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
367519 Abc Health Care Inc 1605 Holland Road, Suite A1 Maumee OH 5 (Chicago) 03/06/2025 65680-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0546 Last 5 days of every 60 days unless: Element
G0550 At discharge Element
G0808 Onsite supervisory visit every 14 days Element
367519 Abc Health Care Inc 1605 Holland Road, Suite A1 Maumee OH 5 (Chicago) 07/09/2020 0M6R11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0686 Infection control education Standard
367519 Abc Health Care Inc 1605 Holland Road, Suite A1 Maumee OH 5 (Chicago) 05/22/2019 QXMF11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G0572 Plan of care Standard
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0808 Onsite supervisory visit every 14 days Element
367542 A 1 Nursing Care Of Cleveland, Inc 2060 South Taylor Road, Suite 101 Cleveland Heights OH 5 (Chicago) 08/12/2021 28M311 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
G0814 Non-skilled direct observation every 60 days Element
367543 Clovvr 1566 Monmouth Street, Suite 201 Lancaster OH 5 (Chicago) 11/29/2018 KQG411 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0518 Completion of the comprehensive assessment Standard
G0572 Plan of care Standard
G0410 Information to patient Element
G0808 Onsite supervisory visit every 14 days Element
367543 Clovvr 1566 Monmouth Street, Suite 201 Lancaster OH 5 (Chicago) 04/03/2018 SQTM11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
G0710 Provide services in the plan of care Element
367547 Ohio Living Holdings 83 North Miller Road, Suite 101 Fairlawn OH 5 (Chicago) 09/29/2022 4F761-H1 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
367547 Ohio Living Holdings 83 North Miller Road, Suite 101 Fairlawn OH 5 (Chicago) 03/15/2018 XJF511 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0704 Responsibilities of skilled professionals Standard
G0550 At discharge Element
367548 Caretenders Of Cleveland, Inc 2604 Hubbard Road Madison OH 5 (Chicago) 06/14/2021 WNPU11 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
G0940 Organization and administration of services Condition
G0572 Plan of care Standard
G0974 Direct support and administrative control Element
367548 Caretenders Of Cleveland, Inc 2604 Hubbard Road Madison OH 5 (Chicago) 04/30/2021 D1EM11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
G0590 Promptly alert relevant physician of changes Element