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
367134 Ohio Valley Home Health Services, Inc 205 West 6th Street East Liverpool OH 5 (Chicago) 07/25/2018 KPIP11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
367137 Caretenders Vs Of Ohio, Llc 2563 E Main St, Suites E, F, G Lancaster OH 5 (Chicago) 05/05/2021 GPSB11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
367137 Caretenders Vs Of Ohio, Llc 2563 E Main St, Suites E, F, G Lancaster OH 5 (Chicago) 02/04/2021 ZG5Z11 Focused Infection Control, Other-Fed, 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
367141 Carroll County Visiting Nurse Association And Home Health Agency 1029 Countryside Drive Nw Carrollton OH 5 (Chicago) 09/13/2018 IYKN11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0031 Emergency Officials Contact Information Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
367160 Fidelity Nursing Systems 3170 Kettering Boulevard Moraine OH 5 (Chicago) 10/31/2023 615E7-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0548 Within 48 hours of the patient's return Element
367160 Fidelity Nursing Systems 3170 Kettering Boulevard Moraine OH 5 (Chicago) 01/12/2021 LOWL11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
367160 Fidelity Nursing Systems 3170 Kettering Boulevard Moraine OH 5 (Chicago) 01/16/2020 R77111 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
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
367163 Interim Healthcare Of Cincinnati, Inc 8035 Hosbrook Road, Suite 300 Cincinnati OH 5 (Chicago) 12/27/2018 RCTI11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
367164 Interim Healthcare Of Columbus, Inc 300 W Wilson Bridge Rd, Suite 250 Worthington OH 5 (Chicago) 01/17/2024 61EDE-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
367165 Interim Health Care Of Dayton, Inc 5211 Waynetowne Court, Suite C Huber Heights OH 5 (Chicago) 05/26/2021 IZBT11 Focused Infection Control, Other-Fed, 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