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
▼ 297123 Aloha Home Health, Llc 3160 S Valley View Blvd Suite 205 Las Vegas NV 9 (San Francisco) 07/10/2019 2HPP11 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
G1028 Protection of records Standard
G1012 Required items in clinical record Element
▼ 297123 Aloha Home Health, Llc 3160 S Valley View Blvd Suite 205 Las Vegas NV 9 (San Francisco) 04/17/2019 M84V11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0454 HHA can no longer meet the patient's needs Element
G0514 RN performs assessment Element
G0548 Within 48 hours of the patient's return Element
G0718 Communication with physicians Element
▼ 297123 Aloha Home Health, Llc 3160 S Valley View Blvd Suite 205 Las Vegas NV 9 (San Francisco) 01/25/2018 LCL211 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0640 Quality assessment/performance improvement Condition
G0940 Organization and administration of services Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0644 Program data Standard
G0660 Executive responsibilities for QAPI Standard
G0774 12 hours inservice every 12 months Standard
G0942 Governing body Standard
G0944 Administrator must: Standard
G0952 Ensure that HHA employs qualified personnel Element
▼ 297124 Family Care Home Health & Hospice, Llc 4450 E Washington Ave Las Vegas NV 9 (San Francisco) 07/14/2022 4F12F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G1028 Protection of records Standard
G0514 RN performs assessment Element
G0584 Verbal orders Element
G0616 Patient medication schedule/instructions Element
▼ 297124 Family Care Home Health & Hospice, Llc 4450 E Washington Ave Las Vegas NV 9 (San Francisco) 04/19/2019 UZLQ11 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
G1028 Protection of records Standard
▼ 297124 Family Care Home Health & Hospice, Llc 4450 E Washington Ave Las Vegas NV 9 (San Francisco) 01/25/2018 Z62C11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0654 Track adverse patient events Standard
G0684 Infection control Standard
▼ 297125 Genesis Home Health Services, Inc 2620 Ruby Vista Drive Elko NV 9 (San Francisco) 04/26/2019 CGJ211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0372 Encoding and transmitting OASIS Standard
G0642 Program scope Standard
G0644 Program data Standard
G0654 Track adverse patient events Standard
G0658 Performance improvement projects Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0550 At discharge Element
G0648 High risk, high volume, or problem-prone area Element
G0650 Incidence, prevalence, severity of problems Element
G0808 Onsite supervisory visit every 14 days Element
▼ 297126 Healthy Living At Home-Las Vegas, Llc 6623 Las Vegas Blvd South Ste F - 220 Las Vegas NV 9 (San Francisco) 06/07/2019 PHQF11 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
▼ 297128 Critical Care Visiting Nurses 2685 S Rainbow Blvd Suite 209 Las Vegas NV 9 (San Francisco) 05/29/2025 6630B-H1 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
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
G0416 OASIS privacy notice Element
G0520 5 calendar days after start of care Element
G0616 Patient medication schedule/instructions Element
G0810 If concern identified, direct observation Element
▼ 297128 Critical Care Visiting Nurses 2685 S Rainbow Blvd Suite 209 Las Vegas NV 9 (San Francisco) 03/04/2021 WHND11 Focused Infection Control, 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
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
E0013 Development of EP Policies and Procedures Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0039 EP Testing Requirements Standard