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
▼ 368199 Amara Home Healthcare Services, Inc 4320 Mayfield Road, Suite 110a Cleveland OH 5 (Chicago) 05/17/2018 HWX911 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 368201 Ambassador Home Health Services, Llc 6434 East Main Street, Suite 205 Reynoldsburg OH 5 (Chicago) 03/24/2021 Y4N911 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
G0572 Plan of care Standard
G1024 Authentication Standard
G0548 Within 48 hours of the patient's return Element
G0580 Only as ordered by a physician Element
▼ 368201 Ambassador Home Health Services, Llc 6434 East Main Street, Suite 205 Reynoldsburg OH 5 (Chicago) 10/06/2020 ZN8N11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 368203 Sun Home Health Care At Columbus, Inc 893 North High Street, Suite K Worthington OH 5 (Chicago) 02/22/2023 5F0C3-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
▼ 368203 Sun Home Health Care At Columbus, Inc 893 North High Street, Suite K Worthington OH 5 (Chicago) 06/28/2018 ME8O11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0029 Development of Communication Plan Standard
E0036 EP Training and Testing Standard
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
G0814 Non-skilled direct observation every 60 days Element
G0968 Assure implementation of plan of care Element
▼ 368208 Homeland Health Services, Llc 1395 East Dublin Granville Road, Suite 200 Columbus OH 5 (Chicago) 03/07/2019 1O4D11 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
G0862 Laboratory services/CLIA waivers Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0718 Communication with physicians Element
G0808 Onsite supervisory visit every 14 days Element
▼ 368211 Alta Home Health Care, Llc 904 South Hamilton Road Columbus OH 5 (Chicago) 08/15/2024 63E81-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 368211 Alta Home Health Care, Llc 904 South Hamilton Road Columbus OH 5 (Chicago) 04/24/2019 HTPM11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0029 Development of Communication Plan Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
▼ 368211 Alta Home Health Care, Llc 904 South Hamilton Road Columbus OH 5 (Chicago) 03/05/2019 6GN511 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
▼ 368213 Diamond Home Care Llc 2238 S Hamilton Road, Suite 102 Columbus OH 5 (Chicago) 01/30/2019 X83N11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0548 Within 48 hours of the patient's return Element
G0590 Promptly alert relevant physician of changes Element