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
▼ 427010 Tri County Home Health & Services Inc 2 Palmetto Wood Pkwy Suite 201 Irmo SC 4 (Atlanta) 04/04/2024 62A66-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
G0442 Written notice for non-covered care Element
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
▼ 427010 Tri County Home Health & Services Inc 2 Palmetto Wood Pkwy Suite 201 Irmo SC 4 (Atlanta) 09/02/2021 SI0B11 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
G0544 Update of the comprehensive assessment Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0514 RN performs assessment Element
G0590 Promptly alert relevant physician of changes Element
▼ 427010 Tri County Home Health & Services Inc 2 Palmetto Wood Pkwy Suite 201 Irmo SC 4 (Atlanta) 08/10/2018 3D7J11 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
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0608 Coordinate care delivery Element
G0808 Onsite supervisory visit every 14 days Element
▼ 427015 Investsouth Ihc, Llc 100 Verde Blvd Ste 300 Greenville SC 4 (Atlanta) 12/06/2019 G0GK11 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
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0704 Responsibilities of skilled professionals Standard
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0594 Plan of care revisions must be communicated Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
▼ 427020 Chesterfield Visiting Nurses Services Inc 227 Market Street Cheraw SC 4 (Atlanta) 08/22/2025 1D433C-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G1022 Discharge and transfer summaries Element
▼ 427020 Chesterfield Visiting Nurses Services Inc 227 Market Street Cheraw SC 4 (Atlanta) 02/03/2022 3839E-H1 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
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0586 Review and revision of the plan of care Standard
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
G0574 Plan of care must include the following Element
G0808 Onsite supervisory visit every 14 days Element
▼ 427020 Chesterfield Visiting Nurses Services Inc 227 Market Street Cheraw SC 4 (Atlanta) 07/25/2019 5V3R11 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
E0006 Plan Based on All Hazards Risk Assessment Standard
E0007 EP Program Patient Population Standard
E0009 Local, State, Tribal Collaboration Process Standard
E0013 Development of EP Policies and Procedures 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
E0029 Development of Communication Plan Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0033 Methods for Sharing Information Standard
E0034 Information on Occupancy/Needs Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0578 Conformance with physician orders Standard
G0682 Infection Prevention Standard
G0434 Participate in care Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
G0946 Administrator appointed by governing body Element
G0978 Must have a written agreement Element
▼ 427024 Spartanburg Medical Center 120 Heywood Ave Spartanburg SC 4 (Atlanta) 08/31/2023 60DB4-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
G0580 Only as ordered by a physician Element
▼ 427024 Spartanburg Medical Center 120 Heywood Ave Spartanburg SC 4 (Atlanta) 06/24/2021 T1KP11 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
▼ 427024 Spartanburg Medical Center 120 Heywood Ave Spartanburg SC 4 (Atlanta) 06/15/2018 OSWC11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0686 Infection control education Standard
G0536 A review of all current medications Element