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
▼ 369145 A Touch Of Heaven Home Health Care Llc 1061 Oregonia Road Lebanon OH 5 (Chicago) 10/09/2019 WVHI11 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
E0039 EP Testing Requirements Standard
G0518 Completion of the comprehensive assessment Standard
G0774 12 hours inservice every 12 months Standard
G0602 Communication with all physicians Element
G0948 Responsible for all day-to-day operations Element
G1022 Discharge and transfer summaries Element
▼ 369149 Right Care Solutions Llc 1515 Bethel Road Suite 304 Columbus OH 5 (Chicago) 09/05/2019 FSTT11 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
▼ 369150 House Of Heaven Health Care 6161 Busch Blvd Suite 122 Columbus OH 5 (Chicago) 08/06/2024 63B87-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0942 Governing body Standard
G0958 Clinical manager Standard
G0946 Administrator appointed by governing body Element
G0950 Ensure clinical manager is available Element
G0954 Ensures qualified pre-designated person Element
▼ 369152 Jennings Center For Older Adults 10204 Granger Road Garfield Heights OH 5 (Chicago) 11/14/2019 ADKJ11 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
G0536 A review of all current medications Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
▼ 369155 New Life Home Care Llc 1415 East Dublin Granville Road Suite 207 Columbus OH 5 (Chicago) 11/02/2020 F72R11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 369156 Wise Medical Staffing Inc 6 Health Drive Chillicothe OH 5 (Chicago) 12/26/2024 64EE4-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0486 Protect patient during investigation Element
▼ 369162 Home Sweet Home Ace Care Llc 26250 Euclid Avenue Suite 523 Euclid OH 5 (Chicago) 05/29/2024 632E9-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0572 Plan of care Standard
G0798 Home health aide assignments and duties Standard
G0442 Written notice for non-covered care Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G1022 Discharge and transfer summaries Element
▼ 369162 Home Sweet Home Ace Care Llc 26250 Euclid Avenue Suite 523 Euclid OH 5 (Chicago) 02/17/2021 4HSF11 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
G0572 Plan of care Standard
G0774 12 hours inservice every 12 months Standard
G0710 Provide services in the plan of care Element
G0754 A qualified HH aide successfully completed: Element
G0800 Services provided by HH aide Element
G0814 Non-skilled direct observation every 60 days Element
▼ 369162 Home Sweet Home Ace Care Llc 26250 Euclid Avenue Suite 523 Euclid OH 5 (Chicago) 08/13/2020 7VFK11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0024 Policies/Procedures-Volunteers and Staffing Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0484 Document complaint and resolution Element
▼ 369163 Reliable And Holistic Homecare Services Llc 132 Dorchester Sq S, Suite 200 Westerville OH 5 (Chicago) 09/15/2022 4F349-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
G0687 COVID-19 Vaccination of Home Health Agency staff Standard