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
▼ 368306 Precious Health Care, Llc 1391 Oakland Park Ave, Suite H Columbus OH 5 (Chicago) 08/06/2020 Y5MI11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
▼ 368306 Precious Health Care, Llc 1391 Oakland Park Ave, Suite H Columbus OH 5 (Chicago) 04/25/2018 V0ED11 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
E0007 EP Program Patient Population Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0029 Development of Communication Plan Standard
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
▼ 368310 Diamond Home Health Care Inc 1150 Morse Road, Suite 300 Columbus OH 5 (Chicago) 04/11/2019 YM6011 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
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0592 Revised plan of care Element
▼ 368313 Professional Home Health Care 2, Inc 2931 East Dublin Granville Road, Suite 140 Columbus OH 5 (Chicago) 01/04/2024 61C4E-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G0608 Coordinate care delivery Element
▼ 368314 Classic Healthcare Services, Llc 1105 Schrock Road, Suite 206 Columbus OH 5 (Chicago) 09/14/2021 2UGU11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0800 Services provided by HH aide Element
▼ 368314 Classic Healthcare Services, Llc 1105 Schrock Road, Suite 206 Columbus OH 5 (Chicago) 02/11/2021 4DWB11 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
G0700 Skilled professional services Condition
E0019 Homebound HHA/Hospice Inform EP Officials Standard
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
▼ 368315 Alliance Healthcare Partners, Llc 5055 North Main Street, Suite 215 Dayton OH 5 (Chicago) 08/22/2019 W3TI11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 368315 Alliance Healthcare Partners, Llc 5055 North Main Street, Suite 215 Dayton OH 5 (Chicago) 05/23/2019 LP8911 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0031 Emergency Officials Contact Information Standard
E0037 EP Training Program Standard
▼ 368318 Autumn Springs Health Care Services, Inc 6422 East Main Street, Suite 202 Reynoldsburg OH 5 (Chicago) 02/21/2019 QRJW11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0031 Emergency Officials Contact Information Standard
E0036 EP Training and Testing Standard
▼ 368319 Ohio Healthcare Plus, Llc 5200 Cleveland Avenue, Suite 1-A Columbus OH 5 (Chicago) 03/14/2019 6PR211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0800 Services provided by HH aide Element