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
▼ 368258 Maxim Healthcare Services, Inc 8641 Tyler Blvd Mentor OH 5 (Chicago) 03/03/2022 38590-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0478 Investigate complaints made by patient Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
▼ 368258 Maxim Healthcare Services, Inc 8641 Tyler Blvd Mentor OH 5 (Chicago) 02/01/2018 OO3Y11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
▼ 368259 Maxim Healthcare Services, Inc 2291 West Fourth Street, Suite F Ontario OH 5 (Chicago) 09/01/2022 4F553-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0814 Non-skilled direct observation every 60 days Element
▼ 368259 Maxim Healthcare Services, Inc 2291 West Fourth Street, Suite F Ontario OH 5 (Chicago) 03/29/2018 R5YB11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 368265 Enhanced Home Health Care, Llc 700 Morse Road, Suite #206 Columbus OH 5 (Chicago) 03/15/2018 GUSJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0798 Home health aide assignments and duties Standard
G0548 Within 48 hours of the patient's return Element
▼ 368266 Franklin Home Health Care Llc 3055 Cleveland Ave, Suite 100 Columbus OH 5 (Chicago) 03/15/2018 6XPY11 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
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
▼ 368269 St Mary's Medical Center Home Health Services, Llc 520 State Street Proctorville OH 5 (Chicago) 11/01/2023 615E4-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0562 Discharge Planning Standard
▼ 368269 St Mary's Medical Center Home Health Services, Llc 520 State Street Proctorville OH 5 (Chicago) 05/17/2022 38A5C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0726 Nursing services supervised by RN Element
▼ 368269 St Mary's Medical Center Home Health Services, Llc 520 State Street Proctorville OH 5 (Chicago) 02/24/2022 3853D-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0948 Responsible for all day-to-day operations Element
▼ 368270 Alternate Solutions Homecare 10, Llc 4340 Glendale-Milford Road, Suite 100c Blue Ash OH 5 (Chicago) 10/04/2018 BMSY11 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
G0590 Promptly alert relevant physician of changes Element