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
▼ 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
▼ 377662 Axxess Home Care, Inc. 206 West Gentry Ave Checotah OK 6 (Dallas) 05/18/2022 4EAF2-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
▼ 377662 Axxess Home Care, Inc. 206 West Gentry Ave Checotah OK 6 (Dallas) 06/06/2019 9L1811 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
G0476 Investigation of complaints Standard
G0658 Performance improvement projects Standard
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
▼ 377663 Healthcre Innovations In-Home Services V, Llc 1234 Merrick Drive, Bldg. B, Suite 3b Ardmore OK 6 (Dallas) 05/03/2022 38A37-H1 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
E0031 Emergency Officials Contact Information Standard
E0039 EP Testing Requirements Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0684 Infection control Standard
G0720 Participate in the HHA's QAPI program; Element
G1022 Discharge and transfer summaries Element
▼ 377664 Lifecare Oklahoma, Inc 2411 Springer Drive, Suite 100 Norman OK 6 (Dallas) 04/16/2025 65F04-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
G0514 RN performs assessment Element
G0576 All orders recorded in plan of care Element
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 377664 Lifecare Oklahoma, Inc 2411 Springer Drive, Suite 100 Norman OK 6 (Dallas) 06/29/2022 4EF67-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0586 Review and revision of the plan of care Standard
G0574 Plan of care must include the following Element
G0716 Preparing clinical notes Element