S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 347049 Liberty Healthcare Group Llc 216 Church Street E Ahoskie NC 4 (Atlanta) 01/12/2018 9QYO11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0174 DUTIES OF THE REGISTERED NURSE Standard
G0176 DUTIES OF THE REGISTERED NURSE Standard
G0224 ASSIGNMENT & DUTIES OF HOME HEALTH AIDE Standard
▼ 347051 Well Care Home Health Of The Triad Inc 146 Dornach Way Advance NC 4 (Atlanta) 05/16/2024 63262-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0704 Responsibilities of skilled professionals Standard
G0710 Provide services in the plan of care Element
▼ 347051 Well Care Home Health Of The Triad Inc 146 Dornach Way Advance NC 4 (Atlanta) 11/09/2021 37F42-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G1012 Required items in clinical record Element
▼ 347051 Well Care Home Health Of The Triad Inc 146 Dornach Way Advance NC 4 (Atlanta) 09/14/2021 196CA-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0484 Document complaint and resolution Element
▼ 347051 Well Care Home Health Of The Triad Inc 146 Dornach Way Advance NC 4 (Atlanta) 05/31/2018 U86Z11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0718 Communication with physicians Element
G0726 Nursing services supervised by RN Element
▼ 347053 Capital Care Resources Llc 1985 Tate Blvd Se Suite 303 Hickory NC 4 (Atlanta) 02/17/2025 656AA-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
▼ 347053 Capital Care Resources Llc 1985 Tate Blvd Se Suite 303 Hickory NC 4 (Atlanta) 02/09/2021 G53B11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
▼ 347056 Healthview Home Health & Hospice 130 S Franklin Street, Suite 401 Rocky Mount NC 4 (Atlanta) 04/01/2026 22C454-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0520 5 calendar days after start of care Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
▼ 347056 Healthview Home Health & Hospice 130 S Franklin Street, Suite 401 Rocky Mount NC 4 (Atlanta) 04/12/2023 5F625-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0374 Accuracy of encoded OASIS data Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0704 Responsibilities of skilled professionals Standard
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0546 Last 5 days of every 60 days unless: Element
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
G1012 Required items in clinical record Element
▼ 347056 Healthview Home Health & Hospice 130 S Franklin Street, Suite 401 Rocky Mount NC 4 (Atlanta) 09/12/2022 4F60F-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0704 Responsibilities of skilled professionals Standard
G0590 Promptly alert relevant physician of changes Element