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
▼ 387098 Accentcare Home Health Of Rogue Valley, Llc 1501 E Mcandrews, Suite 201 Medford OR 10 (Seattle) 03/21/2018 6SSF11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0107 EXERCISE OF RIGHTS AND RESPECT FOR PROP Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0165 CONFORMANCE WITH PHYSICIAN ORDERS Standard
▼ 387127 Innovative Senior Care Home Health Of Portland Llc 10121 Se Sunnyside Road, Suite 160 Clackamas OR 10 (Seattle) 09/18/2020 29M411 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0536 A review of all current medications Element
G0726 Nursing services supervised by RN Element
▼ 387127 Innovative Senior Care Home Health Of Portland Llc 10121 Se Sunnyside Road, Suite 160 Clackamas OR 10 (Seattle) 02/28/2019 YW8911 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0798 Home health aide assignments and duties Standard
G1014 Interventions and patient response Element
▼ 387130 Northwest Wheeler County Health 712 Jay Street Fossil OR 10 (Seattle) 06/16/2021 Z0M611 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
▼ 387135 Pacific Home Care Associates, Inc 375 Park Avenue, Suite 6 Coos Bay OR 10 (Seattle) 08/22/2023 60CF0-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
▼ 387135 Pacific Home Care Associates, Inc 375 Park Avenue, Suite 6 Coos Bay OR 10 (Seattle) 03/13/2019 KWJ711 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0514 RN performs assessment Element
▼ 387136 Amedisys Oregon, Llc 3220 State Street, Suite 100 Salem OR 10 (Seattle) 02/16/2022 384E9-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
▼ 387136 Amedisys Oregon, Llc 3220 State Street, Suite 100 Salem OR 10 (Seattle) 03/01/2018 3XMO11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G1014 Interventions and patient response Element
▼ 387140 Willamette Healthcare Llc 1200 Executive Parkway, Suite 410 Eugene OR 10 (Seattle) 10/27/2022 5E21A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 387140 Willamette Healthcare Llc 1200 Executive Parkway, Suite 410 Eugene OR 10 (Seattle) 09/26/2019 48XB11 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
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0682 Infection Prevention Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0808 Onsite supervisory visit every 14 days Element
G1014 Interventions and patient response Element