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
▼ 057447 Nurses On Wheels, Inc 16660 Paramount Blvd Ste 304 Paramount CA 9 (San Francisco) 05/17/2022 4EA85-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0572 Plan of care Standard
G0642 Program scope Standard
G0658 Performance improvement projects Standard
G0682 Infection Prevention Standard
G0942 Governing body Standard
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 057448 Western Health Resources 1007 Live Oak Blvd, Suite B3 Yuba City CA 9 (San Francisco) 01/24/2020 VJTT11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0514 RN performs assessment Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
▼ 057449 Professional Healthcare At Home, Llc 395 Taylor Blvd, Suite 118 Pleasant Hill CA 9 (San Francisco) 08/10/2023 38816-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
▼ 057449 Professional Healthcare At Home, Llc 395 Taylor Blvd, Suite 118 Pleasant Hill CA 9 (San Francisco) 03/10/2022 3813D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0570 Care planning, coordination, quality of care Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
G0572 Plan of care Standard
G0588 Reviewed, revised by physician every 60 days Element
G0590 Promptly alert relevant physician of changes Element
▼ 057449 Professional Healthcare At Home, Llc 395 Taylor Blvd, Suite 118 Pleasant Hill CA 9 (San Francisco) 04/09/2020 VRT911 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0600 Coordination of Care Standard
▼ 057449 Professional Healthcare At Home, Llc 395 Taylor Blvd, Suite 118 Pleasant Hill CA 9 (San Francisco) 03/16/2018 F1EQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0576 All orders recorded in plan of care Element
G0706 Interdisciplinary assessment of the patient Element
G0708 Development and evaluation of plan of care Element
G0718 Communication with physicians Element
▼ 057470 Cosmopolitan Healthcare Inc 21860 Burbank Blvd, Suite 180 Woodland Hills CA 9 (San Francisco) 07/17/2022 4F081-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
G0572 Plan of care Standard
G0658 Performance improvement projects Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
▼ 057470 Cosmopolitan Healthcare Inc 21860 Burbank Blvd, Suite 180 Woodland Hills CA 9 (San Francisco) 02/28/2019 84BT11 Recertification
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
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0642 Program scope Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0958 Clinical manager Standard
G1024 Authentication Standard
G1028 Protection of records Standard
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0592 Revised plan of care Element
G0616 Patient medication schedule/instructions Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0964 Coordinate referrals; Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 057477 Adventist Health Home Care Services 440 Greenfield Avenue Suite C Hanford CA 9 (San Francisco) 04/24/2019 I4S411 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
G0574 Plan of care must include the following Element
G0588 Reviewed, revised by physician every 60 days Element
G0602 Communication with all physicians Element
G0608 Coordinate care delivery Element
G0616 Patient medication schedule/instructions Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
▼ 057483 Total Care Nursing Services 3450 Wilshire Blvd Suite 1003 Los Angeles CA 9 (San Francisco) 09/04/2022 4F276-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
E0004 Develop EP Plan, Review and Update Annually Standard
G0684 Infection control Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0714 Patient and caregiver education Element
G1012 Required items in clinical record Element