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
▼ 377202 A Path Of Care Home Health Iv, Llc 1 North Arno, Suite A Coalgate OK 6 (Dallas) 01/11/2022 38325-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G0574 Plan of care must include the following Element
▼ 377204 Stillwater Medical Center Home Health Services 1311 S Western Road Stillwater OK 6 (Dallas) 03/27/2024 62A40-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
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
G1022 Discharge and transfer summaries Element
▼ 377204 Stillwater Medical Center Home Health Services 1311 S Western Road Stillwater OK 6 (Dallas) 05/05/2021 8IXK11 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
G0710 Provide services in the plan of care Element
▼ 377204 Stillwater Medical Center Home Health Services 1311 S Western Road Stillwater OK 6 (Dallas) 07/12/2018 LXKH11 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
G0574 Plan of care must include the following Element
G0818 HH aide supervision elements Element
▼ 377205 Live Well Home Care, Llc 520 W Broadway Ave Ste 201 Broken Arrow OK 6 (Dallas) 04/10/2025 65E0E-H1 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
G0614 Visit schedule Element
▼ 377205 Live Well Home Care, Llc 520 W Broadway Ave Ste 201 Broken Arrow OK 6 (Dallas) 06/09/2022 4ED59-H1 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
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0684 Infection control Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0580 Only as ordered by a physician Element
G0656 Improvements are sustained Element
▼ 377206 Green Country Home Care, Inc 1207 N. Paul Mathis Dr. Poteau OK 6 (Dallas) 02/25/2025 65790-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0030 Names and Contact Information Standard
E0036 EP Training and Testing Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0768 Competency evaluation Standard
G0774 12 hours inservice every 12 months Standard
G0942 Governing body Standard
G0576 All orders recorded in plan of care Element
G0716 Preparing clinical notes Element
G0946 Administrator appointed by governing body Element
G0954 Ensures qualified pre-designated person Element
▼ 377206 Green Country Home Care, Inc 1207 N. Paul Mathis Dr. Poteau OK 6 (Dallas) 05/10/2022 4EA77-H1 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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0030 Names and Contact Information 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
G0456 Patient/payer will no longer pay for services Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 377208 Baptist Healthcare Of Oklahoma, Llc 401 South 3rd Street Enid OK 6 (Dallas) 03/12/2025 65A4C-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
E0039 EP Testing Requirements Standard
G0644 Program data Standard
G0684 Infection control Standard
G0456 Patient/payer will no longer pay for services Element
G0464 Advise the patient of discharge for cause Element
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
▼ 377208 Baptist Healthcare Of Oklahoma, Llc 401 South 3rd Street Enid OK 6 (Dallas) 06/13/2019 RF3111 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
G0586 Review and revision of the plan of care Standard
G0658 Performance improvement projects Standard
G0514 RN performs assessment Element