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
▼ 368395 Aspen Home Healthcare, Llc 1103 Schrock Road, Suite 310 Columbus OH 5 (Chicago) 03/24/2022 3870B-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
▼ 368395 Aspen Home Healthcare, Llc 1103 Schrock Road, Suite 310 Columbus OH 5 (Chicago) 09/17/2020 OSV211 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
▼ 368397 Liberty Home Health Care Of Ohio, Llc 6161 Busch Blvd, Suite 203 Columbus OH 5 (Chicago) 12/11/2023 61B2B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 368400 Integrity Home Health, Llc 2931 East Dublin Granville Rd Ste 150 Columbus OH 5 (Chicago) 09/09/2021 19667-H1 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
G0814 Non-skilled direct observation every 60 days Element
▼ 368401 Tender Home Care Providers, Llc 950 Taylor Station Road, Suite D Gahanna OH 5 (Chicago) 09/16/2021 196A9-H1 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
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0814 Non-skilled direct observation every 60 days Element
▼ 368402 Above And Beyond Healthcare Services, Llc 4889 Sinclair Road, Suite 105 Columbus OH 5 (Chicago) 01/19/2023 5EC6D-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0952 Ensure that HHA employs qualified personnel Element
G1022 Discharge and transfer summaries Element
▼ 368402 Above And Beyond Healthcare Services, Llc 4889 Sinclair Road, Suite 105 Columbus OH 5 (Chicago) 10/29/2021 37D49-H1 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
E0039 EP Testing Requirements Standard
G0808 Onsite supervisory visit every 14 days Element
▼ 368402 Above And Beyond Healthcare Services, Llc 4889 Sinclair Road, Suite 105 Columbus OH 5 (Chicago) 11/24/2020 8SYD11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0942 Governing body Standard
G0948 Responsible for all day-to-day operations Element
▼ 368402 Above And Beyond Healthcare Services, Llc 4889 Sinclair Road, Suite 105 Columbus OH 5 (Chicago) 08/20/2020 BU1T11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0948 Responsible for all day-to-day operations Element
▼ 368404 State Health Care, Ltd 201 Riverside Drive, Suite 2e Dayton OH 5 (Chicago) 04/06/2022 387D6-H1 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