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
▼ 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 5601 Nw 72nd Street Warr Acres 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
▼ 387000 County Of Harney 415 North Fairview Burns OR 10 (Seattle) 06/14/2024 63701-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0686 Infection control education Standard
G0774 12 hours inservice every 12 months Standard
▼ 387000 County Of Harney 415 North Fairview Burns OR 10 (Seattle) 09/29/2020 1O2E11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 387003 Amedisys Oregon, Llc 12021 Ne Glenn Widing Drive, Building G Portland OR 10 (Seattle) 05/10/2018 3SRV11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
▼ 387007 Kaiser Permanente Home Health Agency 500 Ne Multnomah Street Portland OR 10 (Seattle) 08/30/2018 OU3311 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
G0372 Encoding and transmitting OASIS Standard
G0536 A review of all current medications Element
G0808 Onsite supervisory visit every 14 days Element
▼ 387016 Providence Health & Services - Oregon 2033 Commerce Drive Medford OR 10 (Seattle) 12/08/2025 1DE120-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
▼ 387016 Providence Health & Services - Oregon 2033 Commerce Drive Medford OR 10 (Seattle) 04/12/2018 P1MG11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0614 Visit schedule Element
G0622 Name/contact information of clinical manager Element
G1012 Required items in clinical record Element