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
▼ 447238 Amedisys Tennessee, Llc 107 N Porter Street, Suite 3 Winchester TN 4 (Atlanta) 02/24/2022 113E0-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0714 Patient and caregiver education Element
▼ 447254 Centerwell Certified Healthcare Corp. 2004 American Way Suite 121 Kingsport TN 4 (Atlanta) 06/01/2022 4ECAA-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0514 RN performs assessment Element
G0602 Communication with all physicians Element
G1022 Discharge and transfer summaries Element
▼ 447254 Centerwell Certified Healthcare Corp. 2004 American Way Suite 121 Kingsport TN 4 (Atlanta) 01/08/2020 KY9Q11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
▼ 447260 Amedisys Tennessee, L L C 508 W Main Street Livingston TN 4 (Atlanta) 05/04/2023 4EE20-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
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0714 Patient and caregiver education Element
▼ 447261 Americare Home Health Agency, Inc. 7936 Players Forest Drive Memphis TN 4 (Atlanta) 05/04/2022 38A32-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
▼ 447263 Mj Home Care, Inc. 6077 Primacy Parkway Memphis TN 4 (Atlanta) 03/21/2025 65AF5-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0436 Receive all services in plan of care Element
G0602 Communication with all physicians Element
G0948 Responsible for all day-to-day operations Element
▼ 447263 Mj Home Care, Inc. 6077 Primacy Parkway Memphis TN 4 (Atlanta) 05/17/2023 5FD4F-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
▼ 447269 Cleveland Home Care Services, Llc 2440 Oakland Dr., Nw Cleveland TN 4 (Atlanta) 01/23/2025 652BE-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
▼ 447269 Cleveland Home Care Services, Llc 2440 Oakland Dr., Nw Cleveland TN 4 (Atlanta) 08/29/2019 GLUW11 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
G0570 Care planning, coordination, quality of care Condition
G0700 Skilled professional services Condition
G0544 Update of the comprehensive assessment Standard
G0578 Conformance with physician orders Standard
G0534 Patient's needs Element
G0590 Promptly alert relevant physician of changes Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0718 Communication with physicians Element
G0968 Assure implementation of plan of care Element
▼ 447271 Saint Thomas Home Health, Llc 2451 Atrium Way Nashville TN 4 (Atlanta) 03/24/2022 38764-H1 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
G0590 Promptly alert relevant physician of changes Element
G0616 Patient medication schedule/instructions Element