S&C QCOR HHA 2567s
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HHAs 2567s
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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
▼ 398034 Revolutionary Home Health Inc 829 Scranton Carbondale Highway Eynon PA 3 (Philadelphia) 07/31/2024 63A9D-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
▼ 398034 Revolutionary Home Health Inc 829 Scranton Carbondale Highway Eynon PA 3 (Philadelphia) 05/17/2023 5FDAB-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0530 Strengths, goals, and care preferences Element
G0608 Coordinate care delivery Element
G0706 Interdisciplinary assessment of the patient Element
▼ 398034 Revolutionary Home Health Inc 829 Scranton Carbondale Highway Eynon PA 3 (Philadelphia) 01/07/2021 1HJD11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
▼ 398034 Revolutionary Home Health Inc 829 Scranton Carbondale Highway Eynon PA 3 (Philadelphia) 11/02/2020 7CAE11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
▼ 398034 Revolutionary Home Health Inc 829 Scranton Carbondale Highway Eynon PA 3 (Philadelphia) 11/19/2018 NDUE11 Complaint
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
G0702 Services by skilled professionals Standard
G0728 Rehab services supervised by PT, OT Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 398034 Revolutionary Home Health Inc 829 Scranton Carbondale Highway Eynon PA 3 (Philadelphia) 11/09/2018 6YWB11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0592 Revised plan of care Element
G0614 Visit schedule Element
▼ 398034 Revolutionary Home Health Inc 829 Scranton Carbondale Highway Eynon PA 3 (Philadelphia) 04/26/2018 7R2I11 Complaint
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
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
▼ 398035 Bayada Home Health Care, Inc. 2 Meridian Boulevard 2nd Floor Wyomissing PA 3 (Philadelphia) 05/17/2019 4M7711 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 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
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0700 Skilled professional services Condition
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0644 Program data Standard
G0646 Program activities Standard
G0654 Track adverse patient events Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0942 Governing body Standard
G0982 Skilled services furnished Standard
G1026 Retention of records Standard
G1028 Protection of records Standard
G1030 Retrieval of records Standard
G0414 HHA administrator contact information Element
G0432 Make complaints to the HHA Element
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0446 Contact info Federal/State-funded entities Element
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0550 At discharge Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0620 Other pertinent instructions Element
G0622 Name/contact information of clinical manager Element
G0648 High risk, high volume, or problem-prone area Element
G0650 Incidence, prevalence, severity of problems Element
G0652 Activities lead to an immediate correction Element
G0656 Improvements are sustained Element
G0708 Development and evaluation of plan of care Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0946 Administrator appointed by governing body Element
G0954 Ensures qualified pre-designated person Element
G0960 Make patient and personnel assignments, Element
G0962 Coordinate patient care Element
G0964 Coordinate referrals; Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 398037 Elite Home Health Care Inc 100 West Avenue, Suite 910s Jenkintown PA 3 (Philadelphia) 02/27/2025 655EC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard
G0774 12 hours inservice every 12 months Standard
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0800 Services provided by HH aide Element
G0948 Responsible for all day-to-day operations Element
▼ 398037 Elite Home Health Care Inc 100 West Avenue, Suite 910s Jenkintown PA 3 (Philadelphia) 05/14/2019 XNOG11 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
G1056 Clinical Manager Standard
G0520 5 calendar days after start of care Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0604 Integrate all orders Element
G0952 Ensure that HHA employs qualified personnel Element
G1022 Discharge and transfer summaries Element