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
▼ 377630 Rainbow Home Health, Inc 400 Sw C Street, Suite B Antlers OK 6 (Dallas) 05/29/2025 6646C-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
▼ 377630 Rainbow Home Health, Inc 400 Sw C Street, Suite B Antlers OK 6 (Dallas) 07/26/2022 4F16A-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
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
▼ 377631 Country Style Health Care, Inc X 1317 North 16th Ave Durant OK 6 (Dallas) 10/17/2023 61448-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
G0460 Patient refuses services Element
G0464 Advise the patient of discharge for cause Element
G0580 Only as ordered by a physician Element
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element
▼ 377632 Country Style Health Care, Inc. Ix 822 North Main Street Muskogee OK 6 (Dallas) 04/29/2025 66119-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
G0614 Visit schedule Element
G0808 Onsite supervisory visit every 14 days Element
▼ 377632 Country Style Health Care, Inc. Ix 822 North Main Street Muskogee OK 6 (Dallas) 08/27/2019 ZA3811 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
G0578 Conformance with physician orders Standard
G0586 Review and revision of the plan of care Standard
G0590 Promptly alert relevant physician of changes Element
G0614 Visit schedule Element
G0950 Ensure clinical manager is available Element
▼ 377633 Healthcare Innovations Of Oklahoma, Llc 301 E. Jackson Street, Suite A Hugo OK 6 (Dallas) 06/04/2025 66546-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
G0372 Encoding and transmitting OASIS Standard
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 377633 Healthcare Innovations Of Oklahoma, Llc 301 E. Jackson Street, Suite A Hugo OK 6 (Dallas) 07/28/2022 4F16B-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
G0808 Onsite supervisory visit every 14 days Element
▼ 377636 Carter Healthcare Of Southwest Oklahoma, Llc 5366 Nw Cache Road, Suite 2 Lawton OK 6 (Dallas) 05/16/2024 63202-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
G0658 Performance improvement projects Standard
G0942 Governing body Standard
G0710 Provide services in the plan of care Element
▼ 377636 Carter Healthcare Of Southwest Oklahoma, Llc 5366 Nw Cache Road, Suite 2 Lawton OK 6 (Dallas) 05/26/2021 B76Z11 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
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
G0942 Governing body Standard
G0442 Written notice for non-covered care Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 377636 Carter Healthcare Of Southwest Oklahoma, Llc 5366 Nw Cache Road, Suite 2 Lawton OK 6 (Dallas) 07/19/2018 S55O11 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