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
▼ 377694 Mdr Health Group, Llc 1425 Lincoln Road Ste A2 Idabel OK 6 (Dallas) 01/18/2018 R4XF11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0808 Onsite supervisory visit every 14 days Element
▼ 377696 Caring Home Health Agency, Llc 12005 N. Virginia Avenue Oklahoma City OK 6 (Dallas) 02/21/2024 62559-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0510 Comprehensive Assessment of Patients Condition
G0560 Discharge Planning Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0030 Names and Contact Information Standard
E0036 EP Training and Testing Standard
G0562 Discharge Planning Standard
G0564 Discharge or Transfer Summary Content Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0654 Track adverse patient events Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0942 Governing body Standard
G0988 Institutional planning Standard
G0414 HHA administrator contact information Element
G0434 Participate in care Element
G0444 State toll free HH telephone hotline Element
G0546 Last 5 days of every 60 days unless: Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G0622 Name/contact information of clinical manager Element
G0710 Provide services in the plan of care Element
G0954 Ensures qualified pre-designated person Element
G0968 Assure implementation of plan of care Element
▼ 377696 Caring Home Health Agency, Llc 12005 N. Virginia Avenue Oklahoma City OK 6 (Dallas) 04/08/2021 6KM111 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
E0030 Names and Contact Information Standard
E0039 EP Testing Requirements Standard
G0578 Conformance with physician orders Standard
G0644 Program data Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0774 12 hours inservice every 12 months Standard
G0942 Governing body Standard
G0456 Patient/payer will no longer pay for services Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0716 Preparing clinical notes Element
G0946 Administrator appointed by governing body Element
G1022 Discharge and transfer summaries Element
▼ 377696 Caring Home Health Agency, Llc 12005 N. Virginia Avenue Oklahoma City OK 6 (Dallas) 06/13/2018 9BQU11 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
G0642 Program scope Standard
G0644 Program data Standard
G0942 Governing body Standard
G0574 Plan of care must include the following Element
G0602 Communication with all physicians Element
▼ 377697 Good Journey Home Health, Llc 425 W. Wilshire, Suite C Oklahoma City OK 6 (Dallas) 03/07/2024 62760-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
E0039 EP Testing Requirements Standard
G0578 Conformance with physician orders Standard
G0642 Program scope Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
▼ 377697 Good Journey Home Health, Llc 425 W. Wilshire, Suite C Oklahoma City OK 6 (Dallas) 04/21/2021 CSFD11 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
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0942 Governing body Standard
G0514 RN performs assessment Element
G0580 Only as ordered by a physician Element
G0656 Improvements are sustained Element
▼ 377697 Good Journey Home Health, Llc 425 W. Wilshire, Suite C Oklahoma City OK 6 (Dallas) 07/05/2018 K3HI11 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
G0434 Participate in care 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
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 377698 Prairie View Home Health, Inc. 1920 E. 1st Street, Ste C Chandler OK 6 (Dallas) 01/15/2026 1E19E9-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
E0039 EP Testing Requirements Standard
G0684 Infection control Standard
G0456 Patient/payer will no longer pay for services Element
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
G0720 Participate in the HHA's QAPI program; Element
G1022 Discharge and transfer summaries Element
▼ 377698 Prairie View Home Health, Inc. 1920 E. 1st Street, Ste C Chandler OK 6 (Dallas) 01/18/2023 5ECC5-H1 Complaint, Focused Infection Control, 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
G0646 Program activities Standard
G0454 HHA can no longer meet the patient's needs Element
G0574 Plan of care must include the following Element
G0720 Participate in the HHA's QAPI program; Element
G1022 Discharge and transfer summaries Element
▼ 377698 Prairie View Home Health, Inc. 1920 E. 1st Street, Ste C Chandler OK 6 (Dallas) 02/25/2020 5YBP11 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
G0684 Infection control Standard
G0942 Governing body Standard
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element