S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 377771 Arbuckle Home Health, Inc. 1525 West Broadway Sulphur OK 6 (Dallas) 02/23/2023 5F258-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
▼ 377772 United Partners Healthcare 2, Inc 1304 Nw 7th Street Stigler OK 6 (Dallas) 08/26/2024 640DA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 377774 Whhc I, Llc 115 Piedmont Road North Piedmont OK 6 (Dallas) 11/17/2023 61900-H1 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
G0646 Program activities Standard
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
▼ 377774 Whhc I, Llc 115 Piedmont Road North Piedmont OK 6 (Dallas) 11/20/2020 IS8G11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0942 Governing body Standard
G0456 Patient/payer will no longer pay for services Element
G0536 A review of all current medications Element
G1022 Discharge and transfer summaries Element
▼ 377775 Always Better Care Of Oklahoma, Llc 120 S 7th Avenue Durant OK 6 (Dallas) 06/28/2022 4EE40-H1 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
G0808 Onsite supervisory visit every 14 days Element
▼ 377776 Truevine Healthcare, Llc 11221 W Reno, Suite 100 Yukon OK 6 (Dallas) 08/29/2024 640E0-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
G0572 Plan of care Standard
G0574 Plan of care must include the following Element
▼ 377778 Oldham Home Care Llc 519 East Main Street Stigler OK 6 (Dallas) 10/26/2023 61611-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
▼ 377778 Oldham Home Care Llc 519 East Main Street Stigler OK 6 (Dallas) 10/19/2020 VRBF11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0658 Performance improvement projects Standard
G0942 Governing body Standard
G0602 Communication with all physicians Element
▼ 377779 Patience Home Health Care Llc 3625 N Meridian Ave, Ste A Oklahoma City OK 6 (Dallas) 10/25/2023 615F1-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
E0030 Names and Contact Information Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0684 Infection control Standard
G0412 Written notice of patient's rights Element
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 377779 Patience Home Health Care Llc 3625 N Meridian Ave, Ste A Oklahoma City OK 6 (Dallas) 10/22/2020 NEK111 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
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0774 12 hours inservice every 12 months Standard
G0534 Patient's needs Element