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
▼ 368344 Healthy Life Home Healthcare, Llc 5454 Cleveland Avenue, Suite 202 Columbus OH 5 (Chicago) 05/30/2019 UFTP11 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
E0029 Development of Communication Plan Standard
E0037 EP Training Program Standard
G0536 A review of all current medications Element
G0606 Integrate all services Element
▼ 368344 Healthy Life Home Healthcare, Llc 5454 Cleveland Avenue, Suite 202 Columbus OH 5 (Chicago) 05/30/2018 Z42T11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
G0484 Document complaint and resolution Element
G0800 Services provided by HH aide Element
▼ 368345 Progressive Health Care Services Inc 2852 Boudinot Avenue, Suite 202 Cincinnati OH 5 (Chicago) 06/20/2019 RHYP11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0616 Patient medication schedule/instructions Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
G0814 Non-skilled direct observation every 60 days Element
▼ 368346 Optima Home Health Services, Llc 5979 East Livingston Avenue, Suite 107 Columbus OH 5 (Chicago) 08/07/2023 60A3F-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0548 Within 48 hours of the patient's return Element
G0604 Integrate all orders Element
▼ 368350 Carolina Ventures Llc 2600 North Reynolds Road, Suite 101a Toledo OH 5 (Chicago) 12/30/2019 GF2N11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0438 Have a confidential clinical record Element
▼ 368355 Afinity Healthcare Solutions, Llc 630 Northland Blvd, Suite B Cincinnati OH 5 (Chicago) 05/04/2023 5FB8B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 368355 Afinity Healthcare Solutions, Llc 630 Northland Blvd, Suite B Cincinnati OH 5 (Chicago) 02/22/2023 5F157-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0820 HH aide services under arrangement Element
▼ 368357 Incare Home Health, Northern Ohio 600 East Smith Road Medina OH 5 (Chicago) 02/20/2025 655B6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0580 Only as ordered by a physician Element
G0598 Discharge plans communication Element
G1014 Interventions and patient response Element
▼ 368362 Med1care, Llc 116 South Main Street Findlay OH 5 (Chicago) 01/03/2024 61D08-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 368362 Med1care, Llc 116 South Main Street Findlay OH 5 (Chicago) 12/09/2022 5E7DA-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard