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
369018 Millenium Nursing Agency, Ltd 130 Tri County Parkway, Suite 215 Cincinnati OH 5 (Chicago) 11/01/2018 0ZCH11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
369019 Buckeye Home Health Care Services Llc 1150 Morse Road Suite 207 Columbus OH 5 (Chicago) 01/31/2024 6209F-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0608 Coordinate care delivery Element
369019 Buckeye Home Health Care Services Llc 1150 Morse Road Suite 207 Columbus OH 5 (Chicago) 03/20/2019 N76811 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
369021 The Hills At Home Inc 7160 Chagrin Rd, Ste 210 Chagrin Falls OH 5 (Chicago) 09/05/2019 7BH211 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
G0514 RN performs assessment Element
G0580 Only as ordered by a physician Element
G0718 Communication with physicians Element
369025 Universal Medical Staffing Agency 3886 Broadway, Suite B Grove City OH 5 (Chicago) 08/18/2022 4F3D9-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
369025 Universal Medical Staffing Agency 3886 Broadway, Suite B Grove City OH 5 (Chicago) 07/13/2022 4EFD4-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
369025 Universal Medical Staffing Agency 3886 Broadway, Suite B Grove City OH 5 (Chicago) 03/15/2021 JFM911 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
G0574 Plan of care must include the following Element
369025 Universal Medical Staffing Agency 3886 Broadway, Suite B Grove City OH 5 (Chicago) 05/01/2018 76NW11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0806 Supervision of home health aides Standard
G0800 Services provided by HH aide Element
369028 Noor Home Health Care, Llc 2490 Lee Blvd, Suite 110 Cleveland Heights OH 5 (Chicago) 03/02/2020 UXD811 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
369028 Noor Home Health Care, Llc 2490 Lee Blvd, Suite 110 Cleveland Heights OH 5 (Chicago) 12/23/2019 XR4I11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0798 Home health aide assignments and duties Standard
G0478 Investigate complaints made by patient Element
G0814 Non-skilled direct observation every 60 days Element