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
▼ 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
▼ 377706 Premier Home Health Care, Inc. 1016 East Shawntel Smith Boulevard Muldrow OK 6 (Dallas) 10/15/2024 64764-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0724 Supervise skilled professional assistants Standard
G0942 Governing body Standard
▼ 377706 Premier Home Health Care, Inc. 1016 East Shawntel Smith Boulevard Muldrow OK 6 (Dallas) 10/13/2021 2YR311 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
G0642 Program scope Standard
G0644 Program data Standard
G0646 Program activities Standard
G0716 Preparing clinical notes Element
G1022 Discharge and transfer summaries Element
▼ 377708 Faith Home Care Services, L.L.C. 2530 E 71st Street, Suite H Tulsa OK 6 (Dallas) 11/06/2024 64A39-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0942 Governing body Standard
G0614 Visit schedule Element
G0964 Coordinate referrals; Element
▼ 377709 Pentadoyen, Llc 8241 South Walker, Suite 152 Oklahoma City OK 6 (Dallas) 10/31/2024 64965-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
G0544 Update of the comprehensive assessment Standard
G0456 Patient/payer will no longer pay for services Element
G0514 RN performs assessment 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
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element
G0720 Participate in the HHA's QAPI program; Element
G0808 Onsite supervisory visit every 14 days Element
▼ 377709 Pentadoyen, Llc 8241 South Walker, Suite 152 Oklahoma City OK 6 (Dallas) 11/05/2021 37EB6-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
G0578 Conformance with physician orders Standard
G0642 Program scope Standard
G0704 Responsibilities of skilled professionals Standard
G0580 Only as ordered by a physician Element
G0718 Communication with physicians Element