S&C QCOR HHA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
HHAs 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ 058148 Quality Home Health Agency 4375 E Lowell Street Suite I Ontario CA 9 (San Francisco) 01/10/2019 HDW711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard
G0580 Only as ordered by a physician Element
▼ 058149 Comfort Home Health Care, Inc. 4647 Long Beach Blvd Suite D4 Long Beach CA 9 (San Francisco) 09/09/2019 QHZ311 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
▼ 058150 Desert Home Health Services, Inc. 440 S El Cielo Rd. Suite # 8 Palm Springs CA 9 (San Francisco) 02/24/2023 5F093-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard
G0536 A review of all current medications Element
▼ 058150 Desert Home Health Services, Inc. 440 S El Cielo Rd. Suite # 8 Palm Springs CA 9 (San Francisco) 03/02/2018 WKMI11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0774 12 hours inservice every 12 months Standard
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0984 In accordance with current clinical practice Element
▼ 058152 Virginia Home Care, Inc 1 West California Blvd, Ste 226 Pasadena CA 9 (San Francisco) 12/16/2022 5E84B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0422 Written notice within 4 business days Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0718 Communication with physicians Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 058152 Virginia Home Care, Inc 1 West California Blvd, Ste 226 Pasadena CA 9 (San Francisco) 07/01/2019 KGI411 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 058153 Jobet Corporation 601 S. Brand Blvd. Suite 312 San Fernando CA 9 (San Francisco) 02/12/2023 5EFE8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0410 Information to patient Element
G0444 State toll free HH telephone hotline Element
G0470 Document efforts to resolve problems Element
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0610 Patients receive education and training Element
▼ 058154 Integrity Home Care Corporation 8954 Reseda Blvd, Ste 201 Northridge CA 9 (San Francisco) 04/20/2023 5F8FB-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
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
▼ 058154 Integrity Home Care Corporation 8954 Reseda Blvd, Ste 201 Northridge CA 9 (San Francisco) 02/23/2020 MHIX11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 058156 Assisted Healthcare Services 1126 N Grand Ave Suite 201 Covina CA 9 (San Francisco) 08/19/2022 4F3B6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0590 Promptly alert relevant physician of changes Element