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
▼ 447131 City Of Cookeville 1101 Neal St Ste 103 Cookeville TN 4 (Atlanta) 04/13/2022 38834-H1 Focused Infection Control, 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
▼ 447131 City Of Cookeville 1101 Neal St Ste 103 Cookeville TN 4 (Atlanta) 10/16/2019 VMK411 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0430 Be free from abuse Element
▼ 447138 Cedar Creek Home Health Care Agency, Inc. 1010 Pleasant Grove Pl., 200 Mount Juliet TN 4 (Atlanta) 03/03/2022 385FD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0580 Only as ordered by a physician Element
▼ 447142 Camellia Home Health Of East Tennessee, Llc 900 E Hill Avenue Suites 115 & 120 Knoxville TN 4 (Atlanta) 04/30/2025 65FC8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
G0598 Discharge plans communication Element
▼ 447142 Camellia Home Health Of East Tennessee, Llc 900 E Hill Avenue Suites 115 & 120 Knoxville TN 4 (Atlanta) 06/16/2021 11388-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0550 At discharge Element
▼ 447142 Camellia Home Health Of East Tennessee, Llc 900 E Hill Avenue Suites 115 & 120 Knoxville TN 4 (Atlanta) 08/07/2018 BKX911 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0434 Participate in care Element
▼ 447150 Knoxville Home Care Services, Llc 1225 E. Weisgarber Road, Suite 370s Knoxville TN 4 (Atlanta) 11/15/2023 6187B-H1 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0702 Services by skilled professionals Standard
G0860 Licensing Standard
G1024 Authentication Standard
G0514 RN performs assessment Element
G0576 All orders recorded in plan of care Element
▼ 447150 Knoxville Home Care Services, Llc 1225 E. Weisgarber Road, Suite 370s Knoxville TN 4 (Atlanta) 06/05/2023 5FFF8-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0590 Promptly alert relevant physician of changes Element
▼ 447150 Knoxville Home Care Services, Llc 1225 E. Weisgarber Road, Suite 370s Knoxville TN 4 (Atlanta) 12/13/2022 5E8EE-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0430 Be free from abuse Element
▼ 447152 Nhc/Op, L.P. 15423 South First Street, Suite 102 Milan TN 4 (Atlanta) 08/08/2023 60B34-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0586 Review and revision of the plan of care Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0726 Nursing services supervised by RN Element