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
▼ 347129 Bayada Home Health Care, Inc. 807 North Madison Blvd Roxboro NC 4 (Atlanta) 03/21/2019 Q8CP11 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
▼ 347131 Adoration Home Health Care Virginia Llc 332 Burtonwood Drive Gastonia NC 4 (Atlanta) 09/26/2023 61388-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0478 Investigate complaints made by patient Element
▼ 347132 Amedisys North Carolina, L.L.C. 2021 Valley Gate Drive Suite 201 Fayetteville NC 4 (Atlanta) 10/16/2024 646C6-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
G0682 Infection Prevention Standard
G0546 Last 5 days of every 60 days unless: Element
G0580 Only as ordered by a physician Element
▼ 347132 Amedisys North Carolina, L.L.C. 2021 Valley Gate Drive Suite 201 Fayetteville NC 4 (Atlanta) 12/14/2021 SKGF11 Recertification
Deficiency Tag Deficiency Description Tag Type
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
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element
▼ 347134 Bayada Home Health Care, Inc. 900 W Cooksey Dr Suite G Thomasville NC 4 (Atlanta) 02/13/2024 623D4-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
G0716 Preparing clinical notes Element
▼ 347134 Bayada Home Health Care, Inc. 900 W Cooksey Dr Suite G Thomasville NC 4 (Atlanta) 11/17/2021 37D6C-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
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0602 Communication with all physicians Element
G1012 Required items in clinical record Element
▼ 347134 Bayada Home Health Care, Inc. 900 W Cooksey Dr Suite G Thomasville NC 4 (Atlanta) 11/08/2018 4GKW11 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
G0574 Plan of care must include the following Element
▼ 347169 North Carolina In-Home Partner-V, Llc 500 West St, Suite A1 Spindale NC 4 (Atlanta) 07/16/2026 285175-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
▼ 347169 North Carolina In-Home Partner-V, Llc 500 West St, Suite A1 Spindale NC 4 (Atlanta) 07/19/2023 5FC00-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
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 347169 North Carolina In-Home Partner-V, Llc 500 West St, Suite A1 Spindale NC 4 (Atlanta) 04/13/2021 UUPM11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element