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
▼ 297189 Life Wellness Home Health Agency, Llc 3305 W Spring Mountain Rd Ste 52 Las Vegas NV 9 (San Francisco) 09/30/2020 NPOJ11 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
G0686 Infection control education Standard
G0580 Only as ordered by a physician Element
G1014 Interventions and patient response Element
▼ 297191 Good Shepherd Home Health Services 2821 W. Horizon Ridge Pkwy, Ste 101 Henderson NV 9 (San Francisco) 03/27/2025 65B5C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Condition of Participation: Patient rights. Condition
E0009 Local, State, Tribal Collaboration Process Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0031 Emergency Officials Contact Information Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0037 EP Training Program Standard
G0572 Plan of care Standard
G0658 Performance improvement projects Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G1028 Protection of records Standard
G0430 Be free from abuse Element
G0432 Make complaints to the HHA Element
G0478 Investigate complaints made by patient Element
G0486 Protect patient during investigation Element
G0514 RN performs assessment Element
G0580 Only as ordered by a physician Element
G0606 Integrate all services Element
G0616 Patient medication schedule/instructions Element
▼ 297191 Good Shepherd Home Health Services 2821 W. Horizon Ridge Pkwy, Ste 101 Henderson NV 9 (San Francisco) 09/25/2019 5FQZ11 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
G0616 Patient medication schedule/instructions Element
▼ 297191 Good Shepherd Home Health Services 2821 W. Horizon Ridge Pkwy, Ste 101 Henderson NV 9 (San Francisco) 02/01/2018 M8Z611 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0033 Methods for Sharing Information Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
G1010 Contents of clinical record Standard
G1062 Occupational Therapist Standard
G1066 Physical Therapist Standard
G0722 Participate in HHA-sponsored in-service Element
▼ 297192 Maxicare Homehealth Inc 5145 S Durango Dr, Unit 102b Las Vegas NV 9 (San Francisco) 06/01/2023 657FD-H1 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
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
▼ 297195 Recovery Home Health Agency 1913 Broken Lance Ave North Las Vegas NV 9 (San Francisco) 02/15/2018 EIMY11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0586 Review and revision of the plan of care Standard
G0580 Only as ordered by a physician Element
G0616 Patient medication schedule/instructions Element
▼ 297199 Accessible Healthcare, Llc 3301 W Spring Mountain Rd Las Vegas NV 9 (San Francisco) 07/20/2022 4F1CB-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
E0030 Names and Contact Information Standard
E0039 EP Testing Requirements Standard
G0710 Provide services in the plan of care Element
G0954 Ensures qualified pre-designated person Element
▼ 297199 Accessible Healthcare, Llc 3301 W Spring Mountain Rd Las Vegas NV 9 (San Francisco) 03/14/2019 J2BP11 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
G0642 Program scope Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G0958 Clinical manager Standard
G1028 Protection of records Standard
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
▼ 297200 Elite Home Health Care, Llc 1336 S. Decatur Blvd. Las Vegas NV 9 (San Francisco) 08/10/2022 4F411-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0030 Names and Contact Information Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G1028 Protection of records Standard
G0536 A review of all current medications Element
▼ 297200 Elite Home Health Care, Llc 1336 S. Decatur Blvd. Las Vegas NV 9 (San Francisco) 04/03/2019 ENL811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1008 Clinical records Condition
G0372 Encoding and transmitting OASIS Standard
G0658 Performance improvement projects Standard
G1010 Contents of clinical record Standard
G1028 Protection of records Standard
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element