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
▼ 347175 Healthview Home Health & Hospice-Caswell Llc 1080 Nc Highway 86 N Yanceyville NC 4 (Atlanta) 01/15/2020 R28411 Recertification, Sample Validation
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
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0718 Communication with physicians Element
G1014 Interventions and patient response Element
▼ 347176 Rex Hospital, Inc. 1025 Think Place, Unit 455 Morrisville NC 4 (Atlanta) 03/16/2020 63Y711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0536 A review of all current medications 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
▼ 347181 Carolinas Medical Center At Home, Llc 141 Fiddlers Run Blvd Morganton NC 4 (Atlanta) 02/05/2025 65494-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
G1012 Required items in clinical record Element
▼ 347181 Carolinas Medical Center At Home, Llc 141 Fiddlers Run Blvd Morganton NC 4 (Atlanta) 03/01/2022 3854F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0806 Supervision of home health aides Standard
G0536 A review of all current medications Element
G0602 Communication with all physicians Element
G1012 Required items in clinical record Element
▼ 347181 Carolinas Medical Center At Home, Llc 141 Fiddlers Run Blvd Morganton NC 4 (Atlanta) 03/28/2019 VRJE11 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
G0714 Patient and caregiver education Element
G0716 Preparing clinical notes Element
▼ 347185 Medical Services Of America Inc. 1007 Lexington Ave Thomasville NC 4 (Atlanta) 04/22/2026 230E03-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0430 Be free from abuse 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
G0716 Preparing clinical notes Element
▼ 347185 Medical Services Of America Inc. 1007 Lexington Ave Thomasville NC 4 (Atlanta) 08/29/2023 5FA5A-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
G0576 All orders recorded in plan of care Element
▼ 347185 Medical Services Of America Inc. 1007 Lexington Ave Thomasville NC 4 (Atlanta) 05/10/2023 5FA5A-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
G0512 Standard: Initial assessment visit. Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0704 Responsibilities of skilled professionals Standard
G0430 Be free from abuse Element
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
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
G0592 Revised plan of care Element
G0716 Preparing clinical notes Element
G1012 Required items in clinical record Element
▼ 347185 Medical Services Of America Inc. 1007 Lexington Ave Thomasville NC 4 (Atlanta) 10/12/2021 37CA1-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G1012 Required items in clinical record Element
▼ 347187 Bayada Home Health Care, Inc. 1605 Westbrook Plaza Drive Suite 401 Winston-Salem NC 4 (Atlanta) 11/08/2023 612D9-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
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
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0716 Preparing clinical notes Element