S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 368152 Central Ohio Elderly Care, Llc 2615 Dublin Granville Road Columbus OH 5 (Chicago) 03/01/2018 KWU411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0007 EP Program Patient Population Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0032 Primary/Alternate Means for Communication Standard
G0452 Transfer and discharge Standard
▼ 368153 Capital Home Health, Inc 5898 Cleveland Avenue Suite 204 Columbus OH 5 (Chicago) 02/18/2021 THGX11 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
E0019 Homebound HHA/Hospice Inform EP Officials Standard
▼ 368155 Cambridge Home Health Care, Inc 2291 West 4th Street, Suite E Ontario OH 5 (Chicago) 11/29/2018 DPV711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
▼ 368156 Divine Home Care Of Ohio, Llc 904 North Cable Road Lima OH 5 (Chicago) 10/19/2022 5DFE3-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0522 Eligibility for Medicare home health benefit Element
G0814 Non-skilled direct observation every 60 days Element
▼ 368156 Divine Home Care Of Ohio, Llc 904 North Cable Road Lima OH 5 (Chicago) 01/31/2019 JCY311 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0430 Be free from abuse Element
G0948 Responsible for all day-to-day operations Element
▼ 368156 Divine Home Care Of Ohio, Llc 904 North Cable Road Lima OH 5 (Chicago) 01/11/2018 LUDU11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0179 DUTIES OF THE LICENSED PRACTICAL NURSE Standard
G0230 SUPERVISION Standard
▼ 368157 Home Care Network 731 East Main Street, Suite 18a Jackson OH 5 (Chicago) 01/19/2022 3825D-H1 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
▼ 368161 Plus Management Services Inc 3737 Shawnee Road Lima OH 5 (Chicago) 03/29/2018 FL2211 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
▼ 368164 Central Ohio Health Care Systems, Llc 3303 Sullivant Avenue Columbus OH 5 (Chicago) 10/25/2022 5DE04-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
G0710 Provide services in the plan of care Element
▼ 368164 Central Ohio Health Care Systems, Llc 3303 Sullivant Avenue Columbus OH 5 (Chicago) 05/03/2018 TLR711 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