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
▼ 057600 Cp Orange County S-Ca Hh, Llc 200 W Center Street Promenade Anaheim CA 9 (San Francisco) 01/08/2026 1E0170-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0584 Verbal orders Element
G0602 Communication with all physicians Element
▼ 057602 Seaport Scripps Home Health 3750 Convoy Street, Suite 220 San Diego CA 9 (San Francisco) 05/30/2025 663F9-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
G0726 Nursing services supervised by RN Element
▼ 057602 Seaport Scripps Home Health 3750 Convoy Street, Suite 220 San Diego CA 9 (San Francisco) 06/24/2022 4EE9F-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
G0706 Interdisciplinary assessment of the patient Element
▼ 057602 Seaport Scripps Home Health 3750 Convoy Street, Suite 220 San Diego CA 9 (San Francisco) 11/01/2018 FFCJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0526 Content of the comprehensive assessment Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0608 Coordinate care delivery Element
G0710 Provide services in the plan of care Element
G1014 Interventions and patient response Element
▼ 057606 Feather River Hospital 500 Orient Street Ste 105 Chico CA 9 (San Francisco) 05/14/2019 PFHQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0430 Be free from abuse Element
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
G0608 Coordinate care delivery Element
G0808 Onsite supervisory visit every 14 days Element
▼ 057609 Mercy Home Care 1544 Market Street Redding CA 9 (San Francisco) 04/26/2024 62C95-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
▼ 057631 Dignity Health 3400 Data Drive Rancho Cordova CA 9 (San Francisco) 04/03/2025 65BCA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
G0536 A review of all current medications Element
▼ 057631 Dignity Health 3400 Data Drive Rancho Cordova CA 9 (San Francisco) 06/07/2018 N91R11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0966 Assure patient needs are continually assessed Element
▼ 057631 Dignity Health 3400 Data Drive Rancho Cordova CA 9 (San Francisco) 03/01/2018 B9AW11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0332 INITIAL ASSESSMENT VISIT Standard
▼ 057645 Western Health Resources 2796 Sycamore Dr. Suite 100, Simi Valley, Ca, 93065 Simi Valley CA 9 (San Francisco) 06/08/2024 63482-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
G0612 Written instructions to patient include: Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element