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
▼ 368170 Pace Plus Corp 7850 West Central Avenue Toledo OH 5 (Chicago) 10/04/2023 61292-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 368170 Pace Plus Corp 7850 West Central Avenue Toledo OH 5 (Chicago) 02/21/2023 5F005-H1 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
E0007 EP Program Patient Population Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0036 EP Training and Testing Standard
G0982 Skilled services furnished Standard
G0444 State toll free HH telephone hotline Element
▼ 368170 Pace Plus Corp 7850 West Central Avenue Toledo OH 5 (Chicago) 01/20/2021 UBZL11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0708 Development and evaluation of plan of care Element
G1014 Interventions and patient response Element
▼ 368173 Buckeye Home Healthcare, Inc 635 Park Meadow Road, Suite 110 Westerville OH 5 (Chicago) 05/10/2018 4JR611 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
▼ 368175 Spirit Homecare, Inc 8849 Brookside Avenue, Suite 101 West Chester OH 5 (Chicago) 04/19/2024 62ADF-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0576 All orders recorded in plan of care Element
G0610 Patients receive education and training Element
▼ 368175 Spirit Homecare, Inc 8849 Brookside Avenue, Suite 101 West Chester OH 5 (Chicago) 04/14/2023 5F6A5-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
G0940 Organization and administration of services Condition
G0578 Conformance with physician orders Standard
G0958 Clinical manager Standard
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return Element
G0950 Ensure clinical manager is available Element
▼ 368175 Spirit Homecare, Inc 8849 Brookside Avenue, Suite 101 West Chester OH 5 (Chicago) 11/07/2022 5E203-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0548 Within 48 hours of the patient's return Element
▼ 368177 Easton Healthcare Agency, Inc 2021 East Dublin Granville Road, Suite 290 Columbus OH 5 (Chicago) 08/10/2023 60A9C-H1 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
E0030 Names and Contact Information Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G0536 A review of all current medications Element
G0800 Services provided by HH aide Element
▼ 368177 Easton Healthcare Agency, Inc 2021 East Dublin Granville Road, Suite 290 Columbus OH 5 (Chicago) 10/15/2020 FXD511 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
▼ 368181 Healthtrends Of Ohio, Llc 776 Old State Route 74, Suite 425 Cincinnati OH 5 (Chicago) 01/31/2019 PW5G11 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
E0039 EP Testing Requirements Standard