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
▼ 369164 Fairfield Home Care Llc 185 N Brookwood Avenue, Unit 4 Hamilton OH 5 (Chicago) 12/04/2024 64BE7-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
▼ 369169 Ameristar Homehealthcare Llc 5668 Columbus Square Columbus OH 5 (Chicago) 04/05/2022 38694-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
▼ 369174 Shine Home Healthcare Llc 800 Cross Pointe Road, Suite 800e Columbus OH 5 (Chicago) 01/06/2022 38094-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0550 At discharge Element
G0580 Only as ordered by a physician Element
▼ 369177 Advanced Home Care Of Ohio Inc 4841 Monroe Street Suite 240 Toledo OH 5 (Chicago) 04/22/2024 62AD2-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0325 Basis and Scope Condition
G0406 Condition of Participation: Patient rights. Condition
G0454 HHA can no longer meet the patient's needs Element
G0760 Classroom and supervised practical training Element
G0800 Services provided by HH aide Element
▼ 369181 Signal Tree Home Health 2830 Copley Road Suite 26 Copley OH 5 (Chicago) 01/27/2022 3830D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 369186 Assess Homecare Solutions, Llc 4374 Salem Avenue Dayton OH 5 (Chicago) 04/28/2022 3892B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0680 Infection prevention and control Condition
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0580 Only as ordered by a physician Element
▼ 369187 Precious Home Health Care Inc 669 East 200th Street Apt B Euclid OH 5 (Chicago) 01/15/2025 65090-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
G0948 Responsible for all day-to-day operations Element
▼ 369187 Precious Home Health Care Inc 669 East 200th Street Apt B Euclid OH 5 (Chicago) 06/02/2022 4EC0C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0590 Promptly alert relevant physician of changes Element
▼ 369188 Northstar Home Healthcare Llc 1495 Morse Road, Suite 306 Columbus OH 5 (Chicago) 05/12/2022 388DB-H1 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
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 369192 Guardian Angel Health Agency Llc 639 South Hamilton Road Whitehall OH 5 (Chicago) 03/09/2023 5F307-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