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
▼ 347210 Carolina's Medical Center At Home, Llc 1423 E Franklin Street ,Suite E Monroe NC 4 (Atlanta) 09/24/2025 1D9024-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
▼ 347210 Carolina's Medical Center At Home, Llc 1423 E Franklin Street ,Suite E Monroe NC 4 (Atlanta) 10/05/2022 4F819-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
G0806 Supervision of home health aides Standard
▼ 347210 Carolina's Medical Center At Home, Llc 1423 E Franklin Street ,Suite E Monroe NC 4 (Atlanta) 11/14/2019 USC211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
▼ 347210 Carolina's Medical Center At Home, Llc 1423 E Franklin Street ,Suite E Monroe NC 4 (Atlanta) 05/29/2019 NGNK11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0602 Communication with all physicians Element
▼ 347211 Bayada Home Health Care, Inc. 1313 Carolina Street Greensboro NC 4 (Atlanta) 09/27/2023 60DCA-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
G0536 A review of all current medications Element
G1012 Required items in clinical record Element
▼ 347211 Bayada Home Health Care, Inc. 1313 Carolina Street Greensboro NC 4 (Atlanta) 08/15/2022 4F453-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0602 Communication with all physicians Element
▼ 347211 Bayada Home Health Care, Inc. 1313 Carolina Street Greensboro NC 4 (Atlanta) 06/30/2021 113C4-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
▼ 347211 Bayada Home Health Care, Inc. 1313 Carolina Street Greensboro NC 4 (Atlanta) 07/13/2018 2FHE11 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
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
G0712 Patient, caregiver, and family counseling Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
▼ 347212 Amedisys North Carolina, L.L.C. 1100 South Stratford Road, Suite 531 Winston-Salem NC 4 (Atlanta) 10/25/2023 612D6-H1 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
G0374 Accuracy of encoded OASIS data Standard
G0578 Conformance with physician orders Standard
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
G0602 Communication with all physicians Element
G0716 Preparing clinical notes Element
G1022 Discharge and transfer summaries Element
▼ 347212 Amedisys North Carolina, L.L.C. 1100 South Stratford Road, Suite 531 Winston-Salem NC 4 (Atlanta) 08/19/2021 113EB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0484 Document complaint and resolution 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
G0602 Communication with all physicians Element
G0620 Other pertinent instructions Element
G1012 Required items in clinical record Element