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
▼ 297204 Advocare Home Health, Llc 5594 S Fort Apache Rd Ste 100 Las Vegas NV 9 (San Francisco) 07/12/2019 N5GH11 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
▼ 297205 Genesis Home Health Services, Inc 705 Avenue K Ste C Ely NV 9 (San Francisco) 04/02/2025 65C2A-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
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process 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
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0031 Emergency Officials Contact Information Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
G0572 Plan of care Standard
▼ 297206 Triple C Home Health Care 1745 N Nellis Blvd #A Las Vegas NV 9 (San Francisco) 04/26/2019 WDOZ11 Recertification, Sample Validation
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
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0578 Conformance with physician orders Standard
G0658 Performance improvement projects Standard
G0684 Infection control Standard
G0958 Clinical manager Standard
G0574 Plan of care must include the following Element
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
▼ 297209 Home Health Solutions, Llc 4175 S Riley Street, Ste 103 Las Vegas NV 9 (San Francisco) 07/12/2023 60A36-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
G1028 Protection of records Standard
▼ 297209 Home Health Solutions, Llc 4175 S Riley Street, Ste 103 Las Vegas NV 9 (San Francisco) 05/22/2019 2XMR11 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
G0572 Plan of care Standard
G1028 Protection of records Standard
G0710 Provide services in the plan of care Element
G0726 Nursing services supervised by RN Element
G0808 Onsite supervisory visit every 14 days Element
▼ 297210 Alta Care Homeheatlh, Inc 2675 South Jones Blvd Suite 112 Las Vegas NV 9 (San Francisco) 06/29/2018 IRBL11 Recertification, Sample Validation
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
G0374 Accuracy of encoded OASIS data Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0702 Services by skilled professionals Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G1024 Authentication Standard
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0602 Communication with all physicians Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0726 Nursing services supervised by RN Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
▼ 297211 New Horizon Home Care, Llc 2315 North 5th Elko NV 9 (San Francisco) 06/19/2019 2HLR11 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
▼ 297220 Jtr Home Health Services 2688 S Rainbow Blvd. Ste. B Las Vegas NV 9 (San Francisco) 07/11/2019 WEXM11 Recertification, Sample Validation
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
G0578 Conformance with physician orders Standard
G0774 12 hours inservice every 12 months Standard
G1024 Authentication Standard
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
▼ 297221 Nevada Preferred Home Health Care Llc 5600 Spring Mountian Rd, Ste 203 Las Vegas NV 9 (San Francisco) 02/26/2025 65588-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
G0424 Exercise of rights Standard
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
▼ 297221 Nevada Preferred Home Health Care Llc 5600 Spring Mountian Rd, Ste 203 Las Vegas NV 9 (San Francisco) 10/24/2019 9Y4D11 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
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0029 Development of Communication Plan Standard
E0032 Primary/Alternate Means for Communication Standard
G0654 Track adverse patient events Standard
G0942 Governing body Standard