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
▼ 327221 Medisource Home Health Services 406a W College Blvd Roswell NM 6 (Dallas) 04/29/2022 385E7-H1 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
E0009 Local, State, Tribal Collaboration Process Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0031 Emergency Officials Contact Information Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
G0682 Infection Prevention Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G1028 Protection of records Standard
G0514 RN performs assessment Element
G0548 Within 48 hours of the patient's return Element
G0616 Patient medication schedule/instructions Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
▼ 327222 Las Cruces Home Care 4151 Camino Coyote Las Cruces NM 6 (Dallas) 07/22/2021 ZBXV11 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
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0480 Treatment or care Element
▼ 327222 Las Cruces Home Care 4151 Camino Coyote Las Cruces NM 6 (Dallas) 04/26/2018 NHEG11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0600 Coordination of Care Standard
G0536 A review of all current medications Element
G0602 Communication with all physicians Element
▼ 327226 El Mirador Home Health Agency 10801 Lomas Ne Suite 110 Albuquerque NM 6 (Dallas) 11/09/2022 5E31F-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0490 Accessibility Standard
G0412 Written notice of patient's rights Element
▼ 327231 Angels Above Home Care 1001 Golf Course Rd Se Suite106 Rio Rancho NM 6 (Dallas) 12/01/2022 5E5B5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
G0684 Infection control Standard
G0954 Ensures qualified pre-designated person Element
▼ 327233 Presbyterian Healthcare Services 1400 Chama Ave Santa Fe NM 6 (Dallas) 05/06/2026 230759-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
▼ 327233 Presbyterian Healthcare Services 1400 Chama Ave Santa Fe NM 6 (Dallas) 05/04/2023 5FA35-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
▼ 327313 Rehoboth Mckinley Christian Home Care Services 211 E Aztec Avenue Gallup NM 6 (Dallas) 07/15/2021 I1NK11 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
E0029 Development of Communication Plan Standard
G0684 Infection control Standard
G0782 Eligible training/competency evaluation orgs. Standard
G0514 RN performs assessment Element
▼ 327313 Rehoboth Mckinley Christian Home Care Services 211 E Aztec Avenue Gallup NM 6 (Dallas) 02/06/2018 NCRU11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0750 Home health aide services Condition
G0940 Organization and administration of services Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
G0526 Content of the comprehensive assessment Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0724 Supervise skilled professional assistants Standard
G0774 12 hours inservice every 12 months Standard
G0798 Home health aide assignments and duties Standard
G0942 Governing body Standard
G0530 Strengths, goals, and care preferences Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0648 High risk, high volume, or problem-prone area Element
G0722 Participate in HHA-sponsored in-service Element
G0800 Services provided by HH aide Element
G0946 Administrator appointed by governing body Element
▼ 327807 Roadrunner Home Health Llc 2469 Corrales Road Bldg A, Suite E Corrales NM 6 (Dallas) 08/09/2022 4F4EB-H1 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard