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
▼ 369194 Arcadia Home Healthcare Services Llc 1150 Morse Road Suite 211 Columbus OH 5 (Chicago) 06/15/2023 60096-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0536 A review of all current medications Element
G0808 Onsite supervisory visit every 14 days Element
▼ 369197 Dignity Home Health Service Llc 27691 Euclid Avenue, Suite B6 Euclid OH 5 (Chicago) 01/25/2024 61FB3-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
▼ 369200 21st Century Home Health Llc 635 Park Meadow Road Suite 207 Westerville OH 5 (Chicago) 03/03/2022 3848E-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
▼ 369200 21st Century Home Health Llc 635 Park Meadow Road Suite 207 Westerville OH 5 (Chicago) 11/18/2021 37E97-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0972 Report all branch locations to SA Element
▼ 369217 Royal Homecare Agency 1717 Brittain Road Suite 313 Akron OH 5 (Chicago) 09/30/2024 64474-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
▼ 369218 Union First Care Inc 6555 Busch Blvd, Suite 104 Columbus OH 5 (Chicago) 02/01/2024 6209D-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0774 12 hours inservice every 12 months Standard
G0546 Last 5 days of every 60 days unless: Element
G0590 Promptly alert relevant physician of changes Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 369218 Union First Care Inc 6555 Busch Blvd, Suite 104 Columbus OH 5 (Chicago) 03/30/2023 5F629-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0430 Be free from abuse Element
G0436 Receive all services in plan of care Element
▼ 369218 Union First Care Inc 6555 Busch Blvd, Suite 104 Columbus OH 5 (Chicago) 10/31/2022 5D840-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 369218 Union First Care Inc 6555 Busch Blvd, Suite 104 Columbus OH 5 (Chicago) 02/16/2021 4YLB11 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
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0814 Non-skilled direct observation every 60 days Element
▼ 369225 1st Choice Home Health Care, Llc 2505 Washington Blvd Belpre OH 5 (Chicago) 10/27/2020 DTCJ11 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
G0454 HHA can no longer meet the patient's needs Element
G0514 RN performs assessment Element