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
▼ 368272 Marimart Health Care Plus Llc 208 West Johnstown Road Gahanna OH 5 (Chicago) 01/26/2021 56GT11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0478 Investigate complaints made by patient Element
▼ 368276 Diversified Health Management, Inc. 2691 East Main Street, Suite Be25 Bexley OH 5 (Chicago) 07/31/2024 63961-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Condition of Participation: Patient rights. Condition
G0478 Investigate complaints made by patient Element
G0484 Document complaint and resolution Element
▼ 368280 Alternate Solutions Homecare, Llc 2021 North Mccord Road Toledo OH 5 (Chicago) 02/12/2025 65485-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0808 Onsite supervisory visit every 14 days Element
▼ 368280 Alternate Solutions Homecare, Llc 2021 North Mccord Road Toledo OH 5 (Chicago) 01/04/2019 GT4V11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
▼ 368282 Joseph O. Boschulte 2242 S Hamilton Rd, Suite 201 Columbus OH 5 (Chicago) 01/28/2019 F50Y11 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
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 368285 A Caring Healthcare Llc 2021 East Dublin Granville Road, Suite 228 Columbus OH 5 (Chicago) 12/12/2018 LHJP11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0036 EP Training and Testing Standard
G1024 Authentication Standard
G0808 Onsite supervisory visit every 14 days Element
▼ 368287 Family Focus Home Health, Llc 950 Taylor Station, Suite D Gahanna OH 5 (Chicago) 08/11/2020 KGHG11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G1024 Authentication Standard
▼ 368290 Baby Boomers Home Health Care, Llc 2999 East Dublin Granville Road, Suite 304 Columbus OH 5 (Chicago) 02/25/2021 T9ZQ11 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
G0684 Infection control Standard
▼ 368290 Baby Boomers Home Health Care, Llc 2999 East Dublin Granville Road, Suite 304 Columbus OH 5 (Chicago) 11/20/2019 WXZF11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 368290 Baby Boomers Home Health Care, Llc 2999 East Dublin Granville Road, Suite 304 Columbus OH 5 (Chicago) 08/08/2019 TX1011 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0774 12 hours inservice every 12 months Standard
G0942 Governing body 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