S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
368404 State Health Care, Ltd 201 Riverside Drive, Suite 2e Dayton OH 5 (Chicago) 06/20/2019 NZZY11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0548 Within 48 hours of the patient's return Element
368404 State Health Care, Ltd 201 Riverside Drive, Suite 2e Dayton OH 5 (Chicago) 01/18/2018 VG0L11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0716 Preparing clinical notes Element
368405 Dhulmar Health Care Services, Llc 4889 Sinclair Road, Suite 110 Columbus OH 5 (Chicago) 07/18/2019 HO7611 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
E0013 Development of EP Policies and Procedures Standard
E0032 Primary/Alternate Means for Communication Standard
G0572 Plan of care Standard
G0612 Written instructions to patient include: Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0974 Direct support and administrative control Element
368406 Patriot Homecare, Inc 986 Tibbetts-Wick Road Girard OH 5 (Chicago) 10/23/2024 64729-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
368407 Home Health Of Defiance, Llc 1440 South Byrne Road, Suite 1 Toledo OH 5 (Chicago) 05/22/2025 662F8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0325 Basis and Scope Condition
E0039 EP Testing Requirements Standard
368410 All Nation Home Healthcare, Llc 6555 Busch Blvd, Suite 250 Columbus OH 5 (Chicago) 11/29/2023 61877-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0754 A qualified HH aide successfully completed: Element
G0800 Services provided by HH aide Element
G0948 Responsible for all day-to-day operations Element
368410 All Nation Home Healthcare, Llc 6555 Busch Blvd, Suite 250 Columbus OH 5 (Chicago) 09/19/2023 61060-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0800 Services provided by HH aide Element
368410 All Nation Home Healthcare, Llc 6555 Busch Blvd, Suite 250 Columbus OH 5 (Chicago) 09/21/2021 196CD-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0800 Services provided by HH aide Element
368410 All Nation Home Healthcare, Llc 6555 Busch Blvd, Suite 250 Columbus OH 5 (Chicago) 07/25/2019 CY0K11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0716 Preparing clinical notes Element
G0800 Services provided by HH aide Element
G0972 Report all branch locations to SA Element
368410 All Nation Home Healthcare, Llc 6555 Busch Blvd, Suite 250 Columbus OH 5 (Chicago) 03/29/2018 JE1Q11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element