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
▼ 367761 Heart To Heart Home Health Care 600 East Smith Road, Suite 7 Medina OH 5 (Chicago) 01/31/2019 YZYH11 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
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
▼ 367763 Outreach Home Health Services 12025 Larchmere Blvd Cleveland OH 5 (Chicago) 05/23/2019 IO6011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1028 Protection of records Standard
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
▼ 367766 Helping Hands Healthcare, Inc 9672 Cincinnati-Columbus Road Cincinnati OH 5 (Chicago) 04/19/2022 38884-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0948 Responsible for all day-to-day operations Element
▼ 367770 Jewish Family Service Association 29125 Chagrin Blvd Pepper Pike OH 5 (Chicago) 02/08/2018 05EH11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
▼ 367771 Visiting Nurse Association Of Mid-Ohio 40 West 4th Street Mansfield OH 5 (Chicago) 06/13/2019 WK6811 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0438 Have a confidential clinical record Element
G0462 Before discharge for cause HHA must: Element
G0590 Promptly alert relevant physician of changes Element
▼ 367777 Innovative Senior Care Home Health Of Ohio, Llc 5955 Wilcox Place, Suite B Dublin OH 5 (Chicago) 12/12/2019 TQ3E11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 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
▼ 367778 Alternate Solutions Homecare Of Dayton, Llc 1050 Forrer Blvd, Suite 100 Kettering OH 5 (Chicago) 11/22/2021 37F4C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 367778 Alternate Solutions Homecare Of Dayton, Llc 1050 Forrer Blvd, Suite 100 Kettering OH 5 (Chicago) 04/07/2021 HVIX11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
G0590 Promptly alert relevant physician of changes Element
G0610 Patients receive education and training Element
▼ 367778 Alternate Solutions Homecare Of Dayton, Llc 1050 Forrer Blvd, Suite 100 Kettering OH 5 (Chicago) 08/09/2018 8YRB11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0007 EP Program Patient Population Standard
E0029 Development of Communication Plan Standard
▼ 367784 First Choice Home Health Of Ohio, Inc 2267 Village Mall Drive Ontario OH 5 (Chicago) 10/27/2022 5E0EC-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
E0037 EP Training Program Standard
G0604 Integrate all orders Element