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
▼ 347029 North Carolina In-Home Partner Llc 81 Medical Park Loop, Suite 204 Sylva NC 4 (Atlanta) 05/24/2018 REK311 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
▼ 347030 Amedisys North Carolina, L.L.C. 100 Europa Dr Chapel Hill NC 4 (Atlanta) 07/10/2025 1D0D52-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
G0580 Only as ordered by a physician Element
▼ 347030 Amedisys North Carolina, L.L.C. 100 Europa Dr Chapel Hill NC 4 (Atlanta) 07/27/2022 4EAF6-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
G1014 Interventions and patient response Element
▼ 347030 Amedisys North Carolina, L.L.C. 100 Europa Dr Chapel Hill NC 4 (Atlanta) 05/22/2019 2JDH11 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
G0574 Plan of care must include the following Element
▼ 347031 East Carolina Home Health Agency, Llc 1970 West Arlington Blvd Ste B2 Greenville NC 4 (Atlanta) 02/26/2024 6252C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
G0520 5 calendar days after start of care Element
▼ 347031 East Carolina Home Health Agency, Llc 1970 West Arlington Blvd Ste B2 Greenville NC 4 (Atlanta) 05/16/2023 5FE08-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0442 Written notice for non-covered care Element
G0478 Investigate complaints made by patient Element
G0484 Document complaint and resolution Element
▼ 347031 East Carolina Home Health Agency, Llc 1970 West Arlington Blvd Ste B2 Greenville NC 4 (Atlanta) 01/24/2022 3837A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0464 Advise the patient of discharge for cause Element
▼ 347033 Mountain Home Health Services, Llc 3280 Nc Highway 69, Suite 11 Hayesville NC 4 (Atlanta) 09/17/2025 1D8839-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
G0428 Property and person treated with respect Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
▼ 347033 Mountain Home Health Services, Llc 3280 Nc Highway 69, Suite 11 Hayesville NC 4 (Atlanta) 09/29/2022 4F025-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0704 Responsibilities of skilled professionals Standard
G0534 Patient's needs Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G1022 Discharge and transfer summaries Element
▼ 347033 Mountain Home Health Services, Llc 3280 Nc Highway 69, Suite 11 Hayesville NC 4 (Atlanta) 11/21/2018 P7IK11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0654 Track adverse patient events Standard
G0658 Performance improvement projects Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0652 Activities lead to an immediate correction Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0718 Communication with physicians Element