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
▼ 368007 Maxim Healthcare Services, Inc 4100 Holiday Avenue Nw, Suite 100 Canton OH 5 (Chicago) 06/12/2019 Q98Z11 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
G0710 Provide services in the plan of care Element
▼ 368012 Triad Home Health Services Llc 2600 Corporate Exchange Drive, Suite 116 Columbus OH 5 (Chicago) 01/10/2019 MGPX11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0808 Onsite supervisory visit every 14 days Element
▼ 368016 Care Connection Of Cincinnati, Llc 4420 Cooper Road, Suite 120 Cincinnati OH 5 (Chicago) 11/05/2020 GM6N11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 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
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
▼ 368016 Care Connection Of Cincinnati, Llc 4420 Cooper Road, Suite 120 Cincinnati OH 5 (Chicago) 07/15/2020 1M6E11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0576 All orders recorded in plan of care Element
▼ 368017 A&D Health Care Professionals, Inc 2555 S Dixie Avenue, Suite 260g Dayton OH 5 (Chicago) 07/13/2023 5F9AD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0800 Services provided by HH aide Element
▼ 368017 A&D Health Care Professionals, Inc 2555 S Dixie Avenue, Suite 260g Dayton OH 5 (Chicago) 07/07/2021 CGYN11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 368017 A&D Health Care Professionals, Inc 2555 S Dixie Avenue, Suite 260g Dayton OH 5 (Chicago) 08/29/2018 HZWB11 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
G0616 Patient medication schedule/instructions Element
▼ 368019 Columbus Global Home Health Services, Inc 3288 Morse Road Columbus OH 5 (Chicago) 08/13/2020 659T11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0570 Care planning, coordination, quality of care Condition
E0024 Policies/Procedures-Volunteers and Staffing Standard
G0518 Completion of the comprehensive assessment Standard
G0572 Plan of care Standard
G0944 Administrator must: Standard
G0430 Be free from abuse Element
G0468 Provide contact info other services Element
G0484 Document complaint and resolution Element
G0580 Only as ordered by a physician Element
G0814 Non-skilled direct observation every 60 days Element
G0972 Report all branch locations to SA Element
▼ 368019 Columbus Global Home Health Services, Inc 3288 Morse Road Columbus OH 5 (Chicago) 02/01/2018 FCZN11 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
E0004 Develop EP Plan, Review and Update Annually Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0021 HHA- Procedures for Follow up Staff/Pts. 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
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0966 Assure patient needs are continually assessed Element
▼ 368021 Serenity Home Health Care Services, Llc 800 Freeway Drive N., Suite #100 Columbus OH 5 (Chicago) 07/30/2024 63A77-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Condition of Participation: Patient rights. Condition
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0478 Investigate complaints made by patient Element
G0484 Document complaint and resolution Element