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
▼ 058104 Prolife Home Health Corporation 3425 Pomona Blvd, Unit D Pomona CA 9 (San Francisco) 04/03/2019 2NNS11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
▼ 058105 Eden Home Health Care Inc 159 E Live Oak Ave Suite 205 Arcadia CA 9 (San Francisco) 07/31/2022 4F1D0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 058105 Eden Home Health Care Inc 159 E Live Oak Ave Suite 205 Arcadia CA 9 (San Francisco) 02/11/2019 ORBK11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 058106 Nursing & Rehab At Home 1710 S Amphlett Blvd, Suite 110 San Mateo CA 9 (San Francisco) 10/18/2018 Q0C511 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G0702 Services by skilled professionals Standard
G0444 State toll free HH telephone hotline Element
G0536 A review of all current medications Element
▼ 058107 Partners Home Health Care, Inc 211 W Foothill Blvd Suite C Glendora CA 9 (San Francisco) 07/31/2022 4F1CF-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
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 058107 Partners Home Health Care, Inc 211 W Foothill Blvd Suite C Glendora CA 9 (San Francisco) 01/31/2019 YRI011 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0714 Patient and caregiver education Element
G0716 Preparing clinical notes Element
▼ 058111 Innovative Home Health Care 266 Monterrey Road, Suite E South Pasadena CA 9 (San Francisco) 04/03/2019 PJZ811 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 058113 Lorian Health 9655 Granite Ridge Drive, Suite 500 San Diego CA 9 (San Francisco) 07/12/2024 62B38-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0466 Make efforts to resolve the problem(s) Element
G0468 Provide contact info other services Element
▼ 058113 Lorian Health 9655 Granite Ridge Drive, Suite 500 San Diego CA 9 (San Francisco) 03/14/2019 UNWN11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0584 Verbal orders Element
G0608 Coordinate care delivery Element
G0710 Provide services in the plan of care Element
▼ 058115 Care Best Home Health Inc 200 So Garfield Avenue Suite 205 Alhambra CA 9 (San Francisco) 11/14/2022 5E407-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
G0610 Patients receive education and training Element