S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
367548 Caretenders Of Cleveland, Inc 2604 Hubbard Road Madison OH 5 (Chicago) 09/01/2020 GB5D11 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
G0608 Coordinate care delivery Element
367548 Caretenders Of Cleveland, Inc 2604 Hubbard Road Madison OH 5 (Chicago) 07/23/2020 LCO211 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0800 Services provided by HH aide Element
367548 Caretenders Of Cleveland, Inc 2604 Hubbard Road Madison OH 5 (Chicago) 01/23/2020 K9KE11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
367548 Caretenders Of Cleveland, Inc 2604 Hubbard Road Madison OH 5 (Chicago) 06/13/2019 9QK611 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
367548 Caretenders Of Cleveland, Inc 2604 Hubbard Road Madison OH 5 (Chicago) 01/03/2018 Z22H11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
367551 Ohio Living Holdings 6715 Tippecanoe, Building E, Suite 201 Canfield OH 5 (Chicago) 02/01/2018 EVUW11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0033 Methods for Sharing Information Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
367562 American Nursing Care, Inc 137 S Prospect Street, Suite 200 Marion OH 5 (Chicago) 12/05/2019 KIMN11 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
G0808 Onsite supervisory visit every 14 days Element
367564 Ohio Living Holdings 36500 Euclid Ave, Suite 152 Willoughby OH 5 (Chicago) 03/13/2019 OL9N11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0514 RN performs assessment Element
367564 Ohio Living Holdings 36500 Euclid Ave, Suite 152 Willoughby OH 5 (Chicago) 05/10/2018 8RVP11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0512 Standard: Initial assessment visit. Standard
367566 At Home With Loving Care, Inc 3480 West Market Street, Suite 305 Fairlawn OH 5 (Chicago) 10/17/2019 HE6211 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
G0578 Conformance with physician orders Standard