S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 377171 Five Star Home Health, Inc. 751 N Aspen Ave Broken Arrow OK 6 (Dallas) 01/26/2024 62196-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
▼ 377171 Five Star Home Health, Inc. 751 N Aspen Ave Broken Arrow OK 6 (Dallas) 02/24/2021 JYQJ11 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
G0574 Plan of care must include the following Element
▼ 377171 Five Star Home Health, Inc. 751 N Aspen Ave Broken Arrow OK 6 (Dallas) 03/01/2018 1H6S11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
G0602 Communication with all physicians Element
▼ 377173 Cherokee Nation Home Health Services, Inc. 1630 N Cedar Avenue Tahlequah OK 6 (Dallas) 03/20/2025 65BB0-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
E0030 Names and Contact Information Standard
G0644 Program data Standard
G0684 Infection control Standard
G0456 Patient/payer will no longer pay for services Element
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
G0720 Participate in the HHA's QAPI program; Element
▼ 377174 Woodward Home Care Services, Llc 1403 Main Street Woodward OK 6 (Dallas) 12/19/2023 61CA6-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
▼ 377177 Community Home Health, Inc. 2000 West Blue Starr Drive Claremore OK 6 (Dallas) 04/24/2025 6601D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0602 Communication with all physicians Element
G0614 Visit schedule Element
▼ 377177 Community Home Health, Inc. 2000 West Blue Starr Drive Claremore OK 6 (Dallas) 06/23/2022 4EE3F-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
G0658 Performance improvement projects Standard
G0536 A review of all current medications Element
▼ 377179 Sequoyah County-City Of Sallisaw Hospital Authority 213 East Redwood Sallisaw OK 6 (Dallas) 06/26/2025 668B8-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
G0640 Quality assessment/performance improvement Condition
G0940 Organization and administration of services Condition
E0030 Names and Contact Information Standard
G0642 Program scope Standard
G0644 Program data Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0798 Home health aide assignments and duties Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G0414 HHA administrator contact information Element
G0454 HHA can no longer meet the patient's needs Element
G0456 Patient/payer will no longer pay for services Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0710 Provide services in the plan of care Element
G0720 Participate in the HHA's QAPI program; Element
G0808 Onsite supervisory visit every 14 days Element
G0946 Administrator appointed by governing body Element
G1022 Discharge and transfer summaries Element
▼ 377179 Sequoyah County-City Of Sallisaw Hospital Authority 213 East Redwood Sallisaw OK 6 (Dallas) 08/17/2022 4F2C8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0808 Onsite supervisory visit every 14 days Element
G0946 Administrator appointed by governing body Element
G0954 Ensures qualified pre-designated person Element
▼ 377180 Amedisys Oklahoma, L L C 2503 Se Washington Blvd, Suite 4 Bartlesville OK 6 (Dallas) 06/12/2025 666E8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0514 RN performs assessment Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element
G1014 Interventions and patient response Element