S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

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
▼ 447225 Adoration Home Health Martin 135 Kennedy Drive Martin TN 4 (Atlanta) 06/17/2021 113BE-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
▼ 447225 Adoration Home Health Martin 135 Kennedy Drive Martin TN 4 (Atlanta) 01/24/2018 C7LG11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0684 Infection control Standard
G0614 Visit schedule Element
G1022 Discharge and transfer summaries Element
▼ 447230 University Of Tn Medical Center Home Care Services 900 E Hill Ave, Suite 310 Knoxville TN 4 (Atlanta) 01/22/2026 1E1D4D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0460 Patient refuses services Element
G0536 A review of all current medications Element
G0590 Promptly alert relevant physician of changes Element
▼ 447230 University Of Tn Medical Center Home Care Services 900 E Hill Ave, Suite 310 Knoxville TN 4 (Atlanta) 12/13/2022 5E8E9-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
G0432 Make complaints to the HHA Element
▼ 447238 Amedisys Tennessee, Llc 107 N Porter Street, Suite 3 Winchester TN 4 (Atlanta) 05/15/2025 5E7B7-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
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
▼ 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) 07/15/2026 25D5F1-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
G0536 A review of all current medications Element
G0710 Provide services in the 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