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
▼ 377180 Amedisys Oklahoma, L L C 2503 Se Washington Blvd, Suite 4 Bartlesville OK 6 (Dallas) 07/27/2022 4F223-H1 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
G0462 Before discharge for cause HHA must: Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
▼ 377187 Mays Housecall Home Health Of Antlers, Llc 801 Sw C Street Antlers OK 6 (Dallas) 05/22/2025 663FB-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
G0574 Plan of care must include the following Element
G1012 Required items in clinical record Element
▼ 377187 Mays Housecall Home Health Of Antlers, Llc 801 Sw C Street Antlers OK 6 (Dallas) 07/07/2022 4EFE6-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
G0600 Coordination of Care Standard
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 377187 Mays Housecall Home Health Of Antlers, Llc 801 Sw C Street Antlers OK 6 (Dallas) 07/02/2019 WYB411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0476 Investigation of complaints Standard
G0614 Visit schedule Element
▼ 377193 Healthcare Innovations In-Home Services Of Hugo, Llc 112 West Jackson Street, Suite A Hugo OK 6 (Dallas) 09/21/2022 4F712-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0984 In accordance with current clinical practice Element
▼ 377195 Restore Home Healthcare Of Oklahoma, Llc 4700 W. Urbana Street Broken Arrow OK 6 (Dallas) 04/18/2025 65F17-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
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G1022 Discharge and transfer summaries Element
▼ 377195 Restore Home Healthcare Of Oklahoma, Llc 4700 W. Urbana Street Broken Arrow OK 6 (Dallas) 05/17/2022 4EB4E-H1 Complaint, Focused Infection Control, 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
E0030 Names and Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0644 Program data Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0684 Infection control Standard
G0942 Governing body Standard
G0456 Patient/payer will no longer pay for services Element
G0460 Patient refuses services Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0946 Administrator appointed by governing body Element
G0950 Ensure clinical manager is available Element
G0956 Available during all operating hours Element
G1022 Discharge and transfer summaries Element
▼ 377196 Healthcare Innovations - Travertine Health Services, L.L.C. 209 48th Avenue Nw (Po Box 722228) Norman OK 6 (Dallas) 08/07/2025 1D3B49-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
G0942 Governing body Standard
G0514 RN performs assessment 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
G0984 In accordance with current clinical practice Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 377196 Healthcare Innovations - Travertine Health Services, L.L.C. 209 48th Avenue Nw (Po Box 722228) Norman OK 6 (Dallas) 09/15/2022 4F708-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0454 HHA can no longer meet the patient's needs Element
G0456 Patient/payer will no longer pay for services Element
G0460 Patient refuses services Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 377196 Healthcare Innovations - Travertine Health Services, L.L.C. 209 48th Avenue Nw (Po Box 722228) Norman OK 6 (Dallas) 10/31/2019 6GB911 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0476 Investigation of complaints Standard