S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
347080 Yadkin Valley Home Health 560 Winston Road, Suite B Jonesville NC 4 (Atlanta) 07/25/2018 RT4611 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0578 Conformance with physician orders Standard
G0704 Responsibilities of skilled professionals Standard
G0546 Last 5 days of every 60 days unless: Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G0808 Onsite supervisory visit every 14 days Element
G0822 Ensuring the overall quality of care provided Element
G1014 Interventions and patient response Element
347080 Yadkin Valley Home Health 560 Winston Road, Suite B Jonesville NC 4 (Atlanta) 05/03/2018 ELNI11 Recertification
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
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
347085 North Carolina In Hiome Partner-Ix Llc 100 Main Avenue Nw Suite 200 Hickory NC 4 (Atlanta) 03/19/2026 1F558E-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
347085 North Carolina In Hiome Partner-Ix Llc 100 Main Avenue Nw Suite 200 Hickory NC 4 (Atlanta) 04/19/2023 5F721-H1 Recertification
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
G0682 Infection Prevention Standard
G0704 Responsibilities of skilled professionals Standard
G0806 Supervision of home health aides Standard
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0590 Promptly alert relevant physician of changes Element
G0602 Communication with all physicians Element
G0716 Preparing clinical notes Element
347085 North Carolina In Hiome Partner-Ix Llc 100 Main Avenue Nw Suite 200 Hickory NC 4 (Atlanta) 09/07/2021 19687-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0606 Integrate all services Element
347085 North Carolina In Hiome Partner-Ix Llc 100 Main Avenue Nw Suite 200 Hickory NC 4 (Atlanta) 03/17/2021 0DOD11 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
G0716 Preparing clinical notes Element
347086 Robeson County Health Department 460 Country Club Road Lumberton NC 4 (Atlanta) 08/09/2022 4F01C-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
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
347087 Bayada Home Health Care, Inc. 8801 J M Keynes Drive Suite 350 Charlotte NC 4 (Atlanta) 04/10/2024 62C11-H1 Complaint, 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
G0716 Preparing clinical notes Element
347087 Bayada Home Health Care, Inc. 8801 J M Keynes Drive Suite 350 Charlotte NC 4 (Atlanta) 12/01/2021 37D6D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0574 Plan of care must include the following Element
G0602 Communication with all physicians Element
G1012 Required items in clinical record Element
347087 Bayada Home Health Care, Inc. 8801 J M Keynes Drive Suite 350 Charlotte NC 4 (Atlanta) 10/10/2018 UIIB11 Complaint, Recertification
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
G1010 Contents of clinical record Standard
G0590 Promptly alert relevant physician of changes Element