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
▼ 367167 American Mercy Home Care, Llc 4000 Smith Road, Suite 200 Cincinnati OH 5 (Chicago) 10/08/2020 16RW11 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
▼ 367167 American Mercy Home Care, Llc 4000 Smith Road, Suite 200 Cincinnati OH 5 (Chicago) 04/18/2019 HWVM11 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
▼ 367167 American Mercy Home Care, Llc 4000 Smith Road, Suite 200 Cincinnati OH 5 (Chicago) 07/26/2018 X02511 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 367190 Interim Health Care Of Akron/Canton, Inc 3480 West Market Street, Suite 106 Fairlawn OH 5 (Chicago) 05/03/2018 N4MC11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0800 Services provided by HH aide Element
▼ 367193 A-1 Nursing Care, Llc 2550 Corporate Exchange Drive, Suite 110 Columbus OH 5 (Chicago) 07/07/2022 4EF2D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
▼ 367193 A-1 Nursing Care, Llc 2550 Corporate Exchange Drive, Suite 110 Columbus OH 5 (Chicago) 06/06/2018 0UV611 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0802 Duties of a HH aide Element
▼ 367193 A-1 Nursing Care, Llc 2550 Corporate Exchange Drive, Suite 110 Columbus OH 5 (Chicago) 03/29/2018 ZEJ611 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
E0037 EP Training Program Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
▼ 367204 Chs Of Wintersville, Inc 201 Luray Drive Suite 2a Wintersville OH 5 (Chicago) 10/24/2019 CONQ11 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
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
▼ 367208 Interim Healthcare Of Northwestern Ohio, Inc 3745 Shawnee Road, Suite 108 Lima OH 5 (Chicago) 09/28/2022 4F76C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0716 Preparing clinical notes Element
▼ 367238 Wilson Home Health Care 1081 Fairington Street Sidney OH 5 (Chicago) 02/08/2018 3WTR11 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