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
▼ 398250 Caregivers America Home Health Services, Llc 3964 Lexington Street Harrisburg PA 3 (Philadelphia) 03/28/2022 38790-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
▼ 398250 Caregivers America Home Health Services, Llc 3964 Lexington Street Harrisburg PA 3 (Philadelphia) 04/10/2019 BFL611 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
▼ 398251 Bayada Home Health Care, Inc. 701 Bridge Street Suite 201 Lehighton PA 3 (Philadelphia) 03/20/2025 65AFE-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0768 Competency evaluation Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G1022 Discharge and transfer summaries Element
▼ 398252 Epeople Healthcare Inc. 1092 Route 315 Suite 3 Wilkes Barre PA 3 (Philadelphia) 03/11/2021 DQ1S11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1052 Administrator Standard
G0414 HHA administrator contact information Element
G0450 Access to auxiliary aids and language service Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 398252 Epeople Healthcare Inc. 1092 Route 315 Suite 3 Wilkes Barre PA 3 (Philadelphia) 12/10/2018 465S11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0940 Organization and administration of services Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
G0768 Competency evaluation Standard
G0942 Governing body Standard
G0414 HHA administrator contact information Element
G0430 Be free from abuse Element
G0434 Participate in care Element
G0442 Written notice for non-covered care Element
G0446 Contact info Federal/State-funded entities Element
G0450 Access to auxiliary aids and language service Element
G0454 HHA can no longer meet the patient's needs Element
G0456 Patient/payer will no longer pay for services Element
G0458 Outcomes/goals have been achieved Element
G0622 Name/contact information of clinical manager Element
G0812 Direct observation every 12 months Element
G0950 Ensure clinical manager is available Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 398253 Lady Of Fatima Health Services, Inc. 6122 Torresdale Avenue Philadelphia PA 3 (Philadelphia) 05/28/2025 66476-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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0036 EP Training and Testing Standard
G0572 Plan of care Standard
G0686 Infection control education Standard
G0942 Governing body Standard
G0546 Last 5 days of every 60 days unless: Element
G0716 Preparing clinical notes Element
G0726 Nursing services supervised by RN Element
G0948 Responsible for all day-to-day operations Element
G0950 Ensure clinical manager is available Element
G0956 Available during all operating hours Element
G1022 Discharge and transfer summaries Element
▼ 398253 Lady Of Fatima Health Services, Inc. 6122 Torresdale Avenue Philadelphia PA 3 (Philadelphia) 06/27/2022 4EED7-H1 Focused Infection Control, 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
G1060 Licensed Practical (Vocational) Nurse Standard
G0574 Plan of care must include the following Element
G0778 Documentation of inservice training Element
▼ 398253 Lady Of Fatima Health Services, Inc. 6122 Torresdale Avenue Philadelphia PA 3 (Philadelphia) 06/24/2019 KCU111 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
G0940 Organization and administration of services Condition
E0030 Names and Contact Information Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS Standard
G0642 Program scope Standard
G0644 Program data Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0862 Laboratory services/CLIA waivers Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G1060 Licensed Practical (Vocational) Nurse Standard
G1072 Registered Nurse Standard
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0588 Reviewed, revised by physician every 60 days Element
G0716 Preparing clinical notes Element
G0718 Communication with physicians Element
G0948 Responsible for all day-to-day operations Element
G0952 Ensure that HHA employs qualified personnel Element
G0954 Ensures qualified pre-designated person Element
G0956 Available during all operating hours Element
G1022 Discharge and transfer summaries Element
▼ 398255 Carepine Home Health, Llc 1125 S Cedar Crest Suite 204 Allentown PA 3 (Philadelphia) 07/18/2025 1D1AE2-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
G0642 Program scope Standard
G0644 Program data Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0684 Infection control Standard
G0942 Governing body Standard
G0514 RN performs assessment Element
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G0760 Classroom and supervised practical training Element
G0808 Onsite supervisory visit every 14 days Element
G1022 Discharge and transfer summaries Element
▼ 398255 Carepine Home Health, Llc 1125 S Cedar Crest Suite 204 Allentown PA 3 (Philadelphia) 12/21/2022 5E6E0-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element