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
377670 Mays Housecall Home Health Of Ada, Llc 210 E Main St Ada OK 6 (Dallas) 11/06/2024 64A2E-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
G0590 Promptly alert relevant physician of changes Element
377670 Mays Housecall Home Health Of Ada, Llc 210 E Main St Ada OK 6 (Dallas) 12/16/2021 38119-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
G0590 Promptly alert relevant physician of changes Element
377671 Advantage Home Health And Hospice Llc 20775 292nd Street Poteau OK 6 (Dallas) 12/21/2021 381CC-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
377671 Advantage Home Health And Hospice Llc 20775 292nd Street Poteau OK 6 (Dallas) 12/19/2018 LG9111 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
G0658 Performance improvement projects Standard
G0942 Governing body Standard
377673 Family Care Home Health, Inc 865 East 33rd Street Edmond OK 6 (Dallas) 01/29/2025 6543D-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
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0942 Governing body Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0720 Participate in the HHA's QAPI program; Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
377673 Family Care Home Health, Inc 865 East 33rd Street Edmond OK 6 (Dallas) 03/08/2022 38673-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
G0684 Infection control Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G1022 Discharge and transfer summaries Element
377674 Care Plus Home Health Care, Inc 8030 S Memorial Drive, Suite D-1 Tulsa OK 6 (Dallas) 11/19/2024 64C02-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0428 Property and person treated with respect Element
G0574 Plan of care must include the following Element
G0614 Visit schedule Element
377674 Care Plus Home Health Care, Inc 8030 S Memorial Drive, Suite D-1 Tulsa OK 6 (Dallas) 12/07/2021 3807C-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
G0578 Conformance with physician orders Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0684 Infection control Standard
G0470 Document efforts to resolve problems Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
377675 Impressions Home Health Care Inc 4323 Nw 63rd Street, Suite 232 Oklahoma City OK 6 (Dallas) 01/17/2025 6527B-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
G0658 Performance improvement projects Standard
G0456 Patient/payer will no longer pay for services Element
G0460 Patient refuses services Element
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
377675 Impressions Home Health Care Inc 4323 Nw 63rd Street, Suite 232 Oklahoma City OK 6 (Dallas) 02/18/2022 38569-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
G0684 Infection control Standard
G0574 Plan of care must include the following Element
G0656 Improvements are sustained Element