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
▼ 327120 Good Samaritan Society Home Health 6700 Jefferson St, Suite D-2 Albuquerque NM 6 (Dallas) 06/07/2018 F7LG11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0512 Standard: Initial assessment visit. Standard
G0536 A review of all current medications Element
G0964 Coordinate referrals; Element
▼ 327123 Ambercare Home Health 420 North Main Street Belen NM 6 (Dallas) 08/16/2023 60AF0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0750 Home health aide services Condition
G0714 Patient and caregiver education Element
G0808 Onsite supervisory visit every 14 days Element
▼ 327124 Clayton Hospital Home Care 300 Wilson Street Clayton NM 6 (Dallas) 01/07/2021 62Z811 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G1010 Contents of clinical record Standard
G0708 Development and evaluation of plan of care Element
▼ 327126 Home Kare Inc Of Dona Ana 2293 Divot Avenue, Suite 4 Las Cruces NM 6 (Dallas) 07/26/2024 6375D-H1 Recertification
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
G0572 Plan of care Standard
G0774 12 hours inservice every 12 months Standard
G0536 A review of all current medications Element
▼ 327126 Home Kare Inc Of Dona Ana 2293 Divot Avenue, Suite 4 Las Cruces NM 6 (Dallas) 06/24/2021 ZTU211 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
G0706 Interdisciplinary assessment of the patient Element
G1012 Required items in clinical record Element
▼ 327133 Ambercare Home Health 3870 Foothills Road Las Cruces NM 6 (Dallas) 06/22/2021 6DLP11 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
G0684 Infection control Standard
G0486 Protect patient during investigation Element
▼ 327133 Ambercare Home Health 3870 Foothills Road Las Cruces NM 6 (Dallas) 04/04/2018 N8TJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
G0476 Investigation of complaints Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0536 A review of all current medications Element
▼ 327140 Community Homecare 1944 West 21st Street Clovis NM 6 (Dallas) 11/30/2022 5E50C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0370 Reporting OASIS information Condition
G0680 Infection prevention and control Condition
G0642 Program scope Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0444 State toll free HH telephone hotline Element
G0514 RN performs assessment Element
G0614 Visit schedule Element
G0710 Provide services in the plan of care Element
▼ 327140 Community Homecare 1944 West 21st Street Clovis NM 6 (Dallas) 01/22/2020 E84A11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0586 Review and revision of the plan of care Standard
G0600 Coordination of Care Standard
G0642 Program scope Standard
G0576 All orders recorded in plan of care Element
G0604 Integrate all orders Element
▼ 327145 Southwestern Home Health Care, Inc. 408 North Auburn, Suite B Farmington NM 6 (Dallas) 07/09/2025 65FAF-H1 Recertification
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
E0039 EP Testing Requirements Standard
G0464 Advise the patient of discharge for cause Element
G1022 Discharge and transfer summaries Element