S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 327086 Esperanza Home Health Care/Hospice 2183 Highway 518 Buena Vista NM 6 (Dallas) 07/29/2021 8MX011 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
G0642 Program scope Standard
G0942 Governing body Standard
G0480 Treatment or care Element
G0592 Revised plan of care Element
G0706 Interdisciplinary assessment of the patient Element
▼ 327086 Esperanza Home Health Care/Hospice 2183 Highway 518 Buena Vista NM 6 (Dallas) 05/02/2018 OT4H11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0408 Notice of rights Standard
G0600 Coordination of Care Standard
G0642 Program scope Standard
G0654 Track adverse patient events Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0942 Governing body Standard
G0536 A review of all current medications Element
G0648 High risk, high volume, or problem-prone area Element
▼ 327088 Del & Associates Nursing Service 418 North Turner Street Hobbs NM 6 (Dallas) 08/25/2023 60AEE-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
E0019 Homebound HHA/Hospice Inform EP Officials Standard
G0616 Patient medication schedule/instructions Element
▼ 327089 Pms Community Home Health Care 1400 Chama Avenue Santa Fe NM 6 (Dallas) 06/28/2018 XTN111 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0518 Completion of the comprehensive assessment Standard
G0702 Services by skilled professionals Standard
G0606 Integrate all services Element
▼ 327100 Excelacare Home Health 726 East Michigan Drive, Suite 130 Hobbs NM 6 (Dallas) 05/22/2025 66288-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0562 Discharge Planning Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0682 Infection Prevention Standard
G1028 Protection of records Standard
G0486 Protect patient during investigation Element
G0514 RN performs assessment Element
G0530 Strengths, goals, and care preferences Element
G0580 Only as ordered by a physician Element
G0606 Integrate all services Element
G0616 Patient medication schedule/instructions Element
G0722 Participate in HHA-sponsored in-service Element
G0726 Nursing services supervised by RN Element
▼ 327100 Excelacare Home Health 726 East Michigan Drive, Suite 130 Hobbs NM 6 (Dallas) 03/30/2022 3874A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0710 Provide services in the plan of care Element
▼ 327104 Basin Home Health, Inc 200 North Orchard Avenue Farmington NM 6 (Dallas) 09/13/2023 6109D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0514 RN performs assessment Element
▼ 327108 Professional Home Health Care, Inc. 10 Calle Medico Santa Fe NM 6 (Dallas) 06/06/2019 7N3211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0768 Competency evaluation Standard
G0550 At discharge Element
G0588 Reviewed, revised by physician every 60 days Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
▼ 327113 Victory Home Health Palliative Waiver Services, Inc. 2810 Hot Springs Blvd Las Vegas NM 6 (Dallas) 01/31/2018 LNWM11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
▼ 327120 Good Samaritan Society Home Health 6700 Jefferson St, Suite D-2 Albuquerque NM 6 (Dallas) 08/06/2021 J37I11 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
G1010 Contents of clinical record Standard