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
▼ 377604 Loving Care In-Home Health Services, L.L.C. 100 Woodbriar Drive Noble OK 6 (Dallas) 07/15/2020 K77Y11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0942 Governing body Standard
▼ 377604 Loving Care In-Home Health Services, L.L.C. 100 Woodbriar Drive Noble OK 6 (Dallas) 10/12/2018 40O811 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
G0808 Onsite supervisory visit every 14 days Element
▼ 377615 Green Country Home Health Care Inc. 2738 East 51st Street, Suite 240 Tulsa OK 6 (Dallas) 03/20/2024 62948-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
G0644 Program data Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0942 Governing body Standard
G0456 Patient/payer will no longer pay for services Element
G0464 Advise the patient of discharge for cause 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
▼ 377615 Green Country Home Health Care Inc. 2738 East 51st Street, Suite 240 Tulsa OK 6 (Dallas) 05/09/2018 35F911 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
G0660 Executive responsibilities for QAPI Standard
G0942 Governing body Standard
G0432 Make complaints to the HHA Element
G0574 Plan of care must include the following Element
G0598 Discharge plans communication Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
▼ 377617 Emberton And Company Home Health, L.L.C. 3801 Nw 63rd St, Bldg 1 Ste 200 Oklahoma City OK 6 (Dallas) 01/31/2024 6225F-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
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0644 Program data Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0942 Governing body Standard
G0988 Institutional planning Standard
G1026 Retention of records Standard
G1030 Retrieval of records Standard
▼ 377617 Emberton And Company Home Health, L.L.C. 3801 Nw 63rd St, Bldg 1 Ste 200 Oklahoma City OK 6 (Dallas) 03/24/2021 2R9S11 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
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0029 Development of Communication Plan Standard
E0039 EP Testing Requirements Standard
G0578 Conformance with physician orders 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
G0686 Infection control education Standard
G0942 Governing body Standard
G0460 Patient refuses services Element
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0598 Discharge plans communication Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
▼ 377617 Emberton And Company Home Health, L.L.C. 3801 Nw 63rd St, Bldg 1 Ste 200 Oklahoma City OK 6 (Dallas) 04/19/2018 X64S11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0942 Governing body Standard
▼ 377619 Baptist Village Retirement Communities Of Oklahoma, Inc. 9700 Mashburn Boulevard Oklahoma City OK 6 (Dallas) 02/08/2022 3849F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0644 Program data Standard
G0574 Plan of care must include the following Element
▼ 377619 Baptist Village Retirement Communities Of Oklahoma, Inc. 9700 Mashburn Boulevard Oklahoma City OK 6 (Dallas) 01/31/2019 GOI711 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0658 Performance improvement projects Standard
G0806 Supervision of home health aides Standard
G1024 Authentication Standard
G0432 Make complaints to the HHA Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0800 Services provided by HH aide Element
G0804 Aides are members of interdisciplinary team Element
▼ 377623 Cornerstone Health Care, Inc. 1409 South Muskogee Avenue, Suite 1 Tahlequah OK 6 (Dallas) 11/18/2025 1DBF08-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
G1008 Clinical records Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
G0644 Program data Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G1026 Retention of records Standard
G1030 Retrieval of records Standard
G1056 Clinical Manager Standard
G0952 Ensure that HHA employs qualified personnel Element
G0954 Ensures qualified pre-designated person Element
G1012 Required items in clinical record Element