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
▼ 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
▼ 387023 Peacehealth Dba Sacred Heart - Univ. Distric 123 International Way, Office B Springfield OR 10 (Seattle) 07/24/2024 63A9C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
G0580 Only as ordered by a physician Element
G0808 Onsite supervisory visit every 14 days Element
▼ 387026 St. Charles Home Health Services 2275 Ne Doctors Drive, Suite 4 Bend OR 10 (Seattle) 09/13/2024 63E8B-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
▼ 387026 St. Charles Home Health Services 2275 Ne Doctors Drive, Suite 4 Bend OR 10 (Seattle) 08/04/2021 V7J011 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0706 Interdisciplinary assessment of the patient Element
▼ 387037 Grande Ronde Hospital Home Care Services 909 Adams Avenue La Grande OR 10 (Seattle) 08/10/2022 4F323-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0574 Plan of care must include the following Element