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
▼ 058368 Infinite Home Health, Inc 22151 Ventura Blvd, Suite 201 Woodland Hills CA 9 (San Francisco) 12/09/2025 1DDBEC-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0612 Written instructions to patient include: Standard
G0682 Infection Prevention Standard
G1024 Authentication Standard
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0588 Reviewed, revised by physician every 60 days Element
G0608 Coordinate care delivery Element
▼ 058368 Infinite Home Health, Inc 22151 Ventura Blvd, Suite 201 Woodland Hills CA 9 (San Francisco) 03/06/2019 BEJZ11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0532 Continuing need for home care Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0610 Patients receive education and training Element
▼ 058374 New Era Ultimate Investment Inc. 233 South Carmalita Hemet CA 9 (San Francisco) 12/02/2025 1DCF4A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0584 Verbal orders Element
▼ 058374 New Era Ultimate Investment Inc. 233 South Carmalita Hemet CA 9 (San Francisco) 01/13/2025 64F8A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0640 Quality assessment/performance improvement Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0013 Development of EP Policies and Procedures Standard
E0036 EP Training and Testing Standard
G0372 Encoding and transmitting OASIS Standard
G0684 Infection control Standard
G0774 12 hours inservice every 12 months Standard
G0536 A review of all current medications Element
G0584 Verbal orders Element
G0706 Interdisciplinary assessment of the patient Element
G0772 Documentation of competency evaluation Element
G0808 Onsite supervisory visit every 14 days Element
G0962 Coordinate patient care Element
▼ 058374 New Era Ultimate Investment Inc. 233 South Carmalita Hemet CA 9 (San Francisco) 05/26/2023 5DF1A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0600 Coordination of Care Standard
▼ 058374 New Era Ultimate Investment Inc. 233 South Carmalita Hemet CA 9 (San Francisco) 01/27/2022 382D6-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 058374 New Era Ultimate Investment Inc. 233 South Carmalita Hemet CA 9 (San Francisco) 03/20/2019 0VMK11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0984 In accordance with current clinical practice Element
▼ 058377 New Century Home Health, Inc 4195 Valley Fair Street, Suite 200 Simi Valley CA 9 (San Francisco) 01/30/2019 7RLQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0023 Policies/Procedures for Medical Documentation Standard
G0682 Infection Prevention Standard
G1024 Authentication Standard
G0432 Make complaints to the HHA Element
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
▼ 058378 Ideal Care Home Health, Inc 21021 Devonshire Street, Suite 204 Chatsworth CA 9 (San Francisco) 11/20/2023 6185C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
G0572 Plan of care Standard
G0612 Written instructions to patient include: Standard
G0958 Clinical manager Standard
G1024 Authentication Standard
G0412 Written notice of patient's rights Element
G0444 State toll free HH telephone hotline Element
G0454 HHA can no longer meet the patient's needs Element
G0534 Patient's needs Element
G0536 A review of all current medications Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0584 Verbal orders Element
G0588 Reviewed, revised by physician every 60 days Element
G0592 Revised plan of care Element
G0610 Patients receive education and training Element
G0710 Provide services in the plan of care Element
G0726 Nursing services supervised by RN Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 058381 Comfort Hands Healthcare Inc 4010 Moorpark Ave. #112 San Jose CA 9 (San Francisco) 10/11/2019 E2OM11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0031 Emergency Officials Contact Information Standard
G0948 Responsible for all day-to-day operations Element