S&C QCOR HHA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
HHAs 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ 347253 Maxim Healthcare Services 5510 Six Forks Road, Suite 125 Raleigh NC 4 (Atlanta) 01/24/2019 H67611 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0574 Plan of care must include the following Element
▼ 347254 Carolinals Medical Center At Home Llc 101 East W T Harris Blvd, Bldg 5000, Ste 5105 Charlotte NC 4 (Atlanta) 04/09/2025 65E09-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
▼ 347254 Carolinals Medical Center At Home Llc 101 East W T Harris Blvd, Bldg 5000, Ste 5105 Charlotte NC 4 (Atlanta) 05/10/2022 38A62-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
G0536 A review of all current medications Element
G1012 Required items in clinical record Element
▼ 347254 Carolinals Medical Center At Home Llc 101 East W T Harris Blvd, Bldg 5000, Ste 5105 Charlotte NC 4 (Atlanta) 05/01/2019 GQFL11 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
G0710 Provide services in the plan of care Element
▼ 347255 Pruitthealth Home Health, Inc. 509 Olde Waterford Way; Suite 205 Leland NC 4 (Atlanta) 01/09/2024 61E5D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0600 Coordination of Care Standard
G0644 Program data Standard
G0684 Infection control Standard
G0710 Provide services in the plan of care Element
G0966 Assure patient needs are continually assessed Element
▼ 347255 Pruitthealth Home Health, Inc. 509 Olde Waterford Way; Suite 205 Leland NC 4 (Atlanta) 09/22/2021 1963F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 347256 Pruitthealth Home Health, Inc. 900 Old Winston Salem Dr Kernersville NC 4 (Atlanta) 05/20/2026 23372E-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
G0684 Infection control Standard
G0702 Services by skilled professionals Standard
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
▼ 347256 Pruitthealth Home Health, Inc. 900 Old Winston Salem Dr Kernersville NC 4 (Atlanta) 06/07/2023 601B6-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
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
G0714 Patient and caregiver education Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 347256 Pruitthealth Home Health, Inc. 900 Old Winston Salem Dr Kernersville NC 4 (Atlanta) 05/06/2021 R9HF11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1014 Interventions and patient response Element
▼ 347257 Maxim Healthcare Services, Inc. 1300 Baxter Street Suite 455 Charlotte NC 4 (Atlanta) 06/22/2021 113A9-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