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
▼ 377690 Ross Home Health Of Chickasha, Llc 328 South 29th Street, Suite 320 Chickasha OK 6 (Dallas) 12/03/2025 1DD55C-H1 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
G0704 Responsibilities of skilled professionals Standard
G0534 Patient's needs Element
G0580 Only as ordered by a physician Element
G0608 Coordinate care delivery Element
▼ 377690 Ross Home Health Of Chickasha, Llc 328 South 29th Street, Suite 320 Chickasha OK 6 (Dallas) 11/01/2022 5E2FC-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
G0600 Coordination of Care Standard
G0574 Plan of care must include the following Element
▼ 377690 Ross Home Health Of Chickasha, Llc 328 South 29th Street, Suite 320 Chickasha OK 6 (Dallas) 04/08/2019 BWMO11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0432 Make complaints to the HHA Element
▼ 377691 Mays Housecall Home Health Of Tulsa, Llc 8205 E Regal Court, Suite 107-108 Tulsa OK 6 (Dallas) 12/04/2025 1DDB87-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
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
G0716 Preparing clinical notes Element
G1014 Interventions and patient response Element
▼ 377691 Mays Housecall Home Health Of Tulsa, Llc 8205 E Regal Court, Suite 107-108 Tulsa OK 6 (Dallas) 11/16/2022 5E4D7-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
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0808 Onsite supervisory visit every 14 days Element
▼ 377692 Carter Healthcare Of Oklahoma, Llc 702 N. Wilson Vinita OK 6 (Dallas) 12/10/2025 1DE117-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0520 5 calendar days after start of care Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
▼ 377692 Carter Healthcare Of Oklahoma, Llc 702 N. Wilson Vinita OK 6 (Dallas) 10/18/2022 5DE2B-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
G0514 RN performs assessment Element
G0536 A review of all current medications Element
▼ 377692 Carter Healthcare Of Oklahoma, Llc 702 N. Wilson Vinita OK 6 (Dallas) 11/20/2019 8PHZ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0039 EP Testing Requirements Standard
G0578 Conformance with physician orders Standard
G0658 Performance improvement projects Standard
G0574 Plan of care must include the following Element
▼ 377694 Mdr Health Group, Llc 1425 Lincoln Road Ste A2 Idabel OK 6 (Dallas) 12/06/2023 61AB4-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
G0808 Onsite supervisory visit every 14 days Element
▼ 377694 Mdr Health Group, Llc 1425 Lincoln Road Ste A2 Idabel OK 6 (Dallas) 01/20/2021 CN5E11 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
G0942 Governing body Standard
G0574 Plan of care must include the following Element