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
▼ 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
▼ 058117 Lhcg Xxxviii, Llc 2851 Park Marina Dr Ste. 150 Redding CA 9 (San Francisco) 12/28/2018 CP0811 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0444 State toll free HH telephone hotline Element
G0536 A review of all current medications Element
G0602 Communication with all physicians Element
▼ 058118 A-1 Home Health Services Inc 1407 Kuehner Drive Simi Valley CA 9 (San Francisco) 04/26/2019 5TJC11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0470 Document efforts to resolve problems Element
G0536 A review of all current medications Element
G0576 All orders recorded in plan of care Element
G0590 Promptly alert relevant physician of changes Element
G0614 Visit schedule Element
G0726 Nursing services supervised by RN Element
▼ 058121 Hye Quality Home Health, Inc 2855 Temple Avenue, Suite A Signal Hill CA 9 (San Francisco) 03/24/2024 62231-H2 Complaint
Deficiency Tag Deficiency Description Tag Type
G0612 Written instructions to patient include: Standard
▼ 058121 Hye Quality Home Health, Inc 2855 Temple Avenue, Suite A Signal Hill CA 9 (San Francisco) 02/05/2024 62231-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0600 Coordination of Care Standard
G0682 Infection Prevention Standard
G0430 Be free from abuse Element
G0488 Immediate reporting of abuse by all staff Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
▼ 058124 Precious Home Health Services 18780 Amar Road Suite #104 Walnut CA 9 (San Francisco) 01/30/2023 5ED8A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
▼ 058124 Precious Home Health Services 18780 Amar Road Suite #104 Walnut CA 9 (San Francisco) 09/01/2019 T1DP11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0434 Participate in care Element
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element