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
▼ 387141 Lake District Hospital Home Health 922 S 7th Street Lakeview OR 10 (Seattle) 10/17/2019 8BFC11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
▼ 387142 Willow Creek Healthcare Llc 834 South Front Street Central Point OR 10 (Seattle) 05/24/2018 RQ4311 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0490 Accessibility Standard
G0612 Written instructions to patient include: Standard
G0574 Plan of care must include the following Element
G0616 Patient medication schedule/instructions Element
G0622 Name/contact information of clinical manager Element
▼ 387143 Rogue River Healthcare Llc 402 Se G Street Grants Pass OR 10 (Seattle) 03/10/2022 386F5-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
▼ 387143 Rogue River Healthcare Llc 402 Se G Street Grants Pass OR 10 (Seattle) 04/26/2018 QDL311 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0013 Development of EP Policies and Procedures Standard
G0574 Plan of care must include the following Element
▼ 387146 Connected Healthcare, Inc. 10365 Se Sunnyside Road, Suite 320 Clackamas OR 10 (Seattle) 07/19/2023 60837-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
▼ 387146 Connected Healthcare, Inc. 10365 Se Sunnyside Road, Suite 320 Clackamas OR 10 (Seattle) 02/28/2020 RZVC11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
▼ 387147 First Call Home Health Agency, Llc 2608 Cascadia Industrial Street Se Salem OR 10 (Seattle) 12/28/2022 5E9AE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 387147 First Call Home Health Agency, Llc 2608 Cascadia Industrial Street Se Salem OR 10 (Seattle) 05/03/2021 4UGS11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0426 Rights of the patient Standard
▼ 387147 First Call Home Health Agency, Llc 2608 Cascadia Industrial Street Se Salem OR 10 (Seattle) 01/28/2020 XHJR11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G1050 Personnel qualifications Condition
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0600 Coordination of Care Standard
G0702 Services by skilled professionals Standard
G0724 Supervise skilled professional assistants Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G1028 Protection of records Standard
G1052 Administrator Standard
G1056 Clinical Manager Standard
G0514 RN performs assessment Element
G0532 Continuing need for home care Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0592 Revised plan of care Element
G0602 Communication with all physicians Element
G0706 Interdisciplinary assessment of the patient Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
G0726 Nursing services supervised by RN Element
G0808 Onsite supervisory visit every 14 days Element
G0856 Officer, a director, agent, managing employee Element
G0858 Responsible for the management of the HHA Element
G0948 Responsible for all day-to-day operations Element
G0950 Ensure clinical manager is available Element
G0962 Coordinate patient care Element
G1012 Required items in clinical record Element
▼ 387147 First Call Home Health Agency, Llc 2608 Cascadia Industrial Street Se Salem OR 10 (Seattle) 01/16/2019 0SPW11 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
G0808 Onsite supervisory visit every 14 days Element
G1014 Interventions and patient response Element