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
▼ 368083 National Church Residences At Home, Inc 807 Western Avenue Chillicothe OH 5 (Chicago) 07/25/2019 YNOH11 Recertification
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
G0376 Transmittal of OASIS data Standard
G0682 Infection Prevention Standard
G0514 RN performs assessment Element
▼ 368087 Home Health Connection, Inc 3062 Columbus Lancaster Rd Nw Lancaster OH 5 (Chicago) 06/02/2022 386B6-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0424 Exercise of rights Standard
G0434 Participate in care Element
▼ 368088 Horizon Health Services, Llc 13001 Cedar Road Cleveland Heights OH 5 (Chicago) 10/14/2021 19743-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1030 Retrieval of records Standard
G0434 Participate in care Element
▼ 368088 Horizon Health Services, Llc 13001 Cedar Road Cleveland Heights OH 5 (Chicago) 03/10/2021 BUKJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0468 Provide contact info other services Element
G0800 Services provided by HH aide Element
▼ 368088 Horizon Health Services, Llc 13001 Cedar Road Cleveland Heights OH 5 (Chicago) 02/28/2019 CUWR11 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
▼ 368093 Capital Homecare, Inc 4641 Leap Court Hilliard OH 5 (Chicago) 02/15/2018 6K2X11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0578 Conformance with physician orders Standard
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
▼ 368094 Cardinal Home Healthcare Solutions, Inc. 2248 Losantiville Avenue Cincinnati OH 5 (Chicago) 07/29/2022 4F14D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0536 A review of all current medications Element
▼ 368099 Nationwide Home Healthcare, Llc 610 Taylor Station Road, Suite B Gahanna OH 5 (Chicago) 02/07/2019 44RB11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
▼ 368100 Better Home Care Services, Inc 733 East Dublin Granville Road, Suite 100 Columbus OH 5 (Chicago) 09/09/2019 OHXR11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0948 Responsible for all day-to-day operations Element
▼ 368102 Pure Health Care, Llc 1960 Bethel Road, Ste 250 Columbus OH 5 (Chicago) 01/15/2020 F9K011 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
E0039 EP Testing Requirements Standard