S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 367448 Chs Of Columbus, Inc 6479 Reflections Drive, Suite 100 Dublin OH 5 (Chicago) 05/23/2019 GT4211 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
▼ 367462 Nationwide Children's Hospital 255 East Main Street Suite 1a Columbus OH 5 (Chicago) 01/09/2020 93NK11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0962 Coordinate patient care Element
▼ 367475 Licking Memorial Hospital Home Care 1865 Tamarack Road, Suite B Newark OH 5 (Chicago) 08/04/2021 3HQI11 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
G0710 Provide services in the plan of care Element
▼ 367481 Central Star Home Health Service 2003 West 4th Street, Suite 116 Ontario OH 5 (Chicago) 05/01/2019 PVBF11 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
G0942 Governing body Standard
▼ 367489 C.B. Thiel & Associates, Inc 125 Putnam Street, Suite 300 Marietta OH 5 (Chicago) 09/21/2021 196AF-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0546 Last 5 days of every 60 days unless: Element
G0550 At discharge Element
G0580 Only as ordered by a physician Element
G1012 Required items in clinical record Element
▼ 367496 Ltc Nursing Services 12333 Ridge Road North Royalton OH 5 (Chicago) 10/09/2019 483311 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0576 All orders recorded in plan of care Element
▼ 367503 Bhc Services, Inc. 6150 Parkland Boulevard, Suite 250 Mayfield Heights OH 5 (Chicago) 07/21/2023 607EB-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 367503 Bhc Services, Inc. 6150 Parkland Boulevard, Suite 250 Mayfield Heights OH 5 (Chicago) 02/28/2019 4GOB11 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
G0728 Rehab services supervised by PT, OT Element
▼ 367503 Bhc Services, Inc. 6150 Parkland Boulevard, Suite 250 Mayfield Heights OH 5 (Chicago) 09/27/2018 MWT611 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0590 Promptly alert relevant physician of changes Element
▼ 367503 Bhc Services, Inc. 6150 Parkland Boulevard, Suite 250 Mayfield Heights OH 5 (Chicago) 07/17/2018 JO8V11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0478 Investigate complaints made by patient Element
G0484 Document complaint and resolution Element
G0486 Protect patient during investigation Element