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
▼ 347257 Maxim Healthcare Services, Inc. 1300 Baxter Street Suite 455 Charlotte NC 4 (Atlanta) 02/21/2018 BMS711 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 347300 Centerwell Certified Healthcare Corp 1985 Tate Blvd Se ,Ste 304 Hickory NC 4 (Atlanta) 02/23/2022 385DD-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
G0710 Provide services in the plan of care Element
▼ 347300 Centerwell Certified Healthcare Corp 1985 Tate Blvd Se ,Ste 304 Hickory NC 4 (Atlanta) 03/10/2021 FCEV11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
▼ 347300 Centerwell Certified Healthcare Corp 1985 Tate Blvd Se ,Ste 304 Hickory NC 4 (Atlanta) 09/04/2019 57VQ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
▼ 347300 Centerwell Certified Healthcare Corp 1985 Tate Blvd Se ,Ste 304 Hickory NC 4 (Atlanta) 01/18/2018 9QHY11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 347306 Liberty Home Care 105 Hunt Valley Drive Dunn NC 4 (Atlanta) 01/24/2024 62034-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0654 Track adverse patient events Standard
G0682 Infection Prevention Standard
G0462 Before discharge for cause HHA must: Element
G0488 Immediate reporting of abuse by all staff Element
G0574 Plan of care must include the following Element
G0706 Interdisciplinary assessment of the patient Element
▼ 347306 Liberty Home Care 105 Hunt Valley Drive Dunn NC 4 (Atlanta) 08/11/2021 19638-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
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
G1012 Required items in clinical record Element
▼ 347307 Liberty Home Care Ii, Llc 146 Stanback Ferry Ice Plant Road Wadesboro NC 4 (Atlanta) 12/03/2025 1DE20E-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
G0574 Plan of care must include the following Element
G0716 Preparing clinical notes Element
G0800 Services provided by HH aide Element
▼ 347307 Liberty Home Care Ii, Llc 146 Stanback Ferry Ice Plant Road Wadesboro NC 4 (Atlanta) 12/06/2022 5DE62-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
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
▼ 347307 Liberty Home Care Ii, Llc 146 Stanback Ferry Ice Plant Road Wadesboro NC 4 (Atlanta) 03/13/2020 1DVI11 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
G0704 Responsibilities of skilled professionals Standard
G0464 Advise the patient of discharge for cause 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