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
▼ 347192 Well Care Home Health Of The Triangle, Inc. 5400 Glenwood Avenue Raleigh NC 4 (Atlanta) 08/29/2019 FQQ911 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0600 Coordination of Care Standard
▼ 347192 Well Care Home Health Of The Triangle, Inc. 5400 Glenwood Avenue Raleigh NC 4 (Atlanta) 04/02/2019 V4C211 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0702 Services by skilled professionals Standard
▼ 347192 Well Care Home Health Of The Triangle, Inc. 5400 Glenwood Avenue Raleigh NC 4 (Atlanta) 06/06/2018 2J6111 Complaint
Deficiency Tag Deficiency Description Tag Type
G0710 Provide services in the plan of care Element
▼ 347195 Adventhealth Home Health And Hospice Inc 895 Howard Gap Road Fletcher NC 4 (Atlanta) 09/11/2024 6428E-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
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
G1012 Required items in clinical record Element
▼ 347195 Adventhealth Home Health And Hospice Inc 895 Howard Gap Road Fletcher NC 4 (Atlanta) 03/29/2022 38256-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
G1012 Required items in clinical record Element
▼ 347200 Healthkeeperz Inc 132 Baker Road Archdale NC 4 (Atlanta) 03/21/2018 R8J511 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 347206 Caresouth Hha Holdings Of Lexington, Llc 729 Vineyards Crossing Lexington NC 4 (Atlanta) 08/21/2024 63A6A-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
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0718 Communication with physicians Element
▼ 347206 Caresouth Hha Holdings Of Lexington, Llc 729 Vineyards Crossing Lexington NC 4 (Atlanta) 02/03/2022 380DB-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
G0602 Communication with all physicians Element
G1022 Discharge and transfer summaries Element
▼ 347206 Caresouth Hha Holdings Of Lexington, Llc 729 Vineyards Crossing Lexington NC 4 (Atlanta) 07/02/2021 113D5-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0590 Promptly alert relevant physician of changes Element
▼ 347206 Caresouth Hha Holdings Of Lexington, Llc 729 Vineyards Crossing Lexington NC 4 (Atlanta) 12/21/2018 61M311 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
G0724 Supervise skilled professional assistants Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0718 Communication with physicians Element
G0800 Services provided by HH aide Element