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
▼ 347024 Liberty Home Care 300 W Pennsyvania Avenue Southern Pines NC 4 (Atlanta) 08/20/2025 1D4598-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
▼ 347024 Liberty Home Care 300 W Pennsyvania Avenue Southern Pines NC 4 (Atlanta) 09/12/2019 M1DD11 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
G0602 Communication with all physicians Element
▼ 347024 Liberty Home Care 300 W Pennsyvania Avenue Southern Pines NC 4 (Atlanta) 06/21/2019 6M7211 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
G0590 Promptly alert relevant physician of changes Element
G0966 Assure patient needs are continually assessed Element
▼ 347026 Pruitthealth Home Health Inc 810 Kennedy Avenue New Bern NC 4 (Atlanta) 04/03/2024 6297D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
▼ 347026 Pruitthealth Home Health Inc 810 Kennedy Avenue New Bern NC 4 (Atlanta) 10/27/2021 19641-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 347026 Pruitthealth Home Health Inc 810 Kennedy Avenue New Bern NC 4 (Atlanta) 07/13/2021 1140F-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
▼ 347026 Pruitthealth Home Health Inc 810 Kennedy Avenue New Bern NC 4 (Atlanta) 11/02/2018 624T11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0606 Integrate all services Element
G0706 Interdisciplinary assessment of the patient Element
G0716 Preparing clinical notes Element
G0984 In accordance with current clinical practice Element
▼ 347028 Henderson County Hospital Corporation 114 College Drive Flat Rock NC 4 (Atlanta) 07/17/2025 1D0D29-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
G0580 Only as ordered by a physician Element
G0718 Communication with physicians Element
▼ 347028 Henderson County Hospital Corporation 114 College Drive Flat Rock NC 4 (Atlanta) 08/17/2022 4F022-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0718 Communication with physicians Element
▼ 347029 North Carolina In-Home Partner Llc 81 Medical Park Loop, Suite 204 Sylva NC 4 (Atlanta) 03/18/2025 65A95-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