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
▼ 058100 G T S Home Health Inc 13363 Saticoy St, Suite 101 North Hollywood CA 9 (San Francisco) 05/19/2023 5FD3B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0686 Infection control education Standard
G0714 Patient and caregiver education Element
▼ 058100 G T S Home Health Inc 13363 Saticoy St, Suite 101 North Hollywood CA 9 (San Francisco) 01/17/2020 ISU411 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 058101 Red Oak Home Health Services 4855 Santa Monica Blvd Suite 110 & 114 Los Angeles CA 9 (San Francisco) 04/24/2022 38961-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
G0684 Infection control Standard
G0412 Written notice of patient's rights Element
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
▼ 058102 Ocean Side Home Health Services, Inc 4322 Wilshire Blvd, Suite 208 Los Angeles CA 9 (San Francisco) 05/31/2022 4EC1A-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
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
▼ 058102 Ocean Side Home Health Services, Inc 4322 Wilshire Blvd, Suite 208 Los Angeles CA 9 (San Francisco) 02/22/2019 NZ1U11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0524 Therapy services determine eligibility Element
G0532 Continuing need for home care Element
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
▼ 058103 Inglewood Home Health Care, Inc. 111 N La Brea, Suite 305 Inglewood CA 9 (San Francisco) 07/20/2023 5FAFE-H3 Recertification
Deficiency Tag Deficiency Description Tag Type
G0544 Update of the comprehensive assessment Standard
G0550 At discharge Element
G0598 Discharge plans communication Element
▼ 058103 Inglewood Home Health Care, Inc. 111 N La Brea, Suite 305 Inglewood CA 9 (San Francisco) 06/08/2023 5FAFE-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G0570 Care planning, coordination, quality of care Condition
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
▼ 058103 Inglewood Home Health Care, Inc. 111 N La Brea, Suite 305 Inglewood CA 9 (San Francisco) 05/04/2023 5FAFE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0572 Plan of care Standard
G1028 Protection of records Standard
G0532 Continuing need for home care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0610 Patients receive education and training Element
▼ 058103 Inglewood Home Health Care, Inc. 111 N La Brea, Suite 305 Inglewood CA 9 (San Francisco) 03/12/2020 GIRD11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0708 Development and evaluation of plan of care Element
G0716 Preparing clinical notes Element
G1012 Required items in clinical record Element
▼ 058104 Prolife Home Health Corporation 3425 Pomona Blvd, Unit D Pomona CA 9 (San Francisco) 10/29/2022 5E1AA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0682 Infection Prevention 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