S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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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
377657 At Home In Oklahoma, Inc. 1409 South Muskogee Avenue, Suite 2 Tahlequah OK 6 (Dallas) 05/02/2018 BGID11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0452 Transfer and discharge Standard
G0608 Coordinate care delivery Element
377658 Interim Healthcare, Inc 3613 Nw 56th Street, Suite 385 Oklahoma City OK 6 (Dallas) 12/14/2023 61C7B-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
G0564 Discharge or Transfer Summary Content Standard
G0572 Plan of care Standard
G0414 HHA administrator contact information Element
G0456 Patient/payer will no longer pay for services Element
G0550 At discharge Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
377658 Interim Healthcare, Inc 3613 Nw 56th Street, Suite 385 Oklahoma City OK 6 (Dallas) 08/24/2021 6GUV11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0644 Program data Standard
G0576 All orders recorded in plan of care Element
G0590 Promptly alert relevant physician of changes Element
377658 Interim Healthcare, Inc 3613 Nw 56th Street, Suite 385 Oklahoma City OK 6 (Dallas) 01/07/2021 HGXD11 Complaint, 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
G0512 Standard: Initial assessment visit. Standard
G0578 Conformance with physician orders Standard
G0600 Coordination of Care Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
377658 Interim Healthcare, Inc 3613 Nw 56th Street, Suite 385 Oklahoma City OK 6 (Dallas) 01/11/2018 P62811 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0185 THERAPY SERVICES Standard
G0186 THERAPY SERVICES Standard
G0225 ASSIGNMENT & DUTIES OF HOME HEALTH AIDE Standard
G0229 SUPERVISION Standard
377659 Health Watch Health Care Of Sw Oklahoma Llc 910 Sw 38th Street, Ste A Lawton OK 6 (Dallas) 11/02/2023 616B4-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
G1010 Contents of clinical record Standard
377659 Health Watch Health Care Of Sw Oklahoma Llc 910 Sw 38th Street, Ste A Lawton OK 6 (Dallas) 10/20/2020 PXW711 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G0800 Services provided by HH aide Element
377660 Indian Territory Home Health And Hospice Ii, Llc 7205 West Gore Blvd, Ste. B Lawton OK 6 (Dallas) 04/11/2024 62C7E-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
G0580 Only as ordered by a physician Element
G1014 Interventions and patient response Element
377660 Indian Territory Home Health And Hospice Ii, Llc 7205 West Gore Blvd, Ste. B Lawton OK 6 (Dallas) 04/29/2021 FLDZ11 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
G0600 Coordination of Care Standard
G0942 Governing body Standard
G0602 Communication with all physicians Element
G0716 Preparing clinical notes Element
377661 Traditions Health Care Of Idabel, Llc 900 Se Washington Street Idabel OK 6 (Dallas) 02/09/2022 3849B-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