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
▼ 367784 First Choice Home Health Of Ohio, Inc 2267 Village Mall Drive Ontario OH 5 (Chicago) 03/28/2019 CSIY11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0462 Before discharge for cause HHA must: Element
▼ 367784 First Choice Home Health Of Ohio, Inc 2267 Village Mall Drive Ontario OH 5 (Chicago) 04/19/2018 DOIA11 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
E0007 EP Program Patient Population Standard
E0029 Development of Communication Plan Standard
G0574 Plan of care must include the following Element
▼ 367784 First Choice Home Health Of Ohio, Inc 2267 Village Mall Drive Ontario OH 5 (Chicago) 02/26/2018 V9YX11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 367785 Gem City Home Care, Llc 8534 Yankee Street, Suite 2a Dayton OH 5 (Chicago) 09/13/2022 4F602-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
▼ 367785 Gem City Home Care, Llc 8534 Yankee Street, Suite 2a Dayton OH 5 (Chicago) 08/17/2020 9SDE11 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
G0480 Treatment or care Element
▼ 367785 Gem City Home Care, Llc 8534 Yankee Street, Suite 2a Dayton OH 5 (Chicago) 06/06/2019 00E411 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 367785 Gem City Home Care, Llc 8534 Yankee Street, Suite 2a Dayton OH 5 (Chicago) 10/12/2018 8L6511 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0462 Before discharge for cause HHA must: Element
▼ 367785 Gem City Home Care, Llc 8534 Yankee Street, Suite 2a Dayton OH 5 (Chicago) 06/05/2018 5QNC11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0548 Within 48 hours of the patient's return Element
G0590 Promptly alert relevant physician of changes Element
▼ 367786 Wellcare Home Health, Inc 1020 Woodman Drive, Suite 210 Dayton OH 5 (Chicago) 12/12/2023 61AF5-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 367786 Wellcare Home Health, Inc 1020 Woodman Drive, Suite 210 Dayton OH 5 (Chicago) 09/23/2021 196E5-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element