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
▼ 387150 Guardian Home Care, Inc. 2502 Cove Avenue, Suite A La Grande OR 10 (Seattle) 06/13/2019 QJIH11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
▼ 387151 Adams & Gray, Inc. 4560 Se International Way, Suite 100 Milwaukie OR 10 (Seattle) 03/07/2025 65742-H1 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
▼ 387155 Avalon Home Health, Llc 132 E. Broadway, Suite 215 Eugene OR 10 (Seattle) 04/03/2019 43Z511 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0406 Patient rights Condition
G0940 Organization and administration of services Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0682 Infection Prevention Standard
G0412 Written notice of patient's rights Element
G0416 OASIS privacy notice Element
G0432 Make complaints to the HHA Element
G0444 State toll free HH telephone hotline Element
G0514 RN performs assessment Element
G0536 A review of all current medications Element
▼ 387161 Oregon Continental Home Health Care, Inc 341 Se 3rd Avenue Hillsboro OR 10 (Seattle) 02/08/2023 5F095-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
E0039 EP Testing Requirements Standard
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
▼ 387161 Oregon Continental Home Health Care, Inc 341 Se 3rd Avenue Hillsboro OR 10 (Seattle) 06/12/2019 KE4P11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0452 Transfer and discharge Standard
G0444 State toll free HH telephone hotline Element
G0446 Contact info Federal/State-funded entities Element
G0450 Access to auxiliary aids and language service Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
▼ 387162 Healthy Living At Home - Portland, Llc 16083 Sw Upper Boones Ferry Rd, Suite 310 Portland OR 10 (Seattle) 01/26/2018 GOYU11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0159 PLAN OF CARE Standard
G0182 DUTIES OF THE LICENSED PRACTICAL NURSE Standard
▼ 387165 Waverly Assisted Living, Llc 2853 Salem Avenue Se, Suite A Albany OR 10 (Seattle) 11/29/2022 5E6CF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
G0642 Program scope Standard
G0644 Program data Standard
G0654 Track adverse patient events Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G0446 Contact info Federal/State-funded entities Element
G0450 Access to auxiliary aids and language service Element
G0514 RN performs assessment Element
G0622 Name/contact information of clinical manager Element
G0656 Improvements are sustained Element
G0950 Ensure clinical manager is available Element
G0954 Ensures qualified pre-designated person Element
G0960 Make patient and personnel assignments, Element
▼ 387311 Amedisys Oregon, Llc 1820 Nw Mulholland Dr. Roseburg OR 10 (Seattle) 02/06/2020 WR8J11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
▼ 397001 Tower Health At Home 739 Reading Avenue Vf Bldg 202 West Reading PA 3 (Philadelphia) 03/12/2020 IJOU11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0984 In accordance with current clinical practice Element
▼ 397004 Vna Home Health Services 540 South George Street York PA 3 (Philadelphia) 01/19/2022 382FE-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0586 Review and revision of the plan of care Standard
G0574 Plan of care must include the following Element