S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
347001 Liberty Healthcare Group, Llc 420 Eastwood Rd Suite 101 Wilmington NC 4 (Atlanta) 09/28/2022 389C2-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
G0806 Supervision of home health aides Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
347002 Well Care Home Health,Inc 131 Racine Drive Wilmington NC 4 (Atlanta) 04/06/2026 22D38D-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0654 Track adverse patient events Standard
G0604 Integrate all orders Element
G0716 Preparing clinical notes Element
347002 Well Care Home Health,Inc 131 Racine Drive Wilmington NC 4 (Atlanta) 09/13/2023 60FBB-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0608 Coordinate care delivery Element
347002 Well Care Home Health,Inc 131 Racine Drive Wilmington NC 4 (Atlanta) 06/01/2022 4EC15-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
347002 Well Care Home Health,Inc 131 Racine Drive Wilmington NC 4 (Atlanta) 06/24/2020 P9FL11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0606 Integrate all services Element
G1014 Interventions and patient response Element
347002 Well Care Home Health,Inc 131 Racine Drive Wilmington NC 4 (Atlanta) 05/24/2018 HKQP11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1014 Interventions and patient response Element
347004 Liberty Healthcare Group, Llc 93 Nc Hwy 125 Roanoke Rapids NC 4 (Atlanta) 10/27/2020 EDWR11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
347005 Adoration Home Health Care Virginia Llc 1100 S Stratford Road Suite 410 Winston-Salem NC 4 (Atlanta) 06/27/2022 4EF93-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0704 Responsibilities of skilled professionals Standard
G0478 Investigate complaints made by patient Element
G0580 Only as ordered by a physician Element
G0718 Communication with physicians Element
347007 American Healthcare Systems Llc 212 Foust St Asheboro NC 4 (Atlanta) 05/29/2025 665EB-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
347007 American Healthcare Systems Llc 212 Foust St Asheboro NC 4 (Atlanta) 06/07/2022 4EAF4-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
G0536 A review of all current medications Element