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
▼ 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
▼ 058115 Care Best Home Health Inc 200 So Garfield Avenue Suite 205 Alhambra CA 9 (San Francisco) 08/11/2019 5RZH11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 058116 Care Unlimited Health Services, Inc. 1025 West Arrow Highway Suite 105 Glendora CA 9 (San Francisco) 02/02/2023 5EDF1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0600 Coordination of Care Standard
G0642 Program scope Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0610 Patients receive education and training Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 058116 Care Unlimited Health Services, Inc. 1025 West Arrow Highway Suite 105 Glendora CA 9 (San Francisco) 12/09/2019 KPGY11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0536 A review of all current medications Element
G0728 Rehab services supervised by PT, OT Element
▼ 058117 Lhcg Xxxviii, Llc 2851 Park Marina Dr Ste. 150 Redding CA 9 (San Francisco) 03/17/2023 5F338-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0684 Infection control Standard
G0942 Governing body Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return Element
G0590 Promptly alert relevant physician of changes Element
G0610 Patients receive education and training Element
G0614 Visit schedule Element
G0966 Assure patient needs are continually assessed Element
G0968 Assure implementation of plan of care Element