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
▼ 347102 Msa Home Health And Hospice Of Nc, Inc. 180 W Main Ave Taylorsville NC 4 (Atlanta) 02/15/2023 5F010-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0586 Review and revision of the plan of care Standard
G0682 Infection Prevention 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
G0602 Communication with all physicians Element
G0706 Interdisciplinary assessment of the patient Element
G0716 Preparing clinical notes Element
G1012 Required items in clinical record Element
▼ 347102 Msa Home Health And Hospice Of Nc, Inc. 180 W Main Ave Taylorsville NC 4 (Atlanta) 12/14/2021 3812E-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
G0580 Only as ordered by a physician Element
G0718 Communication with physicians Element
▼ 347102 Msa Home Health And Hospice Of Nc, Inc. 180 W Main Ave Taylorsville NC 4 (Atlanta) 09/15/2020 0IDV11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0704 Responsibilities of skilled professionals Standard
G0548 Within 48 hours of the patient's return Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
▼ 347104 Home Health And Hospice Care Inc. 2402 Wayne Memorial Drive Goldsboro NC 4 (Atlanta) 02/17/2025 65625-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0478 Investigate complaints made by patient Element
G0602 Communication with all physicians Element
▼ 347105 Johnston Health Services Corporation 514 North Brightleaf Blvd, Suite 1502 Smithfield NC 4 (Atlanta) 07/23/2024 63C7D-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
G0590 Promptly alert relevant physician of changes Element
▼ 347106 Wake Forest Baptist Health Care At Home, Llc 2000 Frontis Plaza Blvd Suite 303 Winston Salem NC 4 (Atlanta) 01/17/2023 5ED4E-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0718 Communication with physicians Element
▼ 347110 Amedisys North Carolina, Llc 1005 Slater Road Suite 105 Durham NC 4 (Atlanta) 05/27/2026 23348A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 347110 Amedisys North Carolina, Llc 1005 Slater Road Suite 105 Durham NC 4 (Atlanta) 06/18/2025 66586-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
G0592 Revised plan of care Element
G0602 Communication with all physicians Element
▼ 347110 Amedisys North Carolina, Llc 1005 Slater Road Suite 105 Durham NC 4 (Atlanta) 09/19/2023 6108A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0476 Investigation of complaints Standard
▼ 347110 Amedisys North Carolina, Llc 1005 Slater Road Suite 105 Durham NC 4 (Atlanta) 09/19/2023 6108B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0520 5 calendar days after start of care Element