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
▼ 017103 The Tombigbee Health Care Authority 105 Highway 80 East Demopolis AL 4 (Atlanta) 01/09/2025 65086-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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
E0039 EP Testing Requirements Standard
G0444 State toll free HH telephone hotline Element
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0772 Documentation of competency evaluation Element
G0808 Onsite supervisory visit every 14 days Element
▼ 017103 The Tombigbee Health Care Authority 105 Highway 80 East Demopolis AL 4 (Atlanta) 10/27/2021 19764-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
G1008 Clinical records Condition
G0564 Discharge or Transfer Summary Content Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0702 Services by skilled professionals Standard
G1010 Contents of clinical record Standard
G1028 Protection of records Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
G0706 Interdisciplinary assessment of the patient Element
G0772 Documentation of competency evaluation Element
G0800 Services provided by HH aide Element
▼ 017104 Hh Health System - Jackson, Llc 901 Heroes Drive Scottsboro AL 4 (Atlanta) 02/06/2025 654BB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 017106 Evergreen Medical Center, Llc 308 South Main Street Evergreen AL 4 (Atlanta) 08/13/2025 1D3BE7-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
E0006 Plan Based on All Hazards Risk Assessment Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
▼ 017106 Evergreen Medical Center, Llc 308 South Main Street Evergreen AL 4 (Atlanta) 10/06/2022 5DDD8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0614 Visit schedule Element
G0706 Interdisciplinary assessment of the patient Element
▼ 017106 Evergreen Medical Center, Llc 308 South Main Street Evergreen AL 4 (Atlanta) 09/12/2019 G66111 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
G0680 Infection prevention and control Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0029 Development of Communication Plan Standard
G0578 Conformance with physician orders Standard
G0684 Infection control Standard
G0774 12 hours inservice every 12 months Standard
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
G0714 Patient and caregiver education Element
▼ 017107 Suncrest Home Health Of Alabama, Inc. 222-224 7th Street South, Suite 224 Clanton AL 4 (Atlanta) 09/19/2024 643D6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
▼ 017107 Suncrest Home Health Of Alabama, Inc. 222-224 7th Street South, Suite 224 Clanton AL 4 (Atlanta) 06/10/2021 11394-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0526 Content of the comprehensive assessment Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
G0706 Interdisciplinary assessment of the patient Element
G0714 Patient and caregiver education Element
G0800 Services provided by HH aide Element
▼ 017109 Lakeland Community Hospital, Inc. 42030 Highway 195 Suite D Haleyville AL 4 (Atlanta) 06/16/2021 113AD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0526 Content of the comprehensive assessment Standard
G0862 Laboratory services/CLIA waivers Standard
G0610 Patients receive education and training Element
G0716 Preparing clinical notes Element
▼ 017112 Jackson Medical Center, Llc 3004 N College Avenue Jackson AL 4 (Atlanta) 05/08/2025 6614D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard