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
▼ 377715 Ahni Health Services Inc. 119 Sw Main Keota OK 6 (Dallas) 10/24/2018 76WF11 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
G0578 Conformance with physician orders Standard
G0642 Program scope Standard
G0644 Program data Standard
G0654 Track adverse patient events Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0648 High risk, high volume, or problem-prone area Element
G0652 Activities lead to an immediate correction Element
G0656 Improvements are sustained Element
▼ 377717 Phoenix Home Health Agency, Llc 2526 North Midwest Boulevard Spencer OK 6 (Dallas) 01/07/2025 651B4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G0644 Program data Standard
G0646 Program activities Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0942 Governing body Standard
G0456 Patient/payer will no longer pay for services Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0720 Participate in the HHA's QAPI program; Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 377717 Phoenix Home Health Agency, Llc 2526 North Midwest Boulevard Spencer OK 6 (Dallas) 02/14/2022 38528-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G0656 Improvements are sustained Element
▼ 377717 Phoenix Home Health Agency, Llc 2526 North Midwest Boulevard Spencer OK 6 (Dallas) 02/01/2019 L31I11 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
G0658 Performance improvement projects Standard
▼ 377718 Alpha Home Health Care Llc 7512 N. Broadway Ext, Suite 312 Oklahoma City OK 6 (Dallas) 04/26/2023 5FAFD-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
G0644 Program data Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0720 Participate in the HHA's QAPI program; Element
▼ 377718 Alpha Home Health Care Llc 7512 N. Broadway Ext, Suite 312 Oklahoma City OK 6 (Dallas) 09/30/2020 KEPY11 Complaint, 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
G0456 Patient/payer will no longer pay for services Element
G0548 Within 48 hours of the patient's return Element
G0590 Promptly alert relevant physician of changes Element
G1022 Discharge and transfer summaries Element
▼ 377719 Oklahoma Family Choice Home Healthcare Inc 801 W 2nd Street Elk City OK 6 (Dallas) 04/08/2026 22E390-H1 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
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
G0562 Discharge Planning Standard
G0798 Home health aide assignments and duties Standard
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
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 377719 Oklahoma Family Choice Home Healthcare Inc 801 W 2nd Street Elk City OK 6 (Dallas) 04/12/2023 5F881-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
▼ 377721 Innova, Llc 4200 Perimeter Center Drive, Suite 237 Oklahoma City OK 6 (Dallas) 04/06/2023 5F80A-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
E0009 Local, State, Tribal Collaboration Process Standard
E0030 Names and Contact Information Standard
E0039 EP Testing Requirements Standard
G0564 Discharge or Transfer Summary Content Standard
G0644 Program data Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G0454 HHA can no longer meet the patient's needs Element
G0464 Advise the patient of discharge for cause Element
G0574 Plan of care must include the following Element
G0716 Preparing clinical notes Element
G0720 Participate in the HHA's QAPI program; Element
▼ 377722 A Path Of Care Home Health Ii, Inc 3303 W Okmulgee Muskogee OK 6 (Dallas) 07/20/2022 4F0E2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element