S&C QCOR HHA 2567s
d QCOR: Quality, Certification and Oversight Reports. S&C QCOR  
Home  |  Help  |  Resources  |  FAQs  |  Site Map  
   
HHAs 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

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
▼ 059051 Baycal Home Health Care Services, Inc. 1605 S. Main Street, Suite 105 Milpitas CA 9 (San Francisco) 07/18/2018 JLQK11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
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
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G1012 Required items in clinical record Element
▼ 059056 Professional Home Health Care, Inc 415 E Harvard Street, Suite 205 Glendale CA 9 (San Francisco) 02/08/2018 ZLH411 Complaint, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G1028 Protection of records Standard
G0530 Strengths, goals, and care preferences Element
G0960 Make patient and personnel assignments, Element
G0984 In accordance with current clinical practice Element
▼ 059066 Nova Home Health Inc 1551 W 13th Street Suite 103 Upland CA 9 (San Francisco) 08/27/2025 1D4A33-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0616 Patient medication schedule/instructions Element
▼ 059067 Lifelink Health Providers, Inc 211 W Foothill Blvd, Suite A Glendora CA 9 (San Francisco) 01/16/2026 1E0FC9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0612 Written instructions to patient include: Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
▼ 059067 Lifelink Health Providers, Inc 211 W Foothill Blvd, Suite A Glendora CA 9 (San Francisco) 10/28/2022 5E1A9-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0572 Plan of care Standard
G0612 Written instructions to patient include: Standard
G0412 Written notice of patient's rights Element
G0414 HHA administrator contact information Element
G0418 Patient's or legal representative's signature Element
G0436 Receive all services in plan of care Element
G0520 5 calendar days after start of care 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
G0968 Assure implementation of plan of care Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
▼ 059067 Lifelink Health Providers, Inc 211 W Foothill Blvd, Suite A Glendora CA 9 (San Francisco) 04/05/2019 EKHG11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0726 Nursing services supervised by RN Element
G0808 Onsite supervisory visit every 14 days Element
G0984 In accordance with current clinical practice Element
▼ 059075 Asant Home Health Care Inc 14545 Friar St, Suite 219 Van Nuys CA 9 (San Francisco) 01/15/2021 BLMN11 Complaint, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0982 Skilled services furnished Standard
▼ 059075 Asant Home Health Care Inc 14545 Friar St, Suite 219 Van Nuys CA 9 (San Francisco) 07/26/2018 ZQEA11 Recertification, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0522 Eligibility for Medicare home health benefit Element
G0616 Patient medication schedule/instructions Element
G0618 Treatments and therapy services Element
G0710 Provide services in the plan of care Element
G1014 Interventions and patient response Element
▼ 059078 Nurse Care Health Group Llc 425 W. Broadway Suite 213 Glendale CA 9 (San Francisco) 05/18/2023 5FCE2-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G1024 Authentication Standard
G0536 A review of all current medications Element
G0588 Reviewed, revised by physician every 60 days Element
G0610 Patients receive education and training Element
G0718 Communication with physicians Element
G0952 Ensure that HHA employs qualified personnel Element
G1022 Discharge and transfer summaries Element
▼ 059078 Nurse Care Health Group Llc 425 W. Broadway Suite 213 Glendale CA 9 (San Francisco) 07/16/2019 P25711 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element