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
▼ 369077 Northeast Home Health Services 20600 Chagrin Blvd, Suite 301 Shaker Heights OH 5 (Chicago) 12/08/2025 1DC15F-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Condition of Participation: Patient rights. Condition
G0572 Plan of care Standard
G0478 Investigate complaints made by patient Element
G0484 Document complaint and resolution Element
▼ 369084 Lifeline Homecare Services Llc 5979 East Livingston Avenue, Suite 100 Columbus OH 5 (Chicago) 07/29/2022 4F148-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
▼ 369088 Fairfield Home Health Agency Inc 3174 Mack Road, Unit 6 Fairfield OH 5 (Chicago) 03/08/2023 5F2A2-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
G0590 Promptly alert relevant physician of changes Element
▼ 369088 Fairfield Home Health Agency Inc 3174 Mack Road, Unit 6 Fairfield OH 5 (Chicago) 08/02/2018 WV9Z11 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
G0814 Non-skilled direct observation every 60 days Element
G1012 Required items in clinical record Element
▼ 369090 Chelsea Health Care Llc 4290 Macsway Avenue Columbus OH 5 (Chicago) 04/07/2021 BU2J11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0718 Communication with physicians Element
▼ 369090 Chelsea Health Care Llc 4290 Macsway Avenue Columbus OH 5 (Chicago) 03/18/2021 Z7OH11 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
E0019 Homebound HHA/Hospice Inform EP Officials Standard
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
▼ 369090 Chelsea Health Care Llc 4290 Macsway Avenue Columbus OH 5 (Chicago) 03/05/2018 XLZR11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
▼ 369101 North Care Health Services Llc 6422 East Main Street Suite 201 Reynoldsburg OH 5 (Chicago) 12/02/2021 37FE1-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
▼ 369101 North Care Health Services Llc 6422 East Main Street Suite 201 Reynoldsburg OH 5 (Chicago) 07/09/2020 756L11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0800 Services provided by HH aide Element
▼ 369102 Living Life Homecare Llc 2323 Lake Club Drive, Suite 102 Columbus OH 5 (Chicago) 11/05/2024 64816-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element