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
▼ 377782 Materelli Home Health Services, Inc 113 S Broadway, Suite B Cleveland OK 6 (Dallas) 04/23/2026 22FF3A-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
G0642 Program scope Standard
G0658 Performance improvement projects Standard
G0684 Infection control Standard
G0942 Governing body Standard
G0456 Patient/payer will no longer pay for services Element
G0514 RN performs assessment Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 377782 Materelli Home Health Services, Inc 113 S Broadway, Suite B Cleveland OK 6 (Dallas) 03/07/2023 5F3DB-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0640 Quality assessment/performance improvement Condition
G0940 Organization and administration of services Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G0564 Discharge or Transfer Summary Content Standard
G0572 Plan of care Standard
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
G0686 Infection control education Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0546 Last 5 days of every 60 days unless: Element
G0548 Within 48 hours of the patient's return Element
G0580 Only as ordered by a physician Element
G0602 Communication with all physicians Element
G0716 Preparing clinical notes Element
G0720 Participate in the HHA's QAPI program; Element
G0946 Administrator appointed by governing body Element
G1022 Discharge and transfer summaries Element
▼ 377783 Country Style Health Care, Inc Xii 1100 East Melton Drive Jay OK 6 (Dallas) 03/14/2024 6289E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
▼ 377784 Alpha Healthcare Services, Inc. 7004 Nw 63rd St, Suite 103 Bethany OK 6 (Dallas) 05/09/2024 6311B-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
G0658 Performance improvement projects Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
▼ 377784 Alpha Healthcare Services, Inc. 7004 Nw 63rd St, Suite 103 Bethany OK 6 (Dallas) 08/22/2018 FCBL11 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
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
G0580 Only as ordered by a physician Element
G0648 High risk, high volume, or problem-prone area Element
G0652 Activities lead to an immediate correction Element
G0656 Improvements are sustained Element
▼ 377787 Vcg Oklahoma, Llc 4520 South Harvard Ave, Suite 200 Tulsa OK 6 (Dallas) 10/31/2024 6499C-H1 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
G0432 Make complaints to the HHA Element
G0574 Plan of care must include the following Element
▼ 377787 Vcg Oklahoma, Llc 4520 South Harvard Ave, Suite 200 Tulsa OK 6 (Dallas) 11/09/2021 37EC7-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
▼ 377788 Holistic Home Care Home Health, Llc 201 Sw Main St Keota OK 6 (Dallas) 03/06/2025 659DF-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
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G1028 Protection of records Standard
G0456 Patient/payer will no longer pay for services Element
G0536 A review of all current medications 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
G0710 Provide services in the plan of care Element
G0720 Participate in the HHA's QAPI program; Element
G1022 Discharge and transfer summaries Element
▼ 377788 Holistic Home Care Home Health, Llc 201 Sw Main St Keota OK 6 (Dallas) 05/04/2022 38A00-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
E0036 EP Training and Testing Standard
G0536 A review of all current medications Element
▼ 377790 Fogam Home Health, Llc 500 N. Meridian Ave, Suite 305 Oklahoma City OK 6 (Dallas) 11/25/2025 1DCC8E-H1 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
G0962 Coordinate patient care Element