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
▼ 377161 Adair County Health Center, Inc. 1401 West Locust Street Stilwell OK 6 (Dallas) 03/02/2022 38649-H1 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
G0642 Program scope Standard
G0644 Program data Standard
G0684 Infection control Standard
G0574 Plan of care must include the following Element
▼ 377162 Traditions Health Care Of Stigler, Llc 401 W. Main Street Stigler OK 6 (Dallas) 11/08/2023 616F9-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
G0682 Infection Prevention Standard
G0862 Laboratory services/CLIA waivers Standard
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 377162 Traditions Health Care Of Stigler, Llc 401 W. Main Street Stigler OK 6 (Dallas) 10/30/2020 6RWW11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0600 Coordination of Care Standard
G0442 Written notice for non-covered care Element
▼ 377166 Share Home Health Llc 806 East Main Stigler OK 6 (Dallas) 02/14/2024 623D0-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
G0578 Conformance with physician orders Standard
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
▼ 377166 Share Home Health Llc 806 East Main Stigler OK 6 (Dallas) 03/17/2021 KUHR11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0658 Performance improvement projects Standard
G0684 Infection control Standard
G1024 Authentication Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G1022 Discharge and transfer summaries Element
▼ 377166 Share Home Health Llc 806 East Main Stigler OK 6 (Dallas) 03/28/2018 9ZUJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0606 Integrate all services Element
G0710 Provide services in the plan of care Element
▼ 377167 Fairview Home Health, Llc 1025 W Cherry Avenue Enid OK 6 (Dallas) 11/08/2023 617D7-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
G0578 Conformance with physician orders Standard
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
▼ 377167 Fairview Home Health, Llc 1025 W Cherry Avenue Enid OK 6 (Dallas) 10/22/2020 03VF11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0658 Performance improvement projects Standard
▼ 377169 Mays Housecall Home Health Of Southeast Ok, Llc 2101 Se Washington Idabel OK 6 (Dallas) 03/27/2025 65C48-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0456 Patient/payer will no longer pay for services Element
G0514 RN performs assessment Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
▼ 377169 Mays Housecall Home Health Of Southeast Ok, Llc 2101 Se Washington Idabel OK 6 (Dallas) 05/11/2022 38A4A-H1 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
G0966 Assure patient needs are continually assessed Element