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
▼ 347187 Bayada Home Health Care, Inc. 1605 Westbrook Plaza Drive Suite 401 Winston-Salem NC 4 (Atlanta) 08/25/2021 113EC-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
G0594 Plan of care revisions must be communicated Element
G1012 Required items in clinical record Element
▼ 347187 Bayada Home Health Care, Inc. 1605 Westbrook Plaza Drive Suite 401 Winston-Salem NC 4 (Atlanta) 09/21/2018 N1B911 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
▼ 347190 Pediatric Services Of America 110 Horizon Drive Suite 100 Raleigh NC 4 (Atlanta) 07/17/2019 51T511 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
▼ 347191 Carolinas Medical Center At Home, Llc 853 S Laurel Street Lincolnton NC 4 (Atlanta) 01/15/2025 651B8-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
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G1012 Required items in clinical record Element
▼ 347191 Carolinas Medical Center At Home, Llc 853 S Laurel Street Lincolnton NC 4 (Atlanta) 02/22/2022 3825A-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
G0602 Communication with all physicians Element
G1012 Required items in clinical record Element
▼ 347191 Carolinas Medical Center At Home, Llc 853 S Laurel Street Lincolnton NC 4 (Atlanta) 02/14/2019 X1UB11 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
▼ 347192 Well Care Home Health Of The Triangle, Inc. 5400 Glenwood Avenue Raleigh NC 4 (Atlanta) 08/25/2022 4F491-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0576 All orders recorded in plan of care Element
▼ 347192 Well Care Home Health Of The Triangle, Inc. 5400 Glenwood Avenue Raleigh NC 4 (Atlanta) 07/21/2021 113FE-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0598 Discharge plans communication Element
▼ 347192 Well Care Home Health Of The Triangle, Inc. 5400 Glenwood Avenue Raleigh NC 4 (Atlanta) 11/03/2020 L42O11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0548 Within 48 hours of the patient's return Element
G0596 Revisions communicated to patient and MDs Element
▼ 347192 Well Care Home Health Of The Triangle, Inc. 5400 Glenwood Avenue Raleigh NC 4 (Atlanta) 12/11/2019 9XLP11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G1022 Discharge and transfer summaries Element