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
▼ 398237 Rapha Home Healthcare, Inc. 9892 Bustleton Avenue Suite 308 Philadelphia PA 3 (Philadelphia) 05/23/2018 4HQH11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0480 Treatment or care Element
G0580 Only as ordered by a physician Element
G0718 Communication with physicians Element
G0760 Classroom and supervised practical training Element
G0796 Violations of federal or state law: Element
▼ 398238 Maxim Healthcare Services, Inc. 1 Belmont Avenue Suite 800 Bala Cynwyd PA 3 (Philadelphia) 05/10/2024 6311D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0952 Ensure that HHA employs qualified personnel Element
▼ 398238 Maxim Healthcare Services, Inc. 1 Belmont Avenue Suite 800 Bala Cynwyd PA 3 (Philadelphia) 05/11/2018 0TW111 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
▼ 398239 Pediatric Services Of America, Llc 130 Court Street Suit 203 Williamsport PA 3 (Philadelphia) 08/28/2024 640D4-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
▼ 398239 Pediatric Services Of America, Llc 130 Court Street Suit 203 Williamsport PA 3 (Philadelphia) 04/14/2021 WUFY11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1028 Protection of records Standard
G0438 Have a confidential clinical record Element
▼ 398241 Revolutionary Home Health Inc. 110 Pennsylvania Avenue Suite 200 Oreland PA 3 (Philadelphia) 08/22/2018 CHGJ11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0009 Local, State, Tribal Collaboration Process Standard
E0039 EP Testing Requirements Standard
G0808 Onsite supervisory visit every 14 days Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 398243 Lehigh Valley Therapy Inc 1416 Main Street Northampton PA 3 (Philadelphia) 11/04/2021 37E2C-H1 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
G0684 Infection control Standard
G0862 Laboratory services/CLIA waivers Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
▼ 398249 Epeople Health Care, Inc. D/B/A Ekidzcare 59 N Harrity Road Lehighton PA 3 (Philadelphia) 03/10/2022 38684-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0512 Standard: Initial assessment visit. Standard
G0572 Plan of care Standard
G0684 Infection control Standard
G0982 Skilled services furnished Standard
▼ 398249 Epeople Health Care, Inc. D/B/A Ekidzcare 59 N Harrity Road Lehighton PA 3 (Philadelphia) 10/12/2018 6TEE11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0940 Organization and administration of services Condition
G0942 Governing body Standard
G0944 Administrator must: Standard
G0414 HHA administrator contact information Element
G0946 Administrator appointed by governing body Element
G0948 Responsible for all day-to-day operations Element
G0950 Ensure clinical manager is available Element
G0952 Ensure that HHA employs qualified personnel Element
G0954 Ensures qualified pre-designated person Element
G0956 Available during all operating hours Element
G0960 Make patient and personnel assignments, Element
▼ 398250 Caregivers America Home Health Services, Llc 3964 Lexington Street Harrisburg PA 3 (Philadelphia) 03/19/2025 65B4A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0774 12 hours inservice every 12 months Standard
G0958 Clinical manager Standard
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G1022 Discharge and transfer summaries Element