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
▼ 368432 Reliable Home Health Care, Llc 50 Chestnut Street, Suite 224 Beavercreek OH 5 (Chicago) 07/28/2020 F8XF11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0768 Competency evaluation Standard
▼ 368432 Reliable Home Health Care, Llc 50 Chestnut Street, Suite 224 Beavercreek OH 5 (Chicago) 03/22/2018 5QA011 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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0013 Development of EP Policies and Procedures Standard
E0029 Development of Communication Plan Standard
E0036 EP Training and Testing Standard
G0376 Transmittal of OASIS data Standard
G0536 A review of all current medications Element
G0592 Revised plan of care Element
G0814 Non-skilled direct observation every 60 days Element
▼ 368435 Helping Hands Home Care Of Columbus, Llc 5898 Cleveland Avenue, Suite C Columbus OH 5 (Chicago) 05/11/2021 CWHL11 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
G0574 Plan of care must include the following Element
▼ 368437 Supreme Home Healthcare, Llc 5900 Roche Drive, Suite 614 Columbus OH 5 (Chicago) 05/24/2018 GZU111 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0988 Institutional planning Standard
G0574 Plan of care must include the following Element
G0802 Duties of a HH aide Element
G0808 Onsite supervisory visit every 14 days Element
▼ 368440 Eekrisha Home Health Care, Llc 623 Park Meadow Road, Suite B Westerville OH 5 (Chicago) 02/27/2020 L9U211 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0570 Care planning, coordination, quality of care Condition
G0482 Mistreatment, neglect or abuse Element
G0486 Protect patient during investigation Element
G0606 Integrate all services Element
▼ 368440 Eekrisha Home Health Care, Llc 623 Park Meadow Road, Suite B Westerville OH 5 (Chicago) 01/31/2019 EU1N11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0412 Written notice of patient's rights Element
G0432 Make complaints to the HHA Element
G0588 Reviewed, revised by physician every 60 days Element
G0808 Onsite supervisory visit every 14 days Element
G0814 Non-skilled direct observation every 60 days Element
▼ 368440 Eekrisha Home Health Care, Llc 623 Park Meadow Road, Suite B Westerville OH 5 (Chicago) 05/31/2018 LL8611 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
G0750 Home health aide services Condition
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0039 EP Testing Requirements Standard
G0578 Conformance with physician orders Standard
G0798 Home health aide assignments and duties Standard
G0808 Onsite supervisory visit every 14 days Element
G0814 Non-skilled direct observation every 60 days Element
▼ 368442 Columbus Home Health Services, Llc 1150 Morse Road, Suite 101 Columbus OH 5 (Chicago) 02/15/2023 5EFC2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0808 Onsite supervisory visit every 14 days Element
▼ 368442 Columbus Home Health Services, Llc 1150 Morse Road, Suite 101 Columbus OH 5 (Chicago) 07/13/2018 PVZ411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
G0800 Services provided by HH aide Element
▼ 368443 Legacy Home Health Care Services, Llc 1110 Morse Road Suite 216 Columbus OH 5 (Chicago) 04/09/2021 6MK411 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0482 Mistreatment, neglect or abuse Element