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
▼ 437077 Dpt Inc 910 S Edgerton Mitchell SD 8 (Denver) 06/03/2021 DN9111 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0001 Establishment of the Emergency Program (EP) Condition
▼ 437077 Dpt Inc 910 S Edgerton Mitchell SD 8 (Denver) 03/07/2018 11CT11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0966 Assure patient needs are continually assessed Element
▼ 437081 Heartland Home Health Llc 319 Summit Street Belle Fourche SD 8 (Denver) 01/29/2025 6525A-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
▼ 437086 The Evangelical Lutheran Good Samaritan Society 1851 City Springs Rd Rapid City SD 8 (Denver) 05/23/2018 EIGO11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0592 Revised plan of care Element
G0706 Interdisciplinary assessment of the patient Element
▼ 43K001 Universal Nursing Services Ltd 4300 Technology Dr Sioux Falls SD 8 (Denver) 08/31/2022 4F4E1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0444 State toll free HH telephone hotline Element
▼ 43K001 Universal Nursing Services Ltd 4300 Technology Dr Sioux Falls SD 8 (Denver) 01/31/2018 08FA11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 447080 Lhcg Cxxxvi, Llc 2030 Hamilton Place Blvd., Ste. 103 Chattanooga TN 4 (Atlanta) 01/21/2022 38184-H1 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
▼ 447107 Beacon Home Health Brentwood 783 Old Hickory Boulevard Brentwood TN 4 (Atlanta) 08/27/2025 1D5599-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
▼ 447107 Beacon Home Health Brentwood 783 Old Hickory Boulevard Brentwood TN 4 (Atlanta) 06/30/2022 4EF38-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
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
▼ 447107 Beacon Home Health Brentwood 783 Old Hickory Boulevard Brentwood TN 4 (Atlanta) 04/29/2022 3894C-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0710 Provide services in the plan of care Element