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
▼ 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) 12/05/2018 MAKV11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0700 Skilled professional services Condition
E0036 EP Training and Testing Standard
E0037 EP Training Program Standard
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
▼ 417070 Elmwood Home Care, Inc 120 Dudley Street, Suite 201 Providence RI 1 (Boston) 03/21/2024 627C3-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
G0572 Plan of care Standard
G1070 Physician Standard
G0430 Be free from abuse Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0608 Coordinate care delivery Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0984 In accordance with current clinical practice Element
▼ 427004 Schha, Llc 4055 Faber Place Dr. Ste 212 Charleston SC 4 (Atlanta) 09/11/2025 1D579F-H1 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
G0514 RN performs assessment Element
G0580 Only as ordered by a physician Element
▼ 427004 Schha, Llc 4055 Faber Place Dr. Ste 212 Charleston SC 4 (Atlanta) 06/03/2022 4EC63-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0544 Update of the comprehensive assessment Standard
▼ 427004 Schha, Llc 4055 Faber Place Dr. Ste 212 Charleston SC 4 (Atlanta) 09/27/2019 N44G11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0520 5 calendar days after start of care Element
G0706 Interdisciplinary assessment of the patient Element
▼ 427005 Amedisys Home Health Inc Of Sc 2675 Lake Park Drive North Charleston SC 4 (Atlanta) 03/28/2024 62954-H1 Recertification
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
▼ 427005 Amedisys Home Health Inc Of Sc 2675 Lake Park Drive North Charleston SC 4 (Atlanta) 09/23/2021 FROF11 Focused Infection Control, Other-Fed, 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
G0578 Conformance with physician orders Standard
▼ 427005 Amedisys Home Health Inc Of Sc 2675 Lake Park Drive North Charleston SC 4 (Atlanta) 08/23/2018 M39B11 Recertification
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
G0514 RN performs assessment Element
G0608 Coordinate care delivery Element
G0800 Services provided by HH aide Element
G0808 Onsite supervisory visit every 14 days Element