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
▼ 377790 Fogam Home Health, Llc 500 N. Meridian Ave, Suite 305 Oklahoma City OK 6 (Dallas) 11/29/2022 5E624-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
E0031 Emergency Officials Contact Information Standard
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 377791 Genesis Healthcare, Llc 1605 N Washington Avenue Durant OK 6 (Dallas) 02/12/2026 1E40C8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0520 5 calendar days after start of care Element
G0536 A review of all current medications Element
G0710 Provide services in the plan of care Element
G0984 In accordance with current clinical practice Element
▼ 377791 Genesis Healthcare, Llc 1605 N Washington Avenue Durant OK 6 (Dallas) 01/25/2023 5ED5D-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
G0574 Plan of care must include the following Element
▼ 377792 Simplifi Home Health Llc 6312 E 101st Street Tulsa OK 6 (Dallas) 10/09/2024 64706-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0023 Policies/Procedures for Medical Documentation Standard
E0031 Emergency Officials Contact Information Standard
G0644 Program data Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0942 Governing body Standard
G0414 HHA administrator contact information Element
G0432 Make complaints to the HHA Element
G0444 State toll free HH telephone hotline Element
G0464 Advise the patient of discharge for cause Element
G0514 RN performs assessment 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
G0720 Participate in the HHA's QAPI program; Element
G1022 Discharge and transfer summaries Element
▼ 377792 Simplifi Home Health Llc 6312 E 101st Street Tulsa OK 6 (Dallas) 10/12/2021 6RCV11 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
G0660 Executive responsibilities for QAPI Standard
G0710 Provide services in the plan of care Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 377793 A Premier Senior Home Care Acquistions, Llc 315 West Choctaw Avenue, Ste A Chickasha OK 6 (Dallas) 03/12/2024 627FB-H1 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
G0716 Preparing clinical notes Element
▼ 377794 Progressive Home Health Inc. 4211 28th Ave Nw Ste 111 Norman OK 6 (Dallas) 01/29/2025 65403-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
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
▼ 377796 Alpha Homehealth Of Okc Llc 2828 Nw 57th Street, Suite 220 Oklahoma City OK 6 (Dallas) 02/21/2024 6251E-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
G0644 Program data Standard
G0574 Plan of care must include the following Element
▼ 377797 Guarding Angels Home Health Llc 3801 Nw 63rd St., Bldg 1 Ste 200 Oklahoma City OK 6 (Dallas) 03/13/2026 1F4FF4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0023 Policies/Procedures for Medical Documentation Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0658 Performance improvement projects Standard
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
G0720 Participate in the HHA's QAPI program; Element
G1014 Interventions and patient response Element
▼ 377797 Guarding Angels Home Health Llc 3801 Nw 63rd St., Bldg 1 Ste 200 Oklahoma City OK 6 (Dallas) 01/12/2023 5EBD2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care 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
G0434 Participate in care Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element