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
▼ 377090 Mcalester Regional Health Center Authority 901 E Van Buren Mcalester OK 6 (Dallas) 10/06/2021 NF6C11 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
G0642 Program scope Standard
G0644 Program data Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0942 Governing body Standard
G0536 A review of all current medications Element
G0728 Rehab services supervised by PT, OT Element
G1022 Discharge and transfer summaries Element
▼ 377107 Saint Francis Hospital, Inc. 6600 S Yale Ave, Ste 200 Tulsa OK 6 (Dallas) 02/25/2025 657BA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0564 Discharge or Transfer Summary Content Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 377107 Saint Francis Hospital, Inc. 6600 S Yale Ave, Ste 200 Tulsa OK 6 (Dallas) 04/26/2022 389DF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0030 Names and Contact Information Standard
G0642 Program scope Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0684 Infection control Standard
G0702 Services by skilled professionals Standard
G0942 Governing body Standard
G0580 Only as ordered by a physician Element
G0720 Participate in the HHA's QAPI program; Element
G1022 Discharge and transfer summaries Element
▼ 377121 Mercy Hospital Ardmore, Inc. 1210 Merrick Drive Ardmore OK 6 (Dallas) 11/07/2023 617F2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0030 Names and Contact Information Standard
G0564 Discharge or Transfer Summary Content Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0684 Infection control Standard
G0456 Patient/payer will no longer pay for services Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 377121 Mercy Hospital Ardmore, Inc. 1210 Merrick Drive Ardmore OK 6 (Dallas) 11/05/2020 GIE311 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0658 Performance improvement projects Standard
G0808 Onsite supervisory visit every 14 days Element
▼ 377126 Innovative Senior Care Of Home Health Of Tulsa, Llc 1621 South Eucalyptus Avenue, Suite 102 Broken Arrow OK 6 (Dallas) 12/30/2025 1DFFC6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
G0602 Communication with all physicians Element
G0614 Visit schedule Element
▼ 377126 Innovative Senior Care Of Home Health Of Tulsa, Llc 1621 South Eucalyptus Avenue, Suite 102 Broken Arrow OK 6 (Dallas) 10/27/2022 5E246-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0646 Program activities Standard
G0456 Patient/payer will no longer pay for services Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0720 Participate in the HHA's QAPI program; Element
G1022 Discharge and transfer summaries Element
▼ 377137 Jackson County Memorial Hospital Authority 1204 E Tamarack Road Altus OK 6 (Dallas) 03/14/2024 6286F-H1 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
G0592 Revised plan of care Element
▼ 377137 Jackson County Memorial Hospital Authority 1204 E Tamarack Road Altus OK 6 (Dallas) 04/13/2021 IEQV11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
G0602 Communication with all physicians Element
▼ 377137 Jackson County Memorial Hospital Authority 1204 E Tamarack Road Altus OK 6 (Dallas) 06/14/2018 WSV511 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element