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
▼ 017112 Jackson Medical Center, Llc 3004 N College Avenue Jackson AL 4 (Atlanta) 06/02/2022 4ECD4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G0536 A review of all current medications Element
▼ 017112 Jackson Medical Center, Llc 3004 N College Avenue Jackson AL 4 (Atlanta) 08/23/2018 R2IW11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0718 Communication with physicians Element
G0800 Services provided by HH aide Element
▼ 017115 Gadsden Home Care Services, Llc 300 Medical Center Drive, Suite 102 Gadsden AL 4 (Atlanta) 08/27/2025 1D4F13-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G1024 Authentication Standard
G0580 Only as ordered by a physician Element
▼ 017115 Gadsden Home Care Services, Llc 300 Medical Center Drive, Suite 102 Gadsden AL 4 (Atlanta) 03/18/2021 RI1711 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
G0682 Infection Prevention Standard
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0592 Revised plan of care Element
G1014 Interventions and patient response Element
▼ 017116 Ivy Creek Of Elmore Llc 500 Hospital Drive Wetumpka AL 4 (Atlanta) 06/27/2019 LHNX11 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
G0586 Review and revision of the plan of care Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0714 Patient and caregiver education Element
G0800 Services provided by HH aide Element
▼ 017117 Ivy Creek Of Tallapoosa, Llc 729 East South Street Dadeville AL 4 (Atlanta) 04/17/2025 65EAB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G1024 Authentication Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 017117 Ivy Creek Of Tallapoosa, Llc 729 East South Street Dadeville AL 4 (Atlanta) 05/19/2022 4EB67-H1 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
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0536 A review of all current medications Element
G0598 Discharge plans communication Element
G0714 Patient and caregiver education Element
G0802 Duties of a HH aide Element
G1022 Discharge and transfer summaries Element
▼ 017117 Ivy Creek Of Tallapoosa, Llc 729 East South Street Dadeville AL 4 (Atlanta) 08/15/2018 ADV311 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0750 Home health aide services Condition
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0702 Services by skilled professionals Standard
G0774 12 hours inservice every 12 months Standard
G0798 Home health aide assignments and duties Standard
G1028 Protection of records Standard
G0444 State toll free HH telephone hotline Element
G0534 Patient's needs Element
G0536 A review of all current medications Element
G0548 Within 48 hours of the patient's return Element
G0590 Promptly alert relevant physician of changes Element
G0598 Discharge plans communication Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0776 Inservice training supervised by RN Element
G0808 Onsite supervisory visit every 14 days Element
G0826 Ensure training/competency requirements Element
G0984 In accordance with current clinical practice Element
▼ 017118 Amedisys Hh, A Lawrence Medical Center Partner, Llc 14765 Court Street Moulton AL 4 (Atlanta) 10/06/2022 5DDB4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 017118 Amedisys Hh, A Lawrence Medical Center Partner, Llc 14765 Court Street Moulton AL 4 (Atlanta) 05/09/2019 FOK911 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
G0654 Track adverse patient events Standard
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0608 Coordinate care delivery Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0716 Preparing clinical notes Element
G0800 Services provided by HH aide Element