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
▼ 407020 First Home Care Center Inc. Calle Mckinley Oeste 96 Mayaguez PR 2 (New York) 10/19/2022 5DFBC-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
▼ 407020 First Home Care Center Inc. Calle Mckinley Oeste 96 Mayaguez PR 2 (New York) 10/31/2019 TN2D11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
▼ 407027 La Providencia Home Health Care Inc Urb Garcia Calle Morell Campos #57 Arecibo PR 2 (New York) 02/06/2025 65414-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
E0031 Emergency Officials Contact Information Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
G0682 Infection Prevention Standard
G0686 Infection control education Standard
▼ 407027 La Providencia Home Health Care Inc Urb Garcia Calle Morell Campos #57 Arecibo PR 2 (New York) 02/17/2022 3855F-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
G0682 Infection Prevention Standard
G1010 Contents of clinical record Standard
▼ 407028 Programa De Servicios De Salud En El Hogar Geminis Carr 159 Km 13 4 Bo Pueblo Corozal PR 2 (New York) 11/08/2018 A28R11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0426 Rights of the patient Standard
G0682 Infection Prevention Standard
G0860 Licensing Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G0988 Institutional planning Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G0950 Ensure clinical manager is available Element
G0954 Ensures qualified pre-designated person Element
G0984 In accordance with current clinical practice Element
▼ 407030 Luz De Esperanza Home Care Carr 668 Bda Felix Cordova Davila 126 Alt De Luchetti PR 2 (New York) 11/21/2025 1DBC87-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0730 Medical social services supervised by MSW Element
▼ 407030 Luz De Esperanza Home Care Carr 668 Bda Felix Cordova Davila 126 Alt De Luchetti PR 2 (New York) 10/13/2022 5DF2B-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information Standard
▼ 407030 Luz De Esperanza Home Care Carr 668 Bda Felix Cordova Davila 126 Alt De Luchetti PR 2 (New York) 10/25/2019 DHN911 Recertification
Deficiency Tag Deficiency Description Tag Type
G0406 Patient rights Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0017 HHA Comprehensive Assessment in Disaster Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0023 Policies/Procedures for Medical Documentation Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0644 Program data Standard
G0646 Program activities Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0724 Supervise skilled professional assistants Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
G0420 [Removed and Reserved] Element
G0422 Written notice within 4 business days Element
G0432 Make complaints to the HHA Element
G0450 Access to auxiliary aids and language service Element
G0482 Mistreatment, neglect or abuse Element
G0648 High risk, high volume, or problem-prone area Element
G0650 Incidence, prevalence, severity of problems Element
G0652 Activities lead to an immediate correction Element
G0656 Improvements are sustained Element
G0950 Ensure clinical manager is available Element
G0952 Ensure that HHA employs qualified personnel Element
G0954 Ensures qualified pre-designated person Element
▼ 407031 Dd Home Care San Francisco De Asis, Inc Calle Rafols 125 Quebradillas PR 2 (New York) 01/29/2025 6531C-H1 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
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
G0682 Infection Prevention Standard
▼ 407031 Dd Home Care San Francisco De Asis, Inc Calle Rafols 125 Quebradillas PR 2 (New York) 02/04/2022 3840F-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
G0682 Infection Prevention Standard
G1010 Contents of clinical record Standard