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
▼ 297032 In House Home Health Inc. 1481 W Warm Springs Rd, Ste. 129 Las Vegas NV 9 (San Francisco) 09/26/2018 SCYW11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 297034 Wellmark, Inc. 2820 W Charleston Blvd Las Vegas NV 9 (San Francisco) 05/15/2025 6611A-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0030 Names and Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0430 Be free from abuse Element
G0536 A review of all current medications Element
G0576 All orders recorded in plan of care Element
G0588 Reviewed, revised by physician every 60 days Element
▼ 297034 Wellmark, Inc. 2820 W Charleston Blvd Las Vegas NV 9 (San Francisco) 03/31/2021 T8UD11 Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1028 Protection of records Standard
G0514 RN performs assessment Element
G0608 Coordinate care delivery Element
▼ 297034 Wellmark, Inc. 2820 W Charleston Blvd Las Vegas NV 9 (San Francisco) 08/09/2018 QF2711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0718 Communication with physicians Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
▼ 297036 Nevada Health Care Group, Llc 2905 Lake East Drive Las Vegas NV 9 (San Francisco) 05/01/2026 22ECEE-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
▼ 297036 Nevada Health Care Group, Llc 2905 Lake East Drive Las Vegas NV 9 (San Francisco) 05/06/2022 4EA86-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0642 Program scope Standard
G0684 Infection control Standard
▼ 297036 Nevada Health Care Group, Llc 2905 Lake East Drive Las Vegas NV 9 (San Francisco) 02/15/2018 0FR911 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
▼ 297036 Nevada Health Care Group, Llc 2905 Lake East Drive Las Vegas NV 9 (San Francisco) 01/11/2018 X8TX11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0214 COMPETENCY EVALUATION & IN-SERVICE TRAI Standard
G0321 ENCODING OASIS DATA Standard
▼ 297040 Southern Nevada Home Health Care, Inc. 9121 West Russell Ste 118 Las Vegas NV 9 (San Francisco) 08/10/2022 4F318-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
E0013 Development of EP Policies and Procedures Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G0578 Conformance with physician orders Standard
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G0808 Onsite supervisory visit every 14 days Element
▼ 297040 Southern Nevada Home Health Care, Inc. 9121 West Russell Ste 118 Las Vegas NV 9 (San Francisco) 09/28/2018 PD4811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
G0444 State toll free HH telephone hotline Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0602 Communication with all physicians Element
G0608 Coordinate care delivery Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element