S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
369007 Sympathy Home Health Care Inc 5333 Northfield Road, Suite 301 Bedford Heights OH 5 (Chicago) 08/12/2021 F6ZN11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
G0750 Home health aide services Condition
G0940 Organization and administration of services Condition
G0768 Competency evaluation Standard
G0484 Document complaint and resolution Element
G0770 Unsatisfactory competency evaluation Element
G0786 Unqualified HH aide providing services Element
G0800 Services provided by HH aide Element
G0948 Responsible for all day-to-day operations Element
369007 Sympathy Home Health Care Inc 5333 Northfield Road, Suite 301 Bedford Heights OH 5 (Chicago) 06/16/2021 X9VN11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
369008 Eh Home Health Of The Midwest, Llc 1575 Corporate Woods Parkway, Suite 200 Uniontown OH 5 (Chicago) 01/17/2019 K66K11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0034 Information on Occupancy/Needs Standard
E0037 EP Training Program Standard
369012 Metro Orthopedic Home Care 2718 Linden Avenue Dayton OH 5 (Chicago) 02/14/2019 XZTE11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0536 A review of all current medications Element
G0808 Onsite supervisory visit every 14 days Element
G0814 Non-skilled direct observation every 60 days Element
369013 Best Choice Home Healthcare Llc 1634 Brice Road Reynoldsburg OH 5 (Chicago) 03/13/2019 B8FH11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
369014 Excellence Home Healthcare Llc 3255 E Livingston Ave, Ste 4 Columbus OH 5 (Chicago) 09/07/2022 4F5A6-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0800 Services provided by HH aide Element
G1012 Required items in clinical record Element
369014 Excellence Home Healthcare Llc 3255 E Livingston Ave, Ste 4 Columbus OH 5 (Chicago) 05/24/2022 4EB5A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0606 Integrate all services Element
369014 Excellence Home Healthcare Llc 3255 E Livingston Ave, Ste 4 Columbus OH 5 (Chicago) 04/13/2022 38849-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
369014 Excellence Home Healthcare Llc 3255 E Livingston Ave, Ste 4 Columbus OH 5 (Chicago) 02/21/2019 DUK411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0606 Integrate all services Element
369016 Accurate Home Healthcare Llc 4745 Cleveland Ave Columbus OH 5 (Chicago) 06/06/2019 OMFV11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0029 Development of Communication Plan Standard
E0037 EP Training Program Standard
G0572 Plan of care Standard
G0416 OASIS privacy notice Element
G0808 Onsite supervisory visit every 14 days Element