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
▼ 347042 Carteret Home Health Services 3722 Bridges Street Suite 201 Morehead City NC 4 (Atlanta) 01/08/2025 64F9D-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
G0710 Provide services in the plan of care Element
▼ 347042 Carteret Home Health Services 3722 Bridges Street Suite 201 Morehead City NC 4 (Atlanta) 01/20/2022 113AB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
▼ 347042 Carteret Home Health Services 3722 Bridges Street Suite 201 Morehead City NC 4 (Atlanta) 06/28/2018 M1J611 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
G0602 Communication with all physicians Element
▼ 347043 Wake Forest Baptist Health Care At Home, Llc 126 Executive Drive, Suite 100 Wilkesboro NC 4 (Atlanta) 04/18/2022 38937-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 347044 Caresouth Hha Holdings Of Western Carolina, Llc 70 North Main Street Suite 3 Marion NC 4 (Atlanta) 07/09/2025 669DE-H1 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
G0602 Communication with all physicians Element
▼ 347044 Caresouth Hha Holdings Of Western Carolina, Llc 70 North Main Street Suite 3 Marion NC 4 (Atlanta) 02/05/2024 62277-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0602 Communication with all physicians Element
▼ 347044 Caresouth Hha Holdings Of Western Carolina, Llc 70 North Main Street Suite 3 Marion NC 4 (Atlanta) 07/20/2022 4F01B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0526 Content of the comprehensive assessment Standard
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
G0592 Revised plan of care Element
G0610 Patients receive education and training Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 347044 Caresouth Hha Holdings Of Western Carolina, Llc 70 North Main Street Suite 3 Marion NC 4 (Atlanta) 07/25/2019 5O0M11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0684 Infection control Standard
G0574 Plan of care must include the following Element
G0606 Integrate all services Element
G0710 Provide services in the plan of care Element
▼ 347049 Liberty Healthcare Group Llc 216 Church Street E Ahoskie NC 4 (Atlanta) 11/15/2022 5DE61-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
G0800 Services provided by HH aide Element
▼ 347049 Liberty Healthcare Group Llc 216 Church Street E Ahoskie NC 4 (Atlanta) 03/05/2020 N8GP11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1010 Contents of clinical record Standard
G0536 A review of all current medications Element
G0606 Integrate all services Element
G0808 Onsite supervisory visit every 14 days Element