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
▼ 398080 Divine Health Care Services 6800 Castor Avenue, Suite B Philadelphia PA 3 (Philadelphia) 11/24/2025 1DC961-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
G0536 A review of all current medications Element
G0952 Ensure that HHA employs qualified personnel Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 398080 Divine Health Care Services 6800 Castor Avenue, Suite B Philadelphia PA 3 (Philadelphia) 10/27/2022 5E24C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0774 12 hours inservice every 12 months Standard
G0550 At discharge Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 398080 Divine Health Care Services 6800 Castor Avenue, Suite B Philadelphia PA 3 (Philadelphia) 12/31/2019 FHVT12 Recertification
Deficiency Tag Deficiency Description Tag Type
E0039 EP Testing Requirements Standard
▼ 398082 Tri-Care Home Care Inc. 470 Streets Run Road Suite 202 Pittsburgh PA 3 (Philadelphia) 02/12/2020 EIH611 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0608 Coordinate care delivery Element
▼ 398084 Healthcare Stat Home Care, Inc. 9539 Bustleton Avenue Philadelphia PA 3 (Philadelphia) 06/29/2023 60363-H1 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
E0030 Names and Contact Information Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0544 Update of the comprehensive assessment Standard
G0704 Responsibilities of skilled professionals Standard
G1052 Administrator Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0952 Ensure that HHA employs qualified personnel Element
G1022 Discharge and transfer summaries Element
▼ 398084 Healthcare Stat Home Care, Inc. 9539 Bustleton Avenue Philadelphia PA 3 (Philadelphia) 09/23/2020 MCHK11 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
G0658 Performance improvement projects Standard
G0684 Infection control Standard
G0444 State toll free HH telephone hotline Element
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0588 Reviewed, revised by physician every 60 days Element
▼ 398088 Celtic Healthcare Of Westmoreland, Llc 501 Technology Drive Canonsburg PA 3 (Philadelphia) 03/31/2023 5F6D1-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0574 Plan of care must include the following Element
G0590 Promptly alert relevant physician of changes Element
▼ 398090 Independent Home Care Inc 9892 Bustleton Avenue, Suite 203 Philadelphia PA 3 (Philadelphia) 01/19/2021 5T7K12 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
E0030 Names and Contact Information Standard
E0039 EP Testing Requirements Standard
▼ 398094 Preferred Home Health Care & Nursing Services Inc. 130 Presidential Blvd Suite 200 Bala Cynwyd PA 3 (Philadelphia) 09/18/2020 Y9EH11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 398100 Keystonecare Home Health, Llc 8765 Stenton Avenue Wyndmoor PA 3 (Philadelphia) 11/29/2022 5E4A7-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard