S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
347245 Liberty Home Care, Llc 705 B Wesley Pine Road Lumberton NC 4 (Atlanta) 03/23/2021 U79811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
347245 Liberty Home Care, Llc 705 B Wesley Pine Road Lumberton NC 4 (Atlanta) 03/15/2018 CUBL11 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
G0574 Plan of care must include the following Element
347246 Liberty Home Care, Llc 445 Western Blvd Suite E Jacksonville NC 4 (Atlanta) 03/19/2025 65AC7-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0704 Responsibilities of skilled professionals Standard
G0466 Make efforts to resolve the problem(s) Element
G0580 Only as ordered by a physician Element
G0714 Patient and caregiver education Element
G0716 Preparing clinical notes Element
347246 Liberty Home Care, Llc 445 Western Blvd Suite E Jacksonville NC 4 (Atlanta) 03/23/2022 38253-H1 Complaint, 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
G0708 Development and evaluation of plan of care Element
G0712 Patient, caregiver, and family counseling Element
G1022 Discharge and transfer summaries Element
347247 Liberty Home Care, Llc 1120 Ocean Hwy W Supply NC 4 (Atlanta) 06/04/2025 66406-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
G0574 Plan of care must include the following Element
G1012 Required items in clinical record Element
347247 Liberty Home Care, Llc 1120 Ocean Hwy W Supply NC 4 (Atlanta) 06/28/2022 4EEBD-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
G1012 Required items in clinical record Element
347247 Liberty Home Care, Llc 1120 Ocean Hwy W Supply NC 4 (Atlanta) 11/16/2018 LMT111 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
G0606 Integrate all services Element
347248 Liberty Home Care 46 Mcneill Plaza Whiteville NC 4 (Atlanta) 03/06/2024 62607-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
G0590 Promptly alert relevant physician of changes Element
G1012 Required items in clinical record Element
347248 Liberty Home Care 46 Mcneill Plaza Whiteville NC 4 (Atlanta) 06/30/2021 113DC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
347248 Liberty Home Care 46 Mcneill Plaza Whiteville NC 4 (Atlanta) 06/15/2018 UX9911 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element