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
▼ 368322 Ima Care, Inc 5333 Northfield Road, Suite 310 Bedford OH 5 (Chicago) 03/07/2019 JX6M11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0580 Only as ordered by a physician Element
G0800 Services provided by HH aide Element
▼ 368322 Ima Care, Inc 5333 Northfield Road, Suite 310 Bedford OH 5 (Chicago) 09/20/2018 1PGE11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0952 Ensure that HHA employs qualified personnel Element
▼ 368322 Ima Care, Inc 5333 Northfield Road, Suite 310 Bedford OH 5 (Chicago) 08/16/2018 H89G11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0032 Primary/Alternate Means for Communication Standard
▼ 368322 Ima Care, Inc 5333 Northfield Road, Suite 310 Bedford OH 5 (Chicago) 06/26/2018 0Q5511 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0768 Competency evaluation Standard
G0774 12 hours inservice every 12 months Standard
G0946 Administrator appointed by governing body Element
▼ 368326 Assist Home Health Care, Llc 6420 East Main Street, Suite 101 Reynoldsburg OH 5 (Chicago) 03/27/2019 LKXD11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
G0372 Encoding and transmitting OASIS Standard
G0682 Infection Prevention Standard
G0800 Services provided by HH aide Element
▼ 368327 Cambridge Home Health Care, Inc 580 Lincoln Park Blvd, Suite 101 Kettering OH 5 (Chicago) 03/11/2020 N57I11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0808 Onsite supervisory visit every 14 days Element
▼ 368328 Unique Health Care Solutions, Llc 3430 Briarfield Blvd Maumee OH 5 (Chicago) 02/22/2024 623D7-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0682 Infection Prevention Standard
▼ 368328 Unique Health Care Solutions, Llc 3430 Briarfield Blvd Maumee OH 5 (Chicago) 05/24/2022 4EB53-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0430 Be free from abuse Element
G0574 Plan of care must include the following Element
▼ 368329 Covenant Home Health Care Llc 4998 West Broad Street, Suite 102 Columbus OH 5 (Chicago) 01/06/2021 59X711 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 368333 Ash Brothers Home Health Care 635 Park Meadow Road, Suite 115 Westerville OH 5 (Chicago) 03/27/2019 6QXY11 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
G1022 Discharge and transfer summaries Element