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
▼ 398318 Rrb Home Healthcare, Llc 501 Cambria Avenue, Suite 111 Bensalem PA 3 (Philadelphia) 05/16/2025 664B6-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
G0942 Governing body Standard
G0958 Clinical manager Standard
G1052 Administrator Standard
G0948 Responsible for all day-to-day operations Element
G0954 Ensures qualified pre-designated person Element
G0956 Available during all operating hours Element
▼ 398318 Rrb Home Healthcare, Llc 501 Cambria Avenue, Suite 111 Bensalem PA 3 (Philadelphia) 05/11/2022 4EA7A-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
G0806 Supervision of home health aides Standard
G0942 Governing body Standard
G0412 Written notice of patient's rights Element
G0952 Ensure that HHA employs qualified personnel Element
▼ 398318 Rrb Home Healthcare, Llc 501 Cambria Avenue, Suite 111 Bensalem PA 3 (Philadelphia) 02/21/2020 BSLI11 Initial Certification
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
G0584 Verbal orders Element
G0808 Onsite supervisory visit every 14 days Element
▼ 398319 Valley Med Home Health Care, Llc 2200 Hamilton Street Suite 310 Allentown PA 3 (Philadelphia) 02/06/2026 1E3521-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
G0684 Infection control Standard
G0760 Classroom and supervised practical training Element
▼ 398319 Valley Med Home Health Care, Llc 2200 Hamilton Street Suite 310 Allentown PA 3 (Philadelphia) 02/14/2023 5F098-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
▼ 398322 Shiloh Homecare Corporation 1561 East Market Street York PA 3 (Philadelphia) 01/26/2024 6215F-H1 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
G0560 Discharge Planning Condition
G0640 Quality assessment/performance improvement Condition
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
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
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0036 EP Training and Testing Standard
G0562 Discharge Planning Standard
G0564 Discharge or Transfer Summary Content Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0644 Program data Standard
G0646 Program activities Standard
G0684 Infection control Standard
G0768 Competency evaluation Standard
G0942 Governing body Standard
G0944 Administrator must: Standard
G0958 Clinical manager Standard
G1010 Contents of clinical record Standard
G0480 Treatment or care Element
G0598 Discharge plans communication Element
G1022 Discharge and transfer summaries Element
▼ 398322 Shiloh Homecare Corporation 1561 East Market Street York PA 3 (Philadelphia) 09/08/2022 4F60B-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
▼ 398322 Shiloh Homecare Corporation 1561 East Market Street York PA 3 (Philadelphia) 04/06/2022 388D2-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
G0684 Infection control Standard
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0752 Home health aide qualifications Standard
G0514 RN performs assessment Element
▼ 398322 Shiloh Homecare Corporation 1561 East Market Street York PA 3 (Philadelphia) 01/07/2021 Y57P11 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0598 Discharge plans communication Element
G0726 Nursing services supervised by RN Element
▼ 398323 Peace In The Valley Health Care Agency, Llc 7221 West Chester Pike 1st Floor Upper Darby PA 3 (Philadelphia) 07/22/2024 63969-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0684 Infection control Standard
G0828 Medicaid personal care aide-only services Standard
G0614 Visit schedule Element
G0754 A qualified HH aide successfully completed: Element
G0766 HHA maintains documentation of training Element