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
▼ 368443 Legacy Home Health Care Services, Llc 1110 Morse Road Suite 216 Columbus OH 5 (Chicago) 11/18/2019 QEMQ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0716 Preparing clinical notes Element
▼ 368443 Legacy Home Health Care Services, Llc 1110 Morse Road Suite 216 Columbus OH 5 (Chicago) 02/07/2019 HF9Q11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0536 A review of all current medications Element
G0808 Onsite supervisory visit every 14 days Element
▼ 368447 Hometown Care Llc 2291 Riverfront Parkway, Suite 200 Cuyahoga Falls OH 5 (Chicago) 11/15/2021 37E58-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
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0800 Services provided by HH aide Element
▼ 368449 Medina Home Healthcare Llc 676 Brook Hollow Suite 101 Columbus OH 5 (Chicago) 04/04/2024 629B9-H1 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
E0039 EP Testing Requirements Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0808 Onsite supervisory visit every 14 days Element
▼ 368449 Medina Home Healthcare Llc 676 Brook Hollow Suite 101 Columbus OH 5 (Chicago) 09/13/2018 H8CC11 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
G0808 Onsite supervisory visit every 14 days Element
▼ 368450 Health Home Care Llc 7198 Pippin Road Cincinnati OH 5 (Chicago) 08/01/2018 EZFT11 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
▼ 368451 Trinity Home Health, Llc 2242 South Hamilton Road, Suite 202 Columbus OH 5 (Chicago) 01/24/2023 5EAB8-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
G0808 Onsite supervisory visit every 14 days Element
▼ 368451 Trinity Home Health, Llc 2242 South Hamilton Road, Suite 202 Columbus OH 5 (Chicago) 05/31/2018 4RUH11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0017 HHA Comprehensive Assessment in Disaster Standard
G0710 Provide services in the plan of care Element
▼ 368454 Ems Global Health Care Ltd 6161 Busch Blvd, Suite 305 Columbus OH 5 (Chicago) 09/27/2018 OXHC11 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
▼ 368454 Ems Global Health Care Ltd 6161 Busch Blvd, Suite 305 Columbus OH 5 (Chicago) 07/23/2018 5U7011 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0750 Home health aide services Condition
G0774 12 hours inservice every 12 months Standard
G0590 Promptly alert relevant physician of changes Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element
G0814 Non-skilled direct observation every 60 days Element