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
▼ 368116 Premierfirst Home Healthcare, Inc 3033 Sullivant Avenue Columbus OH 5 (Chicago) 03/21/2019 YJ4V11 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
G0814 Non-skilled direct observation every 60 days Element
▼ 368120 Ultimate Home Healthcare Services, Inc 7656 Slate Ridge Blvd Reynoldsburg OH 5 (Chicago) 03/06/2019 60DD11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0706 Interdisciplinary assessment of the patient Element
G0800 Services provided by HH aide Element
▼ 368120 Ultimate Home Healthcare Services, Inc 7656 Slate Ridge Blvd Reynoldsburg OH 5 (Chicago) 12/05/2018 KFDX11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
▼ 368122 Enhanced Rehabilitation Services, Inc 8279 Mayfield Road, Unit 10 Chesterland OH 5 (Chicago) 05/21/2021 G7E511 Focused Infection Control, Other-Fed, 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
G0710 Provide services in the plan of care Element
▼ 368125 Comfort Healthcare, Llc 8310 Detroit Avenue Cleveland OH 5 (Chicago) 12/30/2020 YYKR11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 368128 Rx Home Healthcare, Inc 2020 Carnegie Avenue Cleveland OH 5 (Chicago) 02/11/2021 WFT811 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 368130 A & L Home Care And Training Center, Llc 6129 County Road 107 Proctorville OH 5 (Chicago) 10/12/2021 1971F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0972 Report all branch locations to SA Element
▼ 368131 Alternate Solutions Home Care Of Cincinnati, Llc 4700 Duke Drive, Suite 135a Mason OH 5 (Chicago) 08/10/2018 DDH311 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0600 Coordination of Care Standard
G0434 Participate in care Element
G0480 Treatment or care Element
▼ 368132 Interim Healthcare Of Se Ohio, Inc 121 East Main Street Saint Clairsville OH 5 (Chicago) 09/30/2021 19701-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0514 RN performs assessment Element
▼ 368133 Sacred Arms, Inc 8600 Glenwood Avenue, Suite 140 Boardman OH 5 (Chicago) 07/15/2019 RIEH11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0412 Written notice of patient's rights Element
G0436 Receive all services in plan of care Element
G0454 HHA can no longer meet the patient's needs Element