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
▼ 377698 Prairie View Home Health, Inc. 1920 E. 1st Street, Ste C Chandler OK 6 (Dallas) 08/30/2018 SM0P11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0466 Make efforts to resolve the problem(s) Element
▼ 377699 Kpar Investments, Llc 2816 East Jackson Street, Suite B Hugo OK 6 (Dallas) 12/14/2022 5E7C4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0716 Preparing clinical notes Element
G0808 Onsite supervisory visit every 14 days Element
▼ 377701 Stewart Healthcare Enterprises, Inc. 1900 E 15th Street, Ste 500c Edmond OK 6 (Dallas) 02/28/2024 62628-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
E0039 EP Testing Requirements Standard
G0456 Patient/payer will no longer pay for services Element
G0574 Plan of care must include the following Element
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element
G0720 Participate in the HHA's QAPI program; Element
G0754 A qualified HH aide successfully completed: Element
G0766 HHA maintains documentation of training Element
G1022 Discharge and transfer summaries Element
▼ 377701 Stewart Healthcare Enterprises, Inc. 1900 E 15th Street, Ste 500c Edmond OK 6 (Dallas) 04/22/2021 93KQ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0029 Development of Communication Plan Standard
G0578 Conformance with physician orders Standard
G0642 Program scope Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0456 Patient/payer will no longer pay for services Element
G0710 Provide services in the plan of care Element
▼ 377701 Stewart Healthcare Enterprises, Inc. 1900 E 15th Street, Ste 500c Edmond OK 6 (Dallas) 06/21/2018 1M8211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
▼ 377702 Shepherd Home Health, Llc 525 South 30th Street Clinton OK 6 (Dallas) 06/26/2024 637F5-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0642 Program scope Standard
G0574 Plan of care must include the following Element
▼ 377703 Rice Home Health Llc 1831 E 71st Street, Suite B201 Tulsa OK 6 (Dallas) 01/31/2024 62199-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
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
▼ 377703 Rice Home Health Llc 1831 E 71st Street, Suite B201 Tulsa OK 6 (Dallas) 03/03/2021 QE5Y11 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
G0658 Performance improvement projects Standard
▼ 377704 Complete Home Health Of Tishomingo Llc 315 North Western Ave Tishomingo OK 6 (Dallas) 10/09/2024 646B8-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
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
▼ 377704 Complete Home Health Of Tishomingo Llc 315 North Western Ave Tishomingo OK 6 (Dallas) 10/27/2021 37D91-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0704 Responsibilities of skilled professionals Standard
G0574 Plan of care must include the following Element