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
▼ 367680 Ejq Home Health Care, Inc 800 Middle Avenue Elyria OH 5 (Chicago) 05/08/2019 WRBK11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 367684 Montefiore Home One David N Myers Parkway Beachwood OH 5 (Chicago) 01/16/2018 3F5111 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0122 ORGANIZATION, SERVICES & ADMINISTRATION Condition
G0156 ACCEPTANCE OF PATIENTS, POC, MED SUPER Condition
G0202 HOME HEALTH AIDE SERVICES Condition
G0330 COMPREHENSIVE ASSESSMENT OF PATIENTS Condition
E0036 EP Training and Testing Standard
G0107 EXERCISE OF RIGHTS AND RESPECT FOR PROP Standard
G0123 ORGANIZATION, SERVICES & ADMINISTRATION Standard
G0133 ADMINISTRATOR Standard
G0145 COORDINATION OF PATIENT SERVICES Standard
G0157 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0160 PLAN OF CARE Standard
G0164 PERIODIC REVIEW OF PLAN OF CARE Standard
G0170 SKILLED NURSING SERVICES Standard
G0172 DUTIES OF THE REGISTERED NURSE Standard
G0174 DUTIES OF THE REGISTERED NURSE Standard
G0186 THERAPY SERVICES Standard
G0212 COMPETENCY EVALUATION & IN-SERVICE TRAI Standard
G0224 ASSIGNMENT & DUTIES OF HOME HEALTH AIDE Standard
G0225 ASSIGNMENT & DUTIES OF HOME HEALTH AIDE Standard
G0230 SUPERVISION Standard
G0331 INITIAL ASSESSMENT VISIT Standard
G0332 INITIAL ASSESSMENT VISIT Standard
G0337 DRUG REGIMEN REVIEW Standard
G0339 UPDATE OF THE COMPREHENSIVE ASSESSMENT Standard
▼ 367696 Northeast Professional Home Care, Inc 4580 Stephens Circle Nw, Suite 301 Canton OH 5 (Chicago) 03/23/2023 5F4D8-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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0037 EP Training Program Standard
G0536 A review of all current medications Element
▼ 367696 Northeast Professional Home Care, Inc 4580 Stephens Circle Nw, Suite 301 Canton OH 5 (Chicago) 10/26/2020 QTC811 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0582 Influenza and pneumococcal vaccines Element
▼ 367696 Northeast Professional Home Care, Inc 4580 Stephens Circle Nw, Suite 301 Canton OH 5 (Chicago) 09/24/2020 KJFH11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0478 Investigate complaints made by patient Element
▼ 367723 Parkside Care Corp Ii 1001 Eastwind Dr, Ste 401 Westerville OH 5 (Chicago) 08/15/2019 0PRV11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
▼ 367725 Ember Complete Care Inc 1800 North Water Street Uhrichsville OH 5 (Chicago) 08/02/2018 TXAZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan 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
▼ 367730 Great Lakes Home Health Ohio 1, Llc 3425 Executive Parkway, Suite 206 Toledo OH 5 (Chicago) 09/04/2024 64073-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0442 Written notice for non-covered care Element
▼ 367731 Multicare Health & Educational Services 27691 Euclid Avenue, Suite B1 Euclid OH 5 (Chicago) 11/15/2018 ZIB111 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
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0036 EP Training and Testing Standard
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0808 Onsite supervisory visit every 14 days Element
G0948 Responsible for all day-to-day operations Element
▼ 367733 Quality Care Nursing Services 501 Washington Street, Suite 13 South Point OH 5 (Chicago) 09/26/2024 64651-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0484 Document complaint and resolution Element
G0576 All orders recorded in plan of care Element