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
▼ 368292 Alternate Solutions Homecare 6, Llc 4700 Duke Drive, Suite 135c Mason OH 5 (Chicago) 01/17/2019 NBNQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0610 Patients receive education and training Element
▼ 368298 Divine Home Health Care Llc 146 Granville Street, Suite A Gahanna OH 5 (Chicago) 10/12/2022 5DDA6-H1 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
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 368298 Divine Home Health Care Llc 146 Granville Street, Suite A Gahanna OH 5 (Chicago) 05/10/2018 V6TU11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
▼ 368300 Spectrum Home Health Care Llc 2800 Euclid Ave Suite 509 Cleveland OH 5 (Chicago) 10/24/2024 6472A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0952 Ensure that HHA employs qualified personnel Element
▼ 368300 Spectrum Home Health Care Llc 2800 Euclid Ave Suite 509 Cleveland OH 5 (Chicago) 03/07/2019 GVPC11 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
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 368301 Perspective Home Care Llc 4752 Fishburg Road, Suite G Huber Heights OH 5 (Chicago) 10/17/2018 CEQV11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
▼ 368302 Grace Fongod 6455 East Livingston Avenue Reynoldsburg OH 5 (Chicago) 04/12/2023 5F821-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 368302 Grace Fongod 6455 East Livingston Avenue Reynoldsburg OH 5 (Chicago) 03/12/2020 JGTE11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
▼ 368302 Grace Fongod 6455 East Livingston Avenue Reynoldsburg OH 5 (Chicago) 06/13/2019 YC6V11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0484 Document complaint and resolution Element
G0574 Plan of care must include the following Element
G0950 Ensure clinical manager is available Element
▼ 368304 A Touch Of Grace Healthcare, Inc 809 Coshocton Avenue, Suite B Mount Vernon OH 5 (Chicago) 04/11/2024 628FE-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0768 Competency evaluation Standard
G0754 A qualified HH aide successfully completed: Element
G0948 Responsible for all day-to-day operations Element