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
▼ 057659 Cp Napa Valley N-Ca Hh, Llc 980 Trancas St, Suite 9 Napa CA 9 (San Francisco) 02/09/2023 5EF23-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0468 Provide contact info other services Element
▼ 057659 Cp Napa Valley N-Ca Hh, Llc 980 Trancas St, Suite 9 Napa CA 9 (San Francisco) 09/12/2019 WZ7N11 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
G0684 Infection control Standard
G1022 Discharge and transfer summaries Element
▼ 057661 Enloe Medical Center Home Health Agency 1390 E Lassen Ave Chico CA 9 (San Francisco) 08/07/2020 EQR911 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 057679 Butte Home Health And Hospice 10 Constitution Drive Chico CA 9 (San Francisco) 01/12/2024 61D3A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0444 State toll free HH telephone hotline Element
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
▼ 057679 Butte Home Health And Hospice 10 Constitution Drive Chico CA 9 (San Francisco) 04/21/2022 38891-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
G0576 All orders recorded in plan of care Element
▼ 057679 Butte Home Health And Hospice 10 Constitution Drive Chico CA 9 (San Francisco) 10/11/2019 H7VC11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0418 Patient's or legal representative's signature Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
▼ 057704 Mercy-Memorial Home Health 1600 D Street, Suite 202 Bakersfield CA 9 (San Francisco) 06/08/2023 5FDC1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G0412 Written notice of patient's rights Element
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
▼ 057704 Mercy-Memorial Home Health 1600 D Street, Suite 202 Bakersfield CA 9 (San Francisco) 12/18/2019 B3IL11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G0536 A review of all current medications Element
G0708 Development and evaluation of plan of care Element
G0718 Communication with physicians Element
▼ 057710 Western Health Resources 9245 Highway 53 Lower Lake CA 9 (San Francisco) 03/14/2019 NTV611 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G0514 RN performs assessment Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G0978 Must have a written agreement Element
▼ 057713 Mountain Communities Healthcare District 60 Easter Avenue Weaverville CA 9 (San Francisco) 06/01/2018 UVZ611 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0718 Communication with physicians Element