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
▼ 347249 Liberty Healthcare Group, Llc 4155 Ferncreek Drive Fayetteville NC 4 (Atlanta) 06/11/2024 63541-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0562 Discharge Planning Standard
▼ 347249 Liberty Healthcare Group, Llc 4155 Ferncreek Drive Fayetteville NC 4 (Atlanta) 11/29/2023 5F7B2-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
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
▼ 347251 Pruitthealth Home Health,Inc 513 East Whitaker Mill Road Raleigh NC 4 (Atlanta) 04/29/2026 22D99D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0704 Responsibilities of skilled professionals Standard
G0412 Written notice of patient's rights Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
G0726 Nursing services supervised by RN Element
▼ 347251 Pruitthealth Home Health,Inc 513 East Whitaker Mill Road Raleigh NC 4 (Atlanta) 10/31/2023 5F7B0-H3 Recertification
Deficiency Tag Deficiency Description Tag Type
G0590 Promptly alert relevant physician of changes Element
▼ 347251 Pruitthealth Home Health,Inc 513 East Whitaker Mill Road Raleigh NC 4 (Atlanta) 05/03/2023 5F7B0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0716 Preparing clinical notes Element
▼ 347251 Pruitthealth Home Health,Inc 513 East Whitaker Mill Road Raleigh NC 4 (Atlanta) 04/06/2021 TCBX11 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
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
▼ 347251 Pruitthealth Home Health,Inc 513 East Whitaker Mill Road Raleigh NC 4 (Atlanta) 01/06/2021 XFXM11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
▼ 347252 Amedisys North Carolina , Llc 369 Hwy 13 S Unit C Snow Hill NC 4 (Atlanta) 06/09/2025 66551-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0704 Responsibilities of skilled professionals Standard
G1072 Registered Nurse Standard
▼ 347252 Amedisys North Carolina , Llc 369 Hwy 13 S Unit C Snow Hill NC 4 (Atlanta) 07/15/2020 GZ1A11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
G0576 All orders recorded in plan of care Element
G0706 Interdisciplinary assessment of the patient Element
G0714 Patient and caregiver education Element
G0718 Communication with physicians Element
▼ 347252 Amedisys North Carolina , Llc 369 Hwy 13 S Unit C Snow Hill NC 4 (Atlanta) 02/07/2019 EN2911 Complaint
Deficiency Tag Deficiency Description Tag Type
G0442 Written notice for non-covered care Element
G0478 Investigate complaints made by patient Element