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
▼ 377468 Country Style Health Care, Inc 156 South El Paso Y Ketchum OK 6 (Dallas) 11/17/2021 37F59-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
▼ 377472 Harmon County Health Care Authority 502 E. Chestnut Street Hollis OK 6 (Dallas) 03/02/2023 5F2D7-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
G0680 Infection prevention and control Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
G0578 Conformance with physician orders Standard
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0574 Plan of care must include the following Element
G0608 Coordinate care delivery Element
G0648 High risk, high volume, or problem-prone area Element
G0656 Improvements are sustained Element
▼ 377472 Harmon County Health Care Authority 502 E. Chestnut Street Hollis OK 6 (Dallas) 03/12/2020 MPMO11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0036 EP Training and Testing Standard
G0572 Plan of care Standard
G0586 Review and revision of the plan of care Standard
G0612 Written instructions to patient include: Standard
G0642 Program scope Standard
G0644 Program data Standard
G0654 Track adverse patient events Standard
G0658 Performance improvement projects Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0852 Information to the state survey agency Standard
G0942 Governing body Standard
G0988 Institutional planning Standard
G1052 Administrator Standard
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0648 High risk, high volume, or problem-prone area Element
G0946 Administrator appointed by governing body Element
G0948 Responsible for all day-to-day operations Element
G0952 Ensure that HHA employs qualified personnel Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
G1016 Goals in the patient's plans of care Element
▼ 377478 Carter Healthcare Of Central Oklahoma, Llc 7725 West Reno Ave., Ste 332 Oklahoma City OK 6 (Dallas) 12/05/2024 64DA9-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
G0464 Advise the patient of discharge for cause 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
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 377478 Carter Healthcare Of Central Oklahoma, Llc 7725 West Reno Ave., Ste 332 Oklahoma City OK 6 (Dallas) 01/05/2022 3822C-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
G0656 Improvements are sustained Element
▼ 377483 David's Health Center, Inc 202 North Main Street Fort Towson OK 6 (Dallas) 01/17/2019 0GLF12 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
▼ 377487 Sunshine Home Care, Inc 417 East Tamarack, Suite C Altus OK 6 (Dallas) 07/23/2025 1D2213-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
G0658 Performance improvement projects Standard
G0942 Governing body Standard
G0454 HHA can no longer meet the patient's needs Element
G0456 Patient/payer will no longer pay for services Element
G0808 Onsite supervisory visit every 14 days Element
▼ 377497 Magna Home Health Care, Inc 4271 W Albany St. Broken Arrow OK 6 (Dallas) 02/08/2024 6243F-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
▼ 377497 Magna Home Health Care, Inc 4271 W Albany St. Broken Arrow OK 6 (Dallas) 03/10/2021 453L11 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
G0578 Conformance with physician orders Standard
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0648 High risk, high volume, or problem-prone area Element
G0656 Improvements are sustained Element
G1012 Required items in clinical record Element
▼ 377497 Magna Home Health Care, Inc 4271 W Albany St. Broken Arrow OK 6 (Dallas) 03/28/2018 X91L11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element