S&C QCOR HHA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
HHAs 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ 347089 Kah Development 12, Llc 87 W Cornelius Harnett Boulevard Lillington NC 4 (Atlanta) 07/11/2022 4F072-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0704 Responsibilities of skilled professionals Standard
G0574 Plan of care must include the following Element
G0714 Patient and caregiver education Element
▼ 347091 Total Care Home Health Of North Carolina, Llc 11111 Carmel Commons Blvd Ste 350 Charlotte NC 4 (Atlanta) 01/05/2022 38295-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 347094 Amedisys North Carolina, Llc 1630 Liberty Drive Suite 100 Thomasville NC 4 (Atlanta) 08/23/2023 600A6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0374 Accuracy of encoded OASIS data Standard
G0574 Plan of care must include the following Element
G1012 Required items in clinical record Element
▼ 347094 Amedisys North Carolina, Llc 1630 Liberty Drive Suite 100 Thomasville NC 4 (Atlanta) 06/15/2021 1139B-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
▼ 347094 Amedisys North Carolina, Llc 1630 Liberty Drive Suite 100 Thomasville NC 4 (Atlanta) 06/20/2018 GH4J11 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
▼ 347096 Liberty Home Care And Hospice 1689 Quarter Road Swan Quarter NC 4 (Atlanta) 03/22/2018 G7CQ11 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
G0606 Integrate all services Element
▼ 347097 Adoration Home Health Care Virginia Llc 107 North Gillespie Street Elizabethtown NC 4 (Atlanta) 07/14/2025 668B2-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0598 Discharge plans communication Element
▼ 347097 Adoration Home Health Care Virginia Llc 107 North Gillespie Street Elizabethtown NC 4 (Atlanta) 04/19/2018 X5O111 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
▼ 347098 Innovative Senior Care Home Health Of Charlotte Llc 9115 Harris Corners Parkway ,Suite 230 Charlotte NC 4 (Atlanta) 06/11/2025 66677-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
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0708 Development and evaluation of plan of care Element
G0716 Preparing clinical notes Element
▼ 347098 Innovative Senior Care Home Health Of Charlotte Llc 9115 Harris Corners Parkway ,Suite 230 Charlotte NC 4 (Atlanta) 06/15/2022 4EAF5-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
G0682 Infection Prevention Standard
G0704 Responsibilities of skilled professionals Standard
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0718 Communication with physicians Element
G1022 Discharge and transfer summaries Element