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
▼ 417035 Assisted Daily Living Inc 2809 Post Road Warwick RI 1 (Boston) 02/23/2024 62496-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0700 Skilled professional services Condition
E0017 HHA Comprehensive Assessment in Disaster Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0572 Plan of care Standard
G0612 Written instructions to patient include: Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0610 Patients receive education and training Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
▼ 417035 Assisted Daily Living Inc 2809 Post Road Warwick RI 1 (Boston) 04/18/2018 L5LS11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0548 Within 48 hours of the patient's return Element
G0984 In accordance with current clinical practice Element
▼ 417038 Saint Elizabeth At Home Corp 2364 Post Road Warwick RI 1 (Boston) 09/11/2024 641C0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0640 Quality assessment/performance improvement Condition
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
G0572 Plan of care Standard
G0642 Program scope Standard
G0644 Program data Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0942 Governing body Standard
G0656 Improvements are sustained Element
G0718 Communication with physicians Element
G0720 Participate in the HHA's QAPI program; Element
G0954 Ensures qualified pre-designated person Element
▼ 417038 Saint Elizabeth At Home Corp 2364 Post Road Warwick RI 1 (Boston) 11/24/2021 37ECD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0640 Quality assessment/performance improvement Condition
G0700 Skilled professional services Condition
G0578 Conformance with physician orders Standard
G0536 A review of all current medications Element
▼ 417051 Homecare Advantage Chc 165 Burnside Street Cranston RI 1 (Boston) 07/24/2024 63AC8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1076 Social Worker Standard
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element
▼ 417051 Homecare Advantage Chc 165 Burnside Street Cranston RI 1 (Boston) 07/16/2021 400T11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
▼ 417051 Homecare Advantage Chc 165 Burnside Street Cranston RI 1 (Boston) 07/13/2018 QD0E11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0644 Program data Standard
G0606 Integrate all services Element
G0808 Onsite supervisory visit every 14 days Element
G0984 In accordance with current clinical practice Element
▼ 417055 Nursing Placement Home Health Care Services Inc 588 Pawtucket Avenue Pawtucket RI 1 (Boston) 06/06/2024 634D2-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0478 Investigate complaints made by patient Element
G0486 Protect patient during investigation Element
▼ 417055 Nursing Placement Home Health Care Services Inc 588 Pawtucket Avenue Pawtucket RI 1 (Boston) 07/05/2023 6033A-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0576 All orders recorded in plan of care Element
▼ 417055 Nursing Placement Home Health Care Services Inc 588 Pawtucket Avenue Pawtucket RI 1 (Boston) 03/30/2022 387AA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0686 Infection control education Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0576 All orders recorded in plan of care Element
G0580 Only as ordered by a physician Element