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
▼ 387048 Providence Health & Services-Oregon 6410 Ne Halsey Street, Suite 200 Portland OR 10 (Seattle) 11/04/2021 37E9C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 387057 Willamette Community Health Solutions 2650 Suzanne Way, Suite 200 Eugene OR 10 (Seattle) 11/01/2022 5E2C2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 387057 Willamette Community Health Solutions 2650 Suzanne Way, Suite 200 Eugene OR 10 (Seattle) 12/19/2018 5UI211 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0514 RN performs assessment Element
▼ 387062 Tuality Home Health 372 Se 6th Avenue, Suite 100 Hillsboro OR 10 (Seattle) 07/29/2022 4F1DE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 387062 Tuality Home Health 372 Se 6th Avenue, Suite 100 Hillsboro OR 10 (Seattle) 11/09/2018 U8NG11 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
G0372 Encoding and transmitting OASIS Standard
G0514 RN performs assessment Element
▼ 387067 Partners Home Health, Llc 2075 Ne Wyatt Court, Building B Bend OR 10 (Seattle) 08/21/2019 Q57611 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0682 Infection Prevention Standard
▼ 387074 Providence Health And Services - Oregon 570 South Main Street Mount Angel OR 10 (Seattle) 03/15/2018 617N11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0514 RN performs assessment Element
▼ 387075 Sky Lakes Home Health 2421 Washburn Way, Suite F Klamath Falls OR 10 (Seattle) 05/24/2022 4EC56-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
▼ 387075 Sky Lakes Home Health 2421 Washburn Way, Suite F Klamath Falls OR 10 (Seattle) 11/13/2018 GECH11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 387075 Sky Lakes Home Health 2421 Washburn Way, Suite F Klamath Falls OR 10 (Seattle) 10/11/2018 KOBE11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0682 Infection Prevention Standard
G0444 State toll free HH telephone hotline Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element