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
▼ 368362 Med1care, Llc 116 South Main Street Findlay OH 5 (Chicago) 05/05/2022 389C9-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1010 Contents of clinical record Standard
G0590 Promptly alert relevant physician of changes Element
▼ 368362 Med1care, Llc 116 South Main Street Findlay OH 5 (Chicago) 08/06/2020 MJJF11 Complaint, Focused Infection Control, Other-Fed
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) 02/08/2018 Q6ER11 Complaint, 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
▼ 368363 Frontier Health Care Services, Llc 1642 Brice Road Reynoldsburg OH 5 (Chicago) 07/30/2024 63B85-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
▼ 368363 Frontier Health Care Services, Llc 1642 Brice Road Reynoldsburg OH 5 (Chicago) 04/04/2022 38797-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
▼ 368363 Frontier Health Care Services, Llc 1642 Brice Road Reynoldsburg OH 5 (Chicago) 01/08/2020 04Z911 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
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0032 Primary/Alternate Means for Communication Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
▼ 368366 Maxim Healthcare Services Inc 96 Integrity Drive, Suite A Hebron OH 5 (Chicago) 02/05/2024 621AD-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0462 Before discharge for cause HHA must: Element
▼ 368367 Kings And Queens Home Health Care, Llc 3331 E Livingston Ave Columbus OH 5 (Chicago) 05/21/2019 HD7N11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0808 Onsite supervisory visit every 14 days Element
▼ 368367 Kings And Queens Home Health Care, Llc 3331 E Livingston Ave Columbus OH 5 (Chicago) 02/21/2019 Y9LB11 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
G0572 Plan of care Standard
G0706 Interdisciplinary assessment of the patient Element
▼ 368370 Ohio First Home Healthcare, Inc 1213 Tennessee Ave, Suite 100 Cincinnati OH 5 (Chicago) 09/30/2022 5DCEF-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0750 Home health aide services Condition
G0702 Services by skilled professionals Standard
G0514 RN performs assessment Element
G0800 Services provided by HH aide Element
G0804 Aides are members of interdisciplinary team Element