homecare, Llc 102 2nd Avenue Se Fayette AL 4 (Atlanta) 04/03/2024 62ABA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
▼ 017088 Fayette Medical Center Homecare, Llc 102 2nd Avenue Se Fayette AL 4 (Atlanta) 03/24/2021 E6KF11 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
▼ 017089 Cullman Regional Medical Center, Inc. 5788 Al Hwy 157 Cullman AL 4 (Atlanta) 08/18/2022 4F401-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
▼ 017089 Cullman Regional Medical Center, Inc. 5788 Al Hwy 157 Cullman AL 4 (Atlanta) 03/26/2019 VNGM11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
G0536 A review of all current medications Element
G0800 Services provided by HH aide Element
▼ 017091 Hale County Hospital Board 1207 State Street Greensboro AL 4 (Atlanta) 05/18/2022 4EB1A-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
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0714 Patient and caregiver education Element
G0800 Services provided by HH aide Element
▼ 017091 Hale County Hospital Board 1207 State Street Greensboro AL 4 (Atlanta) 08/22/2018 SNS011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0039 EP Testing Requirements Standard
G0654 Track adverse patient events Standard
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0800 Services provided by HH aide Element
▼ 017092 Caresouth Hha Holdings Of Valley, Llc 289 William E Hill Drive Ste B Carrollton AL 4 (Atlanta) 07/12/2018 BZ5I11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 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
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
▼ 017093 Fort Payne Home Care, Llc 1706 Glenn Boulevard, Suite 3 Fort Payne AL 4 (Atlanta) 09/05/2025 1D6303-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
G1024 Authentication Standard
G0710 Provide services in the plan of care Element
▼ 017094 Centre Home Care, Llc 104c Northwood Drive, Ste A-1 Centre AL 4 (Atlanta) 07/31/2025 1D284D-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
G0520 5 calendar days after start of care Element
G0718 Communication with physicians Element
▼ 017095 Athens-Limestone Homecare, Llc 725 West Market Street, Suite A Athens AL 4 (Atlanta) 08/11/2022 4F33C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0536 A review of all current medications Element
G0716 Preparing clinical notes Element