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
▼ 058014 Cloran Home Health Services 11428 E Artesia Blvd Suite 3 Artesia CA 9 (San Francisco) 08/29/2019 Z57111 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
▼ 058017 Always Better Care Home Health Provider, Inc. 3600 Wilshire Blvd Suite 1734 Los Angeles CA 9 (San Francisco) 07/01/2019 I64X11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 058018 Spirit Home Health Care 8929 South Sepulveda Ste 306 Los Angeles CA 9 (San Francisco) 09/06/2024 626A5-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
G0580 Only as ordered by a physician Element
▼ 058018 Spirit Home Health Care 8929 South Sepulveda Ste 306 Los Angeles CA 9 (San Francisco) 03/08/2024 626A5-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0940 Organization and administration of services Condition
G0452 Transfer and discharge Standard
G0526 Content of the comprehensive assessment Standard
G0572 Plan of care Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G0484 Document complaint and resolution Element
G0536 A review of all current medications Element
G0602 Communication with all physicians Element
▼ 058022 Kanddid Healthcare, Inc 9161 Sierra Avenue, Suite 200 Fontana CA 9 (San Francisco) 01/25/2019 T8JH11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0680 Infection prevention and control Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0030 Names and Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0037 EP Training Program Standard
G0600 Coordination of Care Standard
G0684 Infection control Standard
G0710 Provide services in the plan of care Element
▼ 058023 Alden Home Health, Inc 1061 W Avenue M-14, Suitie A Palmdale CA 9 (San Francisco) 11/16/2022 5E44E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0612 Written instructions to patient include: Standard
G0798 Home health aide assignments and duties Standard
G0446 Contact info Federal/State-funded entities Element
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0726 Nursing services supervised by RN Element
G0808 Onsite supervisory visit every 14 days Element
G0812 Direct observation every 12 months Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 058023 Alden Home Health, Inc 1061 W Avenue M-14, Suitie A Palmdale CA 9 (San Francisco) 02/28/2020 WW9311 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 058025 Centerwell Home Health 10100 Trinity Parkway, Suite 425 Stockton CA 9 (San Francisco) 07/28/2022 385A8-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
▼ 058025 Centerwell Home Health 10100 Trinity Parkway, Suite 425 Stockton CA 9 (San Francisco) 02/18/2021 FCT311 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0706 Interdisciplinary assessment of the patient Element
G0718 Communication with physicians Element
▼ 058026 Ethical Home Health Care 550 North Euclid Avenue Upland CA 9 (San Francisco) 02/29/2024 623B0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
E0037 EP Training Program Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0682 Infection Prevention Standard
G0942 Governing body Standard
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element