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
▼ 369058 Vizion One Inc 6161 Busch Blvd, Suite 180 Columbus OH 5 (Chicago) 05/02/2018 TLHS11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0572 Plan of care Standard
G0808 Onsite supervisory visit every 14 days Element
G0948 Responsible for all day-to-day operations Element
G0974 Direct support and administrative control Element
▼ 369060 Dependable Home Health Care, Llc 510 E North Broadway Street, Suite 310 Columbus OH 5 (Chicago) 09/19/2018 ST9211 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
▼ 369062 Community Behavioral Nursing 2857 Riviera Drive, Suite 202 Fairlawn OH 5 (Chicago) 12/19/2019 Q24911 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
▼ 369063 Icare Health Services Llc 5200 Cleveland Avenue, Suite D Columbus OH 5 (Chicago) 07/30/2024 63B7B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 369066 Immaculate Home Health Care Services Llc 5670 Westbourne Ave Columbus OH 5 (Chicago) 07/31/2025 1D2A15-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
▼ 369067 Alfa Home Healthcare Llc 2586 Tiller Lane Suite 2f Columbus OH 5 (Chicago) 12/13/2023 61B10-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0576 All orders recorded in plan of care Element
G0588 Reviewed, revised by physician every 60 days Element
▼ 369067 Alfa Home Healthcare Llc 2586 Tiller Lane Suite 2f Columbus OH 5 (Chicago) 02/20/2020 7EWN11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0029 Development of Communication Plan Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
▼ 369068 Horizon Home Healthcare Agency Llc 3035 West Broad Street Suite 102 Columbus OH 5 (Chicago) 08/02/2018 U4CJ11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 369071 Christian House Homehealth Ohio, Llc 82 Garfield Avenue East Palestine OH 5 (Chicago) 03/11/2020 D2T411 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
E0017 HHA Comprehensive Assessment in Disaster Standard
E0029 Development of Communication Plan Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
▼ 369073 Confidential Health Services Llc 6555 Busch Blvd, Suite 230 Columbus OH 5 (Chicago) 05/02/2025 65683-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0372 Encoding and transmitting OASIS Standard
G0374 Accuracy of encoded OASIS data Standard
G0452 Transfer and discharge Standard
G0564 Discharge or Transfer Summary Content Standard
G0572 Plan of care Standard
G0658 Performance improvement projects Standard
G0446 Contact info Federal/State-funded entities Element
G0536 A review of all current medications Element
G1022 Discharge and transfer summaries Element