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
368456 Aspire Home Health Care Services Llc 306 Reichelderfer Road Cridersville OH 5 (Chicago) 03/31/2023 5F5F0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
368456 Aspire Home Health Care Services Llc 306 Reichelderfer Road Cridersville OH 5 (Chicago) 08/09/2018 LDE211 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
368459 United Patners Group Llc 3515 Springdale Road Cincinnati OH 5 (Chicago) 10/16/2024 64641-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0800 Services provided by HH aide Element
368463 Premier Caregivers Of Northern Ohio Inc 8336 Cleveland Avenue Nw North Canton OH 5 (Chicago) 03/17/2022 38699-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
368463 Premier Caregivers Of Northern Ohio Inc 8336 Cleveland Avenue Nw North Canton OH 5 (Chicago) 08/04/2020 JS1E11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0024 Policies/Procedures-Volunteers and Staffing Standard
G0684 Infection control Standard
G0686 Infection control education Standard
368463 Premier Caregivers Of Northern Ohio Inc 8336 Cleveland Avenue Nw North Canton OH 5 (Chicago) 02/07/2019 TK6611 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
G0818 HH aide supervision elements Element
368466 Providence Nursing Services Inc 4684 Massillon Road North Canton OH 5 (Chicago) 09/24/2020 M0Y111 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
368468 Advance Home Care Llc 1191 South James Road, Upper Floor Columbus OH 5 (Chicago) 11/02/2023 615ED-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0484 Document complaint and resolution Element
368469 Pacific Home Care Llc 4713 West 130th Street Cleveland OH 5 (Chicago) 04/19/2023 5F88B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0036 EP Training and Testing Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0536 A review of all current medications Element
368470 Community Caregivers Of Mahoning County, Llc 725 Boardman Canfield Road, Suite J2 Boardman OH 5 (Chicago) 11/07/2018 TSEN11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element