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
▼ 367615 Compassus Ohiohealth Columbus Hha Llc 6805 Perimeter Drive, Fl 1, Ste B Dublin OH 5 (Chicago) 05/02/2023 5F9A4-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0710 Provide services in the plan of care Element
▼ 367615 Compassus Ohiohealth Columbus Hha Llc 6805 Perimeter Drive, Fl 1, Ste B Dublin OH 5 (Chicago) 07/19/2021 KC6411 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
▼ 367615 Compassus Ohiohealth Columbus Hha Llc 6805 Perimeter Drive, Fl 1, Ste B Dublin OH 5 (Chicago) 09/11/2018 C8BQ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0808 Onsite supervisory visit every 14 days Element
▼ 367617 King David Home Health Llc 27100 Cedar Road Beachwood OH 5 (Chicago) 05/11/2023 5FC15-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0036 EP Training and Testing Standard
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
▼ 367617 King David Home Health Llc 27100 Cedar Road Beachwood OH 5 (Chicago) 01/27/2021 7ZG711 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 367617 King David Home Health Llc 27100 Cedar Road Beachwood OH 5 (Chicago) 08/16/2018 XJBA11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0037 EP Training Program Standard
G0572 Plan of care Standard
G0550 At discharge Element
▼ 367625 Advanced Home Care Inc 4133 East Main Street Columbus OH 5 (Chicago) 02/03/2021 I8Z711 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
▼ 367639 Pure Health At Home Llc 56 South Oak Street London OH 5 (Chicago) 08/06/2018 WB2W11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 367662 Home Care Skilled Services 13815 Kinsman Avenue Cleveland OH 5 (Chicago) 06/25/2019 TS2311 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
G0546 Last 5 days of every 60 days unless: Element
G0548 Within 48 hours of the patient's return Element
G0718 Communication with physicians Element
▼ 367668 Acclaim Home Health Services, Inc 7566 Central Parke Blvd Mason OH 5 (Chicago) 05/17/2022 38A5A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element