S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
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
447406 All Care Plus, Inc 337 W. Central Ave. Jamestown TN 4 (Atlanta) 04/13/2023 37E2E-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
G0586 Review and revision of the plan of care Standard
G0576 All orders recorded in plan of care Element
447406 All Care Plus, Inc 337 W. Central Ave. Jamestown TN 4 (Atlanta) 11/07/2019 YJ7M11 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0430 Be free from abuse Element
447406 All Care Plus, Inc 337 W. Central Ave. Jamestown TN 4 (Atlanta) 06/27/2019 0WW111 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0488 Immediate reporting of abuse by all staff Element
447407 Lhcg Xciii Llc 8000 Centerville Pkwy Suite 403 Cordova TN 4 (Atlanta) 01/30/2025 653C7-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
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G1022 Discharge and transfer summaries Element
447407 Lhcg Xciii Llc 8000 Centerville Pkwy Suite 403 Cordova TN 4 (Atlanta) 06/16/2023 60246-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
G0536 A review of all current medications Element
447408 Maury County 854 South James Campbell Blvd. Columbia TN 4 (Atlanta) 05/13/2026 2321C8-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1022 Discharge and transfer summaries Element
447424 Saint Thomas Home Health 135 East Swan St Centerville TN 4 (Atlanta) 02/16/2023 5F07E-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
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0726 Nursing services supervised by RN Element
447425 Adoration Home Health Nashville South 126 West Jackson Street Cookeville TN 4 (Atlanta) 03/18/2026 1F55CC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0536 A review of all current medications Element
G1022 Discharge and transfer summaries Element
447425 Adoration Home Health Nashville South 126 West Jackson Street Cookeville TN 4 (Atlanta) 02/28/2023 5F25D-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G1024 Authentication Standard
G0606 Integrate all services Element
447444 Baptist Memorial Hospital - Huntingdon 641 Rb Wilson Dr Suite J Huntingdon TN 4 (Atlanta) 01/23/2025 652DA-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
G0536 A review of all current medications Element
G1022 Discharge and transfer summaries Element