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
▼ 368414 Bzkz Inc 39257 Center Ridge Road North Ridgeville OH 5 (Chicago) 07/11/2022 4EF49-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0590 Promptly alert relevant physician of changes Element
▼ 368414 Bzkz Inc 39257 Center Ridge Road North Ridgeville OH 5 (Chicago) 02/28/2018 7WHG11 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
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
G0572 Plan of care Standard
G0590 Promptly alert relevant physician of changes Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0804 Aides are members of interdisciplinary team Element
▼ 368415 A Plus Home Health Agency Llc 2238 South Hamilton Road, Suite 100 Columbus OH 5 (Chicago) 06/07/2021 D7EE11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 368415 A Plus Home Health Agency Llc 2238 South Hamilton Road, Suite 100 Columbus OH 5 (Chicago) 07/13/2020 5GDD11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0972 Report all branch locations to SA Element
▼ 368415 A Plus Home Health Agency Llc 2238 South Hamilton Road, Suite 100 Columbus OH 5 (Chicago) 02/21/2019 645S11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0814 Non-skilled direct observation every 60 days Element
▼ 368415 A Plus Home Health Agency Llc 2238 South Hamilton Road, Suite 100 Columbus OH 5 (Chicago) 09/18/2018 RYZN11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 368417 Extended Life Home Care, Ltd 1350 West 5th Avenue, Suite 16 And 18 Columbus OH 5 (Chicago) 03/25/2021 CEJR11 Focused Infection Control, Other-Fed, 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
G0574 Plan of care must include the following Element
▼ 368425 Blue Shield Health Care Services, Llc 4889 Sinclair Road, Suite 207 Columbus OH 5 (Chicago) 07/20/2022 4F0AE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0948 Responsible for all day-to-day operations Element
▼ 368432 Reliable Home Health Care, Llc 50 Chestnut Street, Suite 224 Beavercreek OH 5 (Chicago) 08/16/2023 60BC9-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 368432 Reliable Home Health Care, Llc 50 Chestnut Street, Suite 224 Beavercreek OH 5 (Chicago) 08/25/2022 4F463-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
G0852 Information to the state survey agency Standard