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
▼ 347069 Msa Home Health And Hospice Of The Piedmont, Inc. 665 Carver Drive Suite B Roxboro NC 4 (Atlanta) 01/29/2020 UE8M11 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
▼ 347070 Lower Cape Fear Lifecare Incorporated 2970 Henderson Drive Jacksonville NC 4 (Atlanta) 09/06/2018 FS8O11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0606 Integrate all services Element
G1014 Interventions and patient response Element
▼ 347071 Adoration Home Health Care Virginia, Llc 112 Charter Street Albemarle NC 4 (Atlanta) 10/11/2019 RGJT11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0700 Skilled professional services Condition
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0800 Services provided by HH aide Element
▼ 347074 Adoration Home Health Care Virginia, Llc 2224 S Croatan Nags Head NC 4 (Atlanta) 02/27/2019 V8R811 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0606 Integrate all services Element
G0710 Provide services in the plan of care Element
▼ 347075 Centerwell Certified Healthcare Corp 1000 Revolution Mill Dr; Ste 1 Greensboro NC 4 (Atlanta) 02/12/2020 83R911 Recertification, Sample Validation
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
G0574 Plan of care must include the following Element
▼ 347075 Centerwell Certified Healthcare Corp 1000 Revolution Mill Dr; Ste 1 Greensboro NC 4 (Atlanta) 11/01/2019 BPT311 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0706 Interdisciplinary assessment of the patient Element
G0708 Development and evaluation of plan of care Element
G0716 Preparing clinical notes Element
G0726 Nursing services supervised by RN Element
▼ 347079 Adoration Home Health Care Virginia Llc 461 Harper Avenue Sw Lenoir NC 4 (Atlanta) 02/16/2021 3LR111 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
▼ 347080 Yadkin Valley Home Health 560 Winston Road, Suite B Jonesville NC 4 (Atlanta) 04/23/2024 6301C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0454 HHA can no longer meet the patient's needs Element
G0464 Advise the patient of discharge for cause Element
▼ 347080 Yadkin Valley Home Health 560 Winston Road, Suite B Jonesville NC 4 (Atlanta) 08/30/2023 600A7-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
G0536 A review of all current medications Element
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element
▼ 347080 Yadkin Valley Home Health 560 Winston Road, Suite B Jonesville NC 4 (Atlanta) 05/05/2021 G7AZ11 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