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
▼ 347124 Tar Heel Care Services, Llc 2111 North Queen Street Suite C Kinston NC 4 (Atlanta) 06/09/2021 11393-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
▼ 347127 Cape Fear Valley Homecare And Hospice, Llc 1900 Fordham Drive, Suite 202b Fayetteville NC 4 (Atlanta) 03/18/2026 1F4F96-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0602 Communication with all physicians Element
▼ 347127 Cape Fear Valley Homecare And Hospice, Llc 1900 Fordham Drive, Suite 202b Fayetteville NC 4 (Atlanta) 05/07/2025 65BAF-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
G0374 Accuracy of encoded OASIS data Standard
G0682 Infection Prevention Standard
G0704 Responsibilities of skilled professionals Standard
G0478 Investigate complaints made by patient Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0592 Revised plan of care Element
G0602 Communication with all physicians Element
G0716 Preparing clinical notes Element
▼ 347127 Cape Fear Valley Homecare And Hospice, Llc 1900 Fordham Drive, Suite 202b Fayetteville NC 4 (Atlanta) 07/14/2022 4EFD9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0574 Plan of care must include the following Element
G0706 Interdisciplinary assessment of the patient Element
G0714 Patient and caregiver education Element
G0718 Communication with physicians Element
G0802 Duties of a HH aide Element
▼ 347127 Cape Fear Valley Homecare And Hospice, Llc 1900 Fordham Drive, Suite 202b Fayetteville NC 4 (Atlanta) 04/20/2021 CB7911 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 347127 Cape Fear Valley Homecare And Hospice, Llc 1900 Fordham Drive, Suite 202b Fayetteville NC 4 (Atlanta) 03/01/2019 WVHM11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1010 Contents of clinical record Standard
G0984 In accordance with current clinical practice Element
▼ 347127 Cape Fear Valley Homecare And Hospice, Llc 1900 Fordham Drive, Suite 202b Fayetteville NC 4 (Atlanta) 12/13/2018 RTQM11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
G0484 Document complaint and resolution Element
▼ 347128 Authoracare Collective 2504 Summit Avenue Greensboro NC 4 (Atlanta) 02/28/2022 38591-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
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
▼ 347129 Bayada Home Health Care, Inc. 807 North Madison Blvd Roxboro NC 4 (Atlanta) 08/12/2025 1D1B6F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
▼ 347129 Bayada Home Health Care, Inc. 807 North Madison Blvd Roxboro NC 4 (Atlanta) 08/16/2022 4F021-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0716 Preparing clinical notes Element