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
▼ 347019 North Carolina In-Home Partner-Viii, Llc 1901 Tarboro St Sw, Suite 304 Wilson NC 4 (Atlanta) 03/25/2025 65ACE-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
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0716 Preparing clinical notes Element
▼ 347019 North Carolina In-Home Partner-Viii, Llc 1901 Tarboro St Sw, Suite 304 Wilson NC 4 (Atlanta) 05/25/2022 38646-H1 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
▼ 347019 North Carolina In-Home Partner-Viii, Llc 1901 Tarboro St Sw, Suite 304 Wilson NC 4 (Atlanta) 01/23/2020 327X11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0464 Advise the patient of discharge for cause Element
G1012 Required items in clinical record Element
▼ 347019 North Carolina In-Home Partner-Viii, Llc 1901 Tarboro St Sw, Suite 304 Wilson NC 4 (Atlanta) 08/30/2018 YMWS11 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
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
▼ 347020 Medical Services Of America, Inc. 400 Shadowline Drive Building 200 Suite 205 Boone NC 4 (Atlanta) 07/17/2024 63AA5-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
G0704 Responsibilities of skilled professionals Standard
G0580 Only as ordered by a physician Element
G0808 Onsite supervisory visit every 14 days Element
▼ 347020 Medical Services Of America, Inc. 400 Shadowline Drive Building 200 Suite 205 Boone NC 4 (Atlanta) 01/14/2022 380DD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0602 Communication with all physicians Element
G0800 Services provided by HH aide Element
G1012 Required items in clinical record Element
▼ 347020 Medical Services Of America, Inc. 400 Shadowline Drive Building 200 Suite 205 Boone NC 4 (Atlanta) 01/25/2018 NUMK11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0602 Communication with all physicians Element
▼ 347021 Bayada Home Health Care Inc 805 Trade Street Nw Suite 103 Concord NC 4 (Atlanta) 03/06/2024 6261C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0704 Responsibilities of skilled professionals Standard
G0574 Plan of care must include the following Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
▼ 347021 Bayada Home Health Care Inc 805 Trade Street Nw Suite 103 Concord NC 4 (Atlanta) 09/22/2021 1963E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 347021 Bayada Home Health Care Inc 805 Trade Street Nw Suite 103 Concord NC 4 (Atlanta) 09/12/2018 C40N11 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
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element