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
▼ 377682 Mashovin Home Health Care, Inc. 12131 E Skelly Drive Tulsa OK 6 (Dallas) 04/15/2025 65F1A-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
G0656 Improvements are sustained Element
▼ 377682 Mashovin Home Health Care, Inc. 12131 E Skelly Drive Tulsa OK 6 (Dallas) 06/16/2022 4EE28-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
G0660 Executive responsibilities for QAPI Standard
▼ 377682 Mashovin Home Health Care, Inc. 12131 E Skelly Drive Tulsa OK 6 (Dallas) 06/11/2019 RMYC11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
G0644 Program data Standard
G0660 Executive responsibilities for QAPI Standard
G0774 12 hours inservice every 12 months Standard
G0942 Governing body Standard
G0574 Plan of care must include the following Element
G0614 Visit schedule Element
G0808 Onsite supervisory visit every 14 days Element
▼ 377683 Companion Home Health, Llc 1310 E Oklahoma Ave Guthrie OK 6 (Dallas) 06/04/2025 665B1-H1 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
G0414 HHA administrator contact information Element
G0454 HHA can no longer meet the patient's needs 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
▼ 377683 Companion Home Health, Llc 1310 E Oklahoma Ave Guthrie OK 6 (Dallas) 07/13/2022 4F0BC-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
G0600 Coordination of Care Standard
G0646 Program activities Standard
G0942 Governing body Standard
G0462 Before discharge for cause HHA must: Element
G0464 Advise the patient of discharge for cause Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G0720 Participate in the HHA's QAPI program; Element
▼ 377684 Traditions Health Care Of Edmond, Llc 825 S Kelly Avenue, Suite 170 Edmond OK 6 (Dallas) 06/21/2022 4EECE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0600 Coordination of Care Standard
G0644 Program data Standard
G0646 Program activities Standard
G0684 Infection control Standard
G0942 Governing body Standard
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 377684 Traditions Health Care Of Edmond, Llc 825 S Kelly Avenue, Suite 170 Edmond OK 6 (Dallas) 06/21/2019 JNXG11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
▼ 377688 Express Home Help, Llc 1124 Rambling Oaks Drive Norman OK 6 (Dallas) 05/08/2025 66226-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
G0658 Performance improvement projects Standard
G1024 Authentication Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following 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
G1022 Discharge and transfer summaries Element
▼ 377688 Express Home Help, Llc 1124 Rambling Oaks Drive Norman OK 6 (Dallas) 06/30/2022 4EF61-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
▼ 377689 Vialife Corporation 100 S. Rowe Street Pryor OK 6 (Dallas) 01/24/2025 65328-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0464 Advise the patient of discharge for cause Element
G0466 Make efforts to resolve the problem(s) Element
G0468 Provide contact info other services Element
G0574 Plan of care must include the following Element
G0592 Revised plan of care Element