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
▼ 347215 Mooresville Home Care Services, Llc 142 S Cardigan Way Suite D-1 Mooresville NC 4 (Atlanta) 10/16/2024 64765-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
G0580 Only as ordered by a physician Element
G0808 Onsite supervisory visit every 14 days Element
▼ 347215 Mooresville Home Care Services, Llc 142 S Cardigan Way Suite D-1 Mooresville NC 4 (Atlanta) 04/27/2022 38645-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
G0718 Communication with physicians Element
▼ 347219 Lhcgl Llc 1001 Navaho Drive Suite 150 Raleigh NC 4 (Atlanta) 12/01/2020 6WKS11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0716 Preparing clinical notes Element
▼ 347220 University Health Systems Home Health And Hospice 1005 W H Smith Blvd Po Box 8125 Greenville NC 4 (Atlanta) 04/04/2023 5F766-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1012 Required items in clinical record Element
▼ 347222 Dlp Maria Parham Medical Center, Llc 511 Ruin Creek Rd Suite 103 Henderson NC 4 (Atlanta) 02/05/2020 R5X811 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
G0716 Preparing clinical notes Element
▼ 347223 University Of North Carolina Hospitals At Chapel Hill 1101 Weaver Dairy Rd, Ste 200 Chapel Hill NC 4 (Atlanta) 03/05/2026 1E255A-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
G0590 Promptly alert relevant physician of changes Element
G0604 Integrate all orders Element
G0716 Preparing clinical notes Element
▼ 347223 University Of North Carolina Hospitals At Chapel Hill 1101 Weaver Dairy Rd, Ste 200 Chapel Hill NC 4 (Atlanta) 06/03/2024 6350B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
▼ 347223 University Of North Carolina Hospitals At Chapel Hill 1101 Weaver Dairy Rd, Ste 200 Chapel Hill NC 4 (Atlanta) 02/09/2023 5EFC1-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
G0682 Infection Prevention Standard
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
▼ 347223 University Of North Carolina Hospitals At Chapel Hill 1101 Weaver Dairy Rd, Ste 200 Chapel Hill NC 4 (Atlanta) 01/07/2021 YTBU11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
G0602 Communication with all physicians Element
G0800 Services provided by HH aide Element
▼ 347224 Amedisys North Carolina , Llc 1003 Old Waterford Way, Ste 2d Leland NC 4 (Atlanta) 07/22/2026 237626-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
G0602 Communication with all physicians Element