S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
058072 Agb Home Health, Inc. 40 N Altadena Drive Ste 200g Pasadena CA 9 (San Francisco) 02/11/2019 YHLQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G1012 Required items in clinical record Element
058075 Genus Home Care, Inc 1476 W 9th Street Suite B1 Upland CA 9 (San Francisco) 07/13/2023 6042E-H1 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
G0952 Ensure that HHA employs qualified personnel Element
058075 Genus Home Care, Inc 1476 W 9th Street Suite B1 Upland CA 9 (San Francisco) 10/04/2018 Z1TD11 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
G0536 A review of all current medications Element
058078 California Healthcare Staffing, Inc. 2525 Cherry Avenue, Suite 110 Signal Hill CA 9 (San Francisco) 09/02/2022 4F535-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
G0544 Update of the comprehensive assessment Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0574 Plan of care must include the following Element
G1012 Required items in clinical record Element
058080 Accurate Home Health Care, Inc 3505 Hart Ave Suite 102 Rosemead CA 9 (San Francisco) 08/27/2025 1D4F98-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
G0612 Written instructions to patient include: Standard
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0610 Patients receive education and training Element
G1012 Required items in clinical record Element
058080 Accurate Home Health Care, Inc 3505 Hart Ave Suite 102 Rosemead CA 9 (San Francisco) 06/19/2022 4EDFD-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
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
058082 Ace Home Health, Inc. 4055 Wilshire Blvd Suite 350 Los Angeles CA 9 (San Francisco) 05/24/2022 4EB75-H1 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
G0516 Skilled professional performs assessment Element
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
G0984 In accordance with current clinical practice Element
058082 Ace Home Health, Inc. 4055 Wilshire Blvd Suite 350 Los Angeles CA 9 (San Francisco) 01/07/2019 9ODN11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0516 Skilled professional performs assessment Element
G0574 Plan of care must include the following Element
058083 Aloha Healthcare 4845 Cheyenne Way Chino CA 9 (San Francisco) 05/08/2025 660BF-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
G0514 RN performs assessment Element
G0536 A review of all current medications Element
058083 Aloha Healthcare 4845 Cheyenne Way Chino CA 9 (San Francisco) 04/15/2022 38887-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
G0680 Infection prevention and control Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0704 Responsibilities of skilled professionals Standard
G0942 Governing body Standard
G1010 Contents of clinical record Standard
G0436 Receive all services in plan of care Element
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
G0716 Preparing clinical notes Element
G0952 Ensure that HHA employs qualified personnel Element