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
▼ 368051 Xcel Healthcare Providers, Inc 1991 Lee Road Cleveland Heights OH 5 (Chicago) 05/31/2022 4EB56-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
E0001 Establishment of the Emergency Program (EP) Condition
▼ 368051 Xcel Healthcare Providers, Inc 1991 Lee Road Cleveland Heights OH 5 (Chicago) 10/19/2021 19774-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
▼ 368051 Xcel Healthcare Providers, Inc 1991 Lee Road Cleveland Heights OH 5 (Chicago) 11/12/2020 COY711 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0818 HH aide supervision elements Element
▼ 368051 Xcel Healthcare Providers, Inc 1991 Lee Road Cleveland Heights OH 5 (Chicago) 02/22/2018 SOG511 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0546 Last 5 days of every 60 days unless: Element
G0580 Only as ordered by a physician Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G0814 Non-skilled direct observation every 60 days Element
▼ 368052 Caring Hearts Home Health Services, Inc 5969 East Livingston Avenue, Suite 110 Columbus OH 5 (Chicago) 02/13/2024 6209A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 368052 Caring Hearts Home Health Services, Inc 5969 East Livingston Avenue, Suite 110 Columbus OH 5 (Chicago) 12/18/2023 61AF3-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0602 Communication with all physicians Element
G0948 Responsible for all day-to-day operations Element
▼ 368052 Caring Hearts Home Health Services, Inc 5969 East Livingston Avenue, Suite 110 Columbus OH 5 (Chicago) 10/04/2022 5DD15-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 368052 Caring Hearts Home Health Services, Inc 5969 East Livingston Avenue, Suite 110 Columbus OH 5 (Chicago) 08/15/2018 N0TG11 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
E0013 Development of EP Policies and Procedures Standard
E0031 Emergency Officials Contact Information Standard
E0036 EP Training and Testing Standard
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0798 Home health aide assignments and duties Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
▼ 368059 Advantage Skilled Care, Llc 4292 Old Scioto Trail Portsmouth OH 5 (Chicago) 10/25/2018 QJ4G11 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
▼ 368062 Continental Home Health Care, Inc 5898 Cleveland Avenue, Suite A Columbus OH 5 (Chicago) 06/27/2024 63682-H1 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
G0974 Direct support and administrative control Element