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
▼ 398328 Care In Action Home Healthcare Agency Llc 67 Buck Road Suite 145-146 Huntingdon Valley PA 3 (Philadelphia) 07/01/2025 668F1-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
G0750 Home health aide services Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0030 Names and Contact Information 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
G0768 Competency evaluation Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0616 Patient medication schedule/instructions Element
G0656 Improvements are sustained Element
G0754 A qualified HH aide successfully completed: Element
G0760 Classroom and supervised practical training Element
G0766 HHA maintains documentation of training Element
G0772 Documentation of competency evaluation Element
G0808 Onsite supervisory visit every 14 days Element
G0952 Ensure that HHA employs qualified personnel Element
G1012 Required items in clinical record Element
▼ 398328 Care In Action Home Healthcare Agency Llc 67 Buck Road Suite 145-146 Huntingdon Valley PA 3 (Philadelphia) 01/14/2022 38378-H1 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0376 Transmittal of OASIS data Standard
G0518 Completion of the comprehensive assessment Standard
▼ 398332 Wvuhs Home Care, Llc 205 Easy Street Suite 202 Uniontown PA 3 (Philadelphia) 12/13/2024 64F24-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0484 Document complaint and resolution Element
▼ 398334 Guaranteed Home Health Services, Inc. 638 Newtown Yardley Road, Suite 2i Newtown PA 3 (Philadelphia) 02/27/2026 1E3710-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
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement 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
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0642 Program scope Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0942 Governing body Standard
G0514 RN performs assessment Element
G0534 Patient's needs Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0588 Reviewed, revised by physician every 60 days Element
G0592 Revised plan of care Element
G0656 Improvements are sustained Element
G0772 Documentation of competency evaluation Element
G0946 Administrator appointed by governing body Element
▼ 398341 H&M Care Inc 7101 Woodland Ave Philadelphia PA 3 (Philadelphia) 09/19/2025 1D3004-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0370 Reporting OASIS information Condition
G0640 Quality assessment/performance improvement Condition
G0750 Home health aide services Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0372 Encoding and transmitting OASIS 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
G0686 Infection control education Standard
G0860 Licensing Standard
G0942 Governing body Standard
G0382 Transmit data using compliant software Element
G0514 RN performs assessment Element
G0574 Plan of care must include the following Element
G0588 Reviewed, revised by physician every 60 days Element
G0754 A qualified HH aide successfully completed: Element
G0760 Classroom and supervised practical training Element
G0766 HHA maintains documentation of training Element
G0948 Responsible for all day-to-day operations Element
▼ 398343 Staffing Village Inc. 3400 Garrett Road Drexel Hill PA 3 (Philadelphia) 09/11/2025 1D763F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0546 Last 5 days of every 60 days unless: Element
▼ 398343 Staffing Village Inc. 3400 Garrett Road Drexel Hill PA 3 (Philadelphia) 01/23/2023 5EA9B-H1 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 398348 Attentive Care Service Agency, Inc. 5721 Arch St. Philadelphia PA 3 (Philadelphia) 06/06/2023 60055-H1 Initial Certification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
▼ 398351 Vital Home Care Services, Llc 135 High Street Sharon Hill PA 3 (Philadelphia) 09/21/2023 5FFF0-H1 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
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
▼ 398354 Honest Elite Caregivers, Inc. 5339 Pulaski Avenue Philadelpha PA 3 (Philadelphia) 09/30/2025 1D8C8E-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G1050 Personnel qualifications Condition
G1072 Registered Nurse Standard
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element