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
▼ 417055 Nursing Placement Home Health Care Services Inc 588 Pawtucket Avenue Pawtucket RI 1 (Boston) 01/18/2019 HUP411 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0436 Receive all services in plan of care Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
▼ 417057 Bayada Home Health Care Inc 260 West Exchange Street, Suite 1 Providence RI 1 (Boston) 02/19/2025 65513-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1008 Clinical records Condition
G0572 Plan of care Standard
G0434 Participate in care Element
G0514 RN performs assessment Element
▼ 417057 Bayada Home Health Care Inc 260 West Exchange Street, Suite 1 Providence RI 1 (Boston) 09/17/2024 642A7-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
▼ 417057 Bayada Home Health Care Inc 260 West Exchange Street, Suite 1 Providence RI 1 (Boston) 11/16/2018 L3QS11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
▼ 417058 Life Care At Home 63 Sockanosset Crossroad, Suite 1-C Cranston RI 1 (Boston) 12/08/2021 37FEC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0848 Compliance with Federal, State, Local Law Condition
G0940 Organization and administration of services Condition
G1008 Clinical records Condition
E0006 Plan Based on All Hazards Risk Assessment Standard
G0572 Plan of care Standard
G0942 Governing body Standard
G0958 Clinical manager Standard
G1024 Authentication 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
G0614 Visit schedule Element
G0948 Responsible for all day-to-day operations Element
G0952 Ensure that HHA employs qualified personnel Element
G0962 Coordinate patient care Element
G1012 Required items in clinical record Element
G1014 Interventions and patient response Element
▼ 417058 Life Care At Home 63 Sockanosset Crossroad, Suite 1-C Cranston RI 1 (Boston) 10/23/2018 M1LX11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0546 Last 5 days of every 60 days unless: Element
G1012 Required items in clinical record Element
▼ 417065 Dependable Healthcare Services Llc 1171 Main Street, Suite C Wyoming RI 1 (Boston) 08/25/2025 1D5351-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0940 Organization and administration of services Condition
E0004 Develop EP Plan, Review and Update Annually Standard
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0024 Policies/Procedures-Volunteers and Staffing Standard
E0030 Names and Contact Information 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
G0644 Program data Standard
G0646 Program activities Standard
G0654 Track adverse patient events Standard
G0660 Executive responsibilities for QAPI Standard
G0684 Infection control Standard
G0686 Infection control education Standard
G0942 Governing body Standard
G1024 Authentication Standard
G1028 Protection of records Standard
G0436 Receive all services in plan of care Element
G0542 Incorporate OASIS items Element
G0656 Improvements are sustained Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0720 Participate in the HHA's QAPI program; Element
G0722 Participate in HHA-sponsored in-service Element
G0808 Onsite supervisory visit every 14 days Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 417065 Dependable Healthcare Services Llc 1171 Main Street, Suite C Wyoming RI 1 (Boston) 07/14/2025 1D0D1E-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0325 Basis and Scope Condition
G0954 Ensures qualified pre-designated person Element
▼ 417067 Maxim Healthcare Services, Inc One Cedar Street Providence RI 1 (Boston) 11/13/2024 649A7-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
G0686 Infection control education Standard
G0602 Communication with all physicians Element
G0710 Provide services in the plan of care Element
▼ 417069 Lifetime Medical Support Services 235 Lonsdale Avenue Pawtucket RI 1 (Boston) 03/20/2019 MAKV12 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard