S&C QCOR HHA 2567s
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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
▼ 369126 Kayland Partners 12927 Stonecreek Dr, Suite E Pickerington OH 5 (Chicago) 08/25/2020 F1ZP11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0808 Onsite supervisory visit every 14 days Element
G0814 Non-skilled direct observation every 60 days Element
▼ 369126 Kayland Partners 12927 Stonecreek Dr, Suite E Pickerington OH 5 (Chicago) 10/12/2018 X7CR11 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
G0710 Provide services in the plan of care Element
▼ 369128 Gentle Hands Care Agency,Llc The 1487 Madison Avenue Columbus OH 5 (Chicago) 02/07/2024 62099-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0454 HHA can no longer meet the patient's needs Element
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0580 Only as ordered by a physician Element
▼ 369128 Gentle Hands Care Agency,Llc The 1487 Madison Avenue Columbus OH 5 (Chicago) 02/27/2020 9VBD11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0520 5 calendar days after start of care Element
▼ 369128 Gentle Hands Care Agency,Llc The 1487 Madison Avenue Columbus OH 5 (Chicago) 09/27/2018 MZ5511 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0750 Home health aide services Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0031 Emergency Officials Contact Information Standard
E0033 Methods for Sharing Information Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
G0768 Competency evaluation Standard
G0774 12 hours inservice every 12 months Standard
G0574 Plan of care must include the following Element
G0814 Non-skilled direct observation every 60 days Element
▼ 369130 Franklove Home Health Services Llc 2323 Lake Club Drive, Suite 300 Columbus OH 5 (Chicago) 07/19/2021 ZW4R11 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
E0004 Develop EP Plan, Review and Update Annually Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element
G0814 Non-skilled direct observation every 60 days Element
G0950 Ensure clinical manager is available Element
▼ 369131 Carestaff Ohio Home Health Services Llc 19 West Main Street New Lebanon OH 5 (Chicago) 09/01/2022 4F515-H1 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
G0942 Governing body Standard
G0948 Responsible for all day-to-day operations Element
▼ 369131 Carestaff Ohio Home Health Services Llc 19 West Main Street New Lebanon OH 5 (Chicago) 12/19/2018 5YT511 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
▼ 369134 Toledo Home Health Services Llc 5810 Southwyck Blvd Suite 203c Toledo OH 5 (Chicago) 01/06/2023 5EA34-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 369134 Toledo Home Health Services Llc 5810 Southwyck Blvd Suite 203c Toledo OH 5 (Chicago) 12/03/2019 8SRC11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0608 Coordinate care delivery Element